Effect of Progressive Postural Control Exercise Versus Core Stability Exercise in Young Adults with Chronic Low Back Pain: A Randomized Controlled Trial

Abstract

Introduction: This study aimed to investigate the effects of progressive postural control exercise (PPCE) vs core stability exercise (CSE) in patients with chronic low back pain (CLBP). Methods: A total of 34 young-adult participants with CLBP were randomly assigned to two groups (the PPCE group and the CSE group). They received instructions for two different exercise training regimens persisting over 8 weeks. Before, after, and at 6 months after the intervention, the participants were evaluated on the basis of pain intensity (VAS), degree of dysfunction (ODI and RMDQ), contractility of transversus abdominis (TrA) and lumbar multifidus (MF), as well as the ability to control static posture.Results: There was no significant difference between the results of the PPCE group and the CSE group. At the 6-month follow-up after the 8-week treatment, the scores of VAS, ODI, and RMDQ in the two groups decreased significantly compared to before (p \ 0.05). The percentage change in thickness of bilateral TrA and left MF (p \ 0.05) was elevated and the sway area of center of pressure during static stance tasks with eyes opened (p \ 0.05) was decreased in both groups. Conclusion: In the short term, PPCE provides positive effects similar to those of core stability exercise in patients with CLBP. The effective mechanism of PPCE might be the consequence of neuromuscular plasticity and adaptation adjustments. PPCE enriches the choices of treatment for CLBP. Clinical Trial Registration: The trial was registered at www.chictr.org.cn, identifier ChiCTR2100043113.

Lumbo-Pelvic Rhythm Monitoring Using Wearable Technology with Sensory Biofeedback: A Systematic Review

“…Due to the multifactorial nature of LBDs and the complexities involved in their treatment, the management of LBDs requires a combination of active therapies such as exercise, education, and prevention and passive therapies such as manual therapies, assistive devices, and medications [6][7][8]. In fact, the most widely accepted strategies for reducing the incidence of LBDs are therapeutic spinal exercises and continuous lumbo-pelvic control and postural monitoring [9,10]. Accordingly, maintaining the stability and alignment of the lumbo-pelvic complex during functional multiplanar movements and avoiding endrange bending positions during lumbo-pelvic motion are crucial considerations within specific motor control training; they have exhibited positive effects in the prevention and management of LBDs, as suggested by existing research [9][10][11][12].…”

“…In fact, the most widely accepted strategies for reducing the incidence of LBDs are therapeutic spinal exercises and continuous lumbo-pelvic control and postural monitoring [9,10]. Accordingly, maintaining the stability and alignment of the lumbo-pelvic complex during functional multiplanar movements and avoiding endrange bending positions during lumbo-pelvic motion are crucial considerations within specific motor control training; they have exhibited positive effects in the prevention and management of LBDs, as suggested by existing research [9][10][11][12].…”

Effectiveness of Lumbar Stabilization Exercise on Pain, Disability and Functional Performance among Older People with Low Back Pain: A Systematic Review

“…Unfortunately, although those three articles (28-30) investigated lumbar stabilization exercises among the older person population, they were excluded from the review and analysis because they were not written in full-text English language which caused a barrier for the researchers to completely understand the writing. The improvement in pain in Ozsoy et al ( 25) can be explained that when the multifidus and transversus abdominis control improved, this helped increase the stability surrounding the lumbar spine thus alleviating the pain (31). Nevertheless, Ozsoy et al (25) was unable to demonstrate a significant (p>0.05) reduction in pain intensity between core stabilization exercise alone and core stabilization exercise combined with myofascial release.…”

Enhanced Stature in the Elderly: The Immediate Impact of Acute Postural Exercises

“…So, stature is a public health parameter that aids in the understanding of social behaviors and health problems. Stature is affected by posture, joint flexions, spine curvature, body weight, malnutrition, anemia, reduced functional capacity, and poor health status, and it is influenced by age and gender [ 7 , 8 , 9 ].…”

“…Moreover, posture, including upright height and normal spine curvature, is affected by fatigue, muscle contractions, muscle tone, and the force at the trunk level, where systematic physical activity improves posture [ 8 , 10 , 11 , 12 ]. It has been shown that regular physical exercise improves posture without increasing stature in well-fed young people, e.g., Wang et al [ 9 ] reported that eight weeks of specific strength and stability exercises for the trunk decreased chronic low back pain and improved posture in young adults; they do not report effects on height. Also, there exist in the literature reports that rehabilitation exercises reduce pain and improve postural balance and the quality of life of women with postmenopausal osteoporosis with vertebral fragility fractures [ 13 ].…”