Effect of movement control and stabilization exercises in people with extension related non -specific low back pain- a pilot study

Salamat, Sara; Talebian, Saeed; Bagheri, Hosein; Maroufi, Nader; Shaterzadeh, M J; Kalbasi, G; O’Sullivan, Kieran

doi:10.1016/j.jbmt.2017.02.005

Cited by 23 publications

(24 citation statements)

References 36 publications

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“…All interventions and the comparators are described. The stabilisation exercises are called core stability exercise 25 , 27 , 30 – 32 , 47 , 51 , 54 , 61 – 63 , 69 , motor control exercise 24 , 35 , 38 , 44 , 45 , 48 , 50 , stabilisation 23 , 26 , 28 , 34 , 41 , 52 , 55 , 60 , lumbar stabilisation exercise 39 , 46 , 56 , 64 , 67 , spinal stabilisation 33 , 37 , 68 , sensorimotor training 66 , 71 , trunk stability exercise 49 , 58 , Swiss ball stabilisation 43 , 65 , 70 , perturbation training 29 , sling training 53 , McGill stabilisation exercise 40 , 57 , segmental stabilisation exercise 36 , neuromuscular exercise 22 , multifidus muscle retraining 59 and Pilates-based exercise 42 . The intervention period ranged between 2 69 and 24 22 weeks with a mean of 7.0 ± 3.3 weeks.…”

Section: Resultsmentioning

confidence: 99%

“…Mean training time per session was 44.6 ± 18.0 min with a range from 15 24 to 90 minutes 29 , 33 (9 studies 35 , 47 49 , 54 , 62 , 63 , 65 , 67 , 68 did not report on this aspect). The number of exercises practised per session varied between 2 35 , 47 , 49 , 54 , 62 , 63 , 65 , 67 , 68 to 18 29 exercises with a mean of 7.2 ± 3.9 exercises; 13 studies 30 , 32 , 35 , 37 , 40 , 44 , 48 , 50 , 52 , 53 , 56 , 58 did not report this information.…”

Section: Resultsmentioning

confidence: 99%

“…; N.A Rhee, 2012 68 Specific localized exercises aimed at restoring the stabilizing protective function of the spinal muscles around the spinal joint 5: Upper-body extension, alternate arm and leg lift, alternate arm and leg extension on all fours, diagonal curl-up, curl-up Advice regarding bed rest, absence from work, prescription medications, and resuming normal activity as tolerated 4 5 N.A N.A N.A N.A. ; N.A Salamat*, 2017 48 Movement control N.A. : The aim of the intervention was to normalize the abnormal movement patterns and postures and to relax trunk muscles.…”

Section: Resultsmentioning

confidence: 99%

“…The qualitative analysis of the training volume revealed a range of 1 30,32,35,37,40,44,48,50,52,53,56,58,70 to 10 24,44,46,59,60 sets per exercise practiced with a mean of 3.2 ± 2.4 sets, while 28 22,25,28,[30][31][32][33][34][35][38][39][40][41]43,45,[49][50][51]53,54,56,58,63,[67][68][69][70][71] studies did not report any details on this aspect. In addition to this, only 23 22,25,28,[30][31]…”

Section: Study Quality and Risk Of Bias Within Studiesmentioning

confidence: 99%

“…In addition to this, only 23 22,25,28,[30][31][32][33][34][35][38][39][40][41]43,45,[49][50][51]53,54,56,58,63,[67][68][69][70][71] studies reported on the number of repetitions per set per exercise, with a range of 6 23,24,26,27,36,38,42,44,[46][47][48][50][51][52]55,57,[59][60][61][64][65][66]69 to 30 66 repetitions (mean: 13.6 ± 5.6 repetition...…”

Section: Study Quality and Risk Of Bias Within Studiesmentioning

confidence: 99%

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Dose-response-relationship of stabilisation exercises in patients with chronic non-specific low back pain: a systematic review with meta-regression

Mueller

Niederer

2020

Sci Rep

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Stabilization exercise (SE) is evident for the management of chronic non-specific low back pain (LBP). The optimal dose-response-relationship for the utmost treatment success is, thus, still unknown. The purpose is to systematically review the dose-response-relationship of stabilisation exercises on pain and disability in patients with chronic non-specific LBP. A systematic review with meta-regression was conducted (Pubmed, Web of Knowledge, Cochrane). Eligibility criteria were RCTs on patients with chronic non-specific LBP, written in English/German and adopting a longitudinal core-specific/stabilising/motor control exercise intervention with at least one outcome for pain intensity and/or disability. Meta-regressions (dependent variable = effect sizes (Cohens d) of the interventions (for pain and for disability), independent variable = training characteristics (duration, frequency, time per session)), and controlled for (low) study quality (PEDro) and (low) sample sizes (n) were conducted to reveal the optimal dose required for therapy success. From the 3,415 studies initially selected, 50 studies (n = 2,786 LBP patients) were included. N = 1,239 patients received SE. Training duration was 7.0 ± 3.3 weeks, training frequency was 3.1 ± 1.8 sessions per week with a mean training time of 44.6 ± 18.0 min per session. The meta-regressions’ mean effect size was d = 1.80 (pain) and d = 1.70 (disability). Total R2 was 0.445 and 0.17. Moderate quality evidence (R2 = 0.231) revealed that a training duration of 20 to 30 min elicited the largest effect (both in pain and disability, logarithmic association). Low quality evidence (R2 = 0.125) revealed that training 3 to 5 times per week led to the largest effect of SE in patients with chronic non-specific LBP (inverted U-shaped association). In patients with non-specific chronic LBP, stabilization exercise with a training frequency of 3 to 5 times per week (Grade C) and a training time of 20 to 30 min per session (Grade A) elicited the largest effect on pain and disability.

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