A comparison of water-based and land-based core stability exercises in patients with lumbar disc herniation: a pilot study

Bayraktar, Deniz; Güçlü-Gündüz, Arzu; Lambeck, Johan; Yazıcı, Gökhan; Aykol, Şükrü; Demirci, Harun

doi:10.3109/09638288.2015.1075608

Cited by 26 publications

(37 citation statements)

References 30 publications

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“…Based on the consideration of 30% improvement as a threshold for MCID, most of the SF-36 domain scores meet this threshold. In agreement with our results, Bayraktar et al [ 16 ] showed that healthrelated quality of life, which was measured by Nottingham Health Profile, improved in patients with CLBP due to lumbar disc herniation in both water- and land-based core stability exercise groups. Further, Ota et al [ 32 ] reported improvement in quality of life, based on Japanese Orthopedic Association Back Pain Evaluation Questionnaire, after 3 and 6 months of lumbar stabilization exercises in patients with CLBP.…”

Section: Discussionsupporting

confidence: 93%

“…In the intervention group, the RDQ score decreased by 5 scores, which was significant. In addition, Bayraktar et al [ 16 ] revealed that patients with CLBP who participated in land- and water-based core stability exercises reported improvement of 5 and 4.5 units in RDQ scores, respectively. As discussed above, most studies have demonstrated the effectiveness of core stability exercises in the amelioration of disability.…”

Section: Discussionmentioning

confidence: 99%

“…Clinicians mainly use two rehabilitation approaches: (1) a motor control approach with exercises affecting local muscles (lumbar and lateral abdominal muscles) and (2) a general exercise approach with exercises for global body muscles [ 13 ]. Applying yoga techniques, using a Swiss ball, and exercising in water are some of the many techniques used in core stability exercises [ 14 - 16 ]. An effective approach for performing core stability exercises is a progressive multi-step core stability exercise program.…”

Section: Introductionmentioning

confidence: 99%

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The Role of a Multi-Step Core Stability Exercise Program in the Treatment of Nurses with Chronic Low Back Pain: A Single-Blinded Randomized Controlled Trial

et al. 2018

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Study DesignSingle-blinded randomized controlled trial.PurposeTo evaluate the effects of a multi-step core stability exercise program in nurses with chronic low back pain (CLBP).Overview of LiteratureCLBP is a common disorder among nurses. Considering that patient-handling activities predispose nurses to CLBP, core stability exercises suggested for managing CLBP in the general population may also be helpful in nurses. However, sufficient evidence is not available on whether a multi-step core stability exercise program affects pain, disability, quality of life, and the diameter of lateral abdominal muscles in nurses with CLBP.MethodsIn this single-blinded randomized controlled trial, 36 female nurses with CLBP were recruited. The sample was divided into two groups of 18 patients (intervention and control). Nurses in the intervention group performed core stability exercises for 8 weeks, based on a progressive pattern over time. Roland–Morris Disability Questionnaire (RDQ), quality of life (36-item Short Form Health Survey [SF-36]), ultrasound assessment of the diameter of lateral abdominal muscles, and Visual Analog Scale (VAS) score for pain were evaluated in the participants before and after the trial. Sixteen nurses (eight from each group) dropped out of the study, and analysis of covariance was used to compare outcomes for the remaining nurses in the intervention (10 nurses) and control (10 nurses) groups.ResultsThe results after the trial showed significant improvements in RDQ, SF-36, and VAS score in the intervention group compared with that in the control group (p <0.005). Furthermore, the ultrasound data showed a significant increase in the left and right muscle diameter of all three abdominal muscles during the abdominal drawing-in maneuver in the intervention group compared with that in the control group (p <0.05).Conclusions This study showed that a multi-step core stability exercise program is a helpful treatment option for improving quality of life and reducing disability and pain in female nurses with CLBP.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Role of a Multi-Step Core Stability Exercise Program in the Treatment of Nurses with Chronic Low Back Pain: A Single-Blinded Randomized Controlled Trial

et al. 2018

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“…The water-based group demonstrated greater improvement in these two measures compared with the land group (F 2 ) ( Table 2). Similar to the results of the present study, some other studies also revealed the effectiveness of exercising in water [12,17,20], in contradiction to others that found no difference between land-based and water-based exercise [18,19,28].…”

Section: Resultssupporting

confidence: 75%

The effect of an exercise program in water on pain level and functional status in chronic nonspecific low back pain patients: A single-blind randomised controlled trial

Goldstein¹,

Shoval²,

Koren‐Morag³

2020

J Nov Physiother Phys Rehabil

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“…In the intervention group, the RMDQ score decreased five points, which was significant (26). Furthermore, Bayraktar et al (27) revealed that LBP patients who participated in land and water CORE stability exercises reported an improvement of 5 and 4.5 points in the RMDQ scores, respectively. Regarding the functional level assessed through ODI, the present study demonstrated a significant reduction of scores in all intervention groups.…”

Section: Discussionmentioning

confidence: 94%

Neuromuscular electrical stimulation associated with core stability exercises in nonspecific postural low back pain: a randomized clinical trial

Luz

Santos

Evaldt

et al. 2019

Muscle Ligaments and Tendons J

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Background. Low back pain is one of the most frequent causes of disability. Therapeutics programs have been used to promote muscle strengthening and lumbar stability. Methods. Randomized clinical trial with 30 female participants with chronic low back pain, divided into CORE Group (CG), NMES Group (NG), and CORE + NMES group (CNG). At the end of the intervention and six months later, the following were evaluated: pain level, functional status and disability, hamstring flexibility and evaluation of core stabilizing muscles. All groups received three weekly interventions for four weeks. Results. Pain level was significantly reduced in all study groups (p<0.05). The CNG Group significantly reduced pain at the end of the intervention compared to the NG Group (p<0.05). The Oswestry Disability Index decreased in all intervention groups; however, the CNG Group more significantly reduced the score compared to the other groups (p<0.05). Lumbopelvic stability tests showed that the CNG Group had a significantly higher stability than the CG Group and NG Group (p<0.05). Conclusion. Compared to the single use of CORE exercises or passive NMES, the association between NMES and CORE exercises resulted in greater analgesia, improved function, and greater lumbopelvic stability in patients with nonspecific low back pain.

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A comparison of water-based and land-based core stability exercises in patients with lumbar disc herniation: a pilot study

Cited by 26 publications

References 30 publications

The Role of a Multi-Step Core Stability Exercise Program in the Treatment of Nurses with Chronic Low Back Pain: A Single-Blinded Randomized Controlled Trial

The Role of a Multi-Step Core Stability Exercise Program in the Treatment of Nurses with Chronic Low Back Pain: A Single-Blinded Randomized Controlled Trial

The effect of an exercise program in water on pain level and functional status in chronic nonspecific low back pain patients: A single-blind randomised controlled trial

Neuromuscular electrical stimulation associated with core stability exercises in nonspecific postural low back pain: a randomized clinical trial

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