Effectiveness of core stabilization exercises and routine exercise therapy in management of pain in chronic nonspecific low back pain: A randomized controlled clinical trial

Abstract

Background & Objective:Low back pain is a frequent problem faced by the majority of people at some point in their lifetime. Exercise therapy has been advocated an effective treatment for chronic low back pain. However, there is lack of consensus on the best exercise treatment and numerous studies are underway. Conclusive studies are lacking especially in this part of the world. Thisstudy was designed to compare the effectiveness of specific stabilization exercises with routine physical therapy exerciseprovided in patients with nonspecific chronic mechanical low back pain.Methods:This is single blinded randomized control trial that was conducted at the department of physical therapy Orthopedic and Spine Institute, Johar Town, Lahore in which 120 subjects with nonspecific chronic low back pain participated. Subjects with the age between 20 to 60 years and primary complaint of chronic low back pain were recruited after giving an informed consent. Participants were randomly assigned to two treatment groups A & B which were treated with core stabilization exercise and routine physical therapy exercise respectively. TENS and ultrasound were given as therapeutic modalities to both treatment groups. Outcomes of the treatment were recorded using Visual Analogue Scale (VAS) pretreatment, at 2nd, 4th and 6th week post treatment.Results:The results of this study illustrate that clinical and therapeutic effects of core stabilization exercise program over the period of six weeks are more effective in terms of reduction in pain, compared to routine physical therapy exercise for similar duration. This study found significant reduction in pain across the two groups at 2nd, 4th and 6th week of treatment with p value less than 0.05. There was a mean reduction of 3.08 and 1.71 on VAS across the core stabilization group and routine physical therapy exercise group respectively.Conclusion:Core stabilization exercise is more effective than routine physical therapy exercise in terms of greater reduction in pain in patients with non-specific low back pain.

The effect of core stabilization exercises and shock wave therapy in patients with radiculopathy

“…Ty ri mo re zulta tai pa ro dë, kad abi ki ne zi te ra pi jos pro gra mos tu ri tei giamà po vei ká ra di ku lo pa ti ja ser gan èiø as me nø funk ci niams ro dik liams ir jø kai tai. Dau ge lis uþ sie nio au to riø nu ro do, kad ki ne zi te ra pi ja yra vie nas ið efek ty viau siø ra di ku lo pa tijos gy dy mo me to dø, pa de dan èiø su ma þin ti skaus mà ir page rin ti gy ve ni mo ko ky bae [1,14,16]. Kli ni ki nës nu ga ros skaus mo ma þi ni mo re ko men da ci jos fi zi ná ak ty vu mà ávar -di ja kaip vie nà ið ge riau siø skaus mo ma þi ni mo ir su nu garos skaus mu su si ju sios ne ga lios val dy mo prie mo niø.…”

“…Kli ni ki nës nu ga ros skaus mo ma þi ni mo re ko men da ci jos fi zi ná ak ty vu mà ávar -di ja kaip vie nà ið ge riau siø skaus mo ma þi ni mo ir su nu garos skaus mu su si ju sios ne ga lios val dy mo prie mo niø. 2017 m. Ak thar su ko le go mis sa vo dar be pa tei kë ið vadà, kad apa ti nës nu ga ros da lies skaus mas yra vie nas ið pagrin di niø ro dik liø, dël ku rio as me nys krei pia si á ki ne zi te rapeu tà, to dël ki ne zi te ra peu tas tu ri nu sta ty ti, ko kià ki ne zi tera pi jos me to di kà tai ky ti, sie kiant su ma þin ti skaus mà ir page rin ti funk ci nius bei fi zi nius ro dik lius [16]. Sis te mi nës moks li niø straips niø ap þval gos ap ta ria ávai riø pra ti mø povei ká ra di ku lo pa ti jai (McKen zie, Wil liams pra ti mø progra mos, stu bu ro sta bi li za vi mo pra ti mø pro gra mos ir kt.).…”

“…Sis te mi nës moks li niø straips niø ap þval gos ap ta ria ávai riø pra ti mø povei ká ra di ku lo pa ti jai (McKen zie, Wil liams pra ti mø progra mos, stu bu ro sta bi li za vi mo pra ti mø pro gra mos ir kt.). Dau ge lio moks li niø straips niø ið va do se pa þy mi ma, kad stu bu ro sta bi li za vi mo pra ti mai yra vie ni ge riau siø, nes jie pa ge ri na neu ro rau me ni nae kon tro lae, ið tver mae ir rau me nø jë gà, kas le mia ge res ná di na mi nio sta bi lu mo pa lai ky mà ir jo val dy mà [11,14,16], to dël, at lik da mi sa vo ty ri mà, pa sirin ko me stu bu ro sta bi li za vi mo pra ti mus. Taip pat vie nai ið ti ria mø jø gru piø ða lia stu bu ro sta bi li za vi mo pra ti mø bu vo tai ko mas smû gi nës ban gos te ra pi jos cik las.…”

“…Rem da mie si at lik tais ty ri mais ir gau tais re zul ta tais, paste bë jo me, kad tiek stu bu ro sta bi li za vi mo pra ti mø tai kymas, tiek smû gi nës ban gos te ra pi jos tai ky mas sta tis tið kai reikð min gai su ma þi na skaus mà, pa ge ri na lie mens rau menø jë gos ið tver mae, di na mi ná sta bi lu mà ir jo val dy mà [16,18]. Mû sø ty ri mo re zul ta tai su tam pa su uþ sie nio au to riø atlik tais ty ri mais ir gau tais re zul ta tais.…”

Eficacia del ultrasonido terapéutico en el dolor musculoesquelético de espalda baja: una revisión comprensiva

“…33 Sin embargo, es necesaria más evidencia, para observar la eficacia del ejercicio como el mejor tratamiento. 34,35 Por otra parte, existe poca evidencia con relación a la manipulación a través de técnicas quiroprácticas en la zona lumbar que es aplicado en presencia de dolor de espalda bajo y en el dolor de pierna irradiado. 36,37 Con relación al ultrasonido terapéutico, la literatura menciona que los primeros estudios clínicos sobre su eficacia eran defectuosos, principalmente por falta de los grupos de control.…”