Effects of 12-week lumbar stabilization exercise and sling exercise on lumbosacral region angle, lumbar muscle strength, and pain scale of patients with chronic low back pain

Abstract

[Purpose] The purpose of this study is to investigate the effects of lumbar stabilization exercise and sling exercise on lumbosacral region angle, lumbar muscle strength, pain scale of patients with chronic low back pain. [Subjects and Methods] The subjects of this study were 29 chronic low back pain patient women who were selected among participants in exercise class at K Region Health Promotion Center in South Korea and were randomly assigned to the lumbar stabilization exercise group (n=10), sling exercise group (n=10), and the control group (n=9). Both lumbar stabilization and sling exercise programs were executed for 60 minutes, three times a week, for 12 weeks. Before and after exercise we measured lumbosacral region angle (lumbar lordosis angle, lumbosacral angle, sacral inclination angle), lumbar muscle strength, and pain scale in all subjects. Two-way analysis of variance was conducted to analyze experimental data. In order to analyze the interaction effect, we conducted paired t-test before and after treatment. [Results] Lumbar stabilization exercise group and sling exercises group did not affect lumbar lordosis angle, lumbosacral angle and sacral inclination angle. Whereas the lumbar flexion muscle strength and lumbar extension muscle strength significantly increased in the lumbar stabilization exercise group and sling exercise group. The flexibility increased in the lumbar stabilization exercise group and sling exercise group. The pain scale decreased in the lumbar stabilization exercise group and sling exercise group. [Conclusion] Both lumbar stabilization exercise and sling exercises are useful therapeutic approaches to chronic back pain.

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

“…All included studies adopted a randomised controlled design (RCT). The main inclusion criterion was (chronic) non-specific low back pain ≥ 4 weeks 22 , ≥ 6 weeks 23 , ≥ 7 weeks 24 , ≥ 8 weeks [25][26][27] , ≥ 12 weeks , ≥ 24 weeks [56][57][58] and ≥ 2 year history 59 , whilst in 11 [60][61][62][63][64][65][66][67][68][69][70] studies this information was not presented. The baseline pain, effect sizes (Cohen's d, stabilisation exercise group only) for pain and disability are presented in Table 3.…”

“…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...…”

Analysis of Biomechanical Properties of the Lumbar Extensor Myofascia in Elderly Patients with Chronic Low Back Pain and That in Healthy People

“…Chronic low back pain (CLBP) is a global health problem with high incidence, and it is often very detrimental to health, thereby causing substantial economic losses to society [1][2][3]. Studies have confirmed that lumbar back muscle strength [4] and lumbar lordosis angle [5] are of great importance in maintaining the stability of the lumbar spine. Furthermore, decline in the strength of trunk muscles and increase or decrease in lumbar lordosis angle are related to CLBP [6][7][8].…”

Effect of Different Physiotherapy Programs on Pain and Functional State of the Torso in Individuals with Chronic Non-Specific Lower Back Pain

“…Daugiau kaip 80% darbingų žmonių bent vieną kartą gyvenime patiria nugaros skausmus, o 18% populiacijos dėl apatinio nugaros dalies skausmo kenčia dažnai (Vujcis et al, 2018). Reabilitacijos mokslai: slauga, kineziterapija, ergoterapija, 1 (18) 2018, 32-41;ISSN 2029-3194 / eISSN 2538 Skirtingų kineziterapijos programų poveikis asmenų, jaučiančių lėtinį nespecifinį apatinės nugaros dalies skausmą, liemens funkcinei būklei ir skausmui Esant lėtiniam nespecifiniam apatinės nugaros dalies skausmui, dažnai taikomi stuburo stabilizavimo pratimai, kineziterapija vandenyje ir šiaurietiškasis ėjimas (Irandoust, Taheri, 2015;Revord et al, 2016;Ko et al, 2018). Visų šių trijų kineziterapijos metodų naudą asmenų, jaučiančių lėtinį nespecifinį apatinės nugaros dalies skausmą, nugaros skausmo mažinimui, liemens funkcinės būklės gerinimui įrodė daugelis mokslininkų (Irandoust, Taheri, 2015;Revord et al, 2016;Li et al, 2017;Ko et al, 2018).…”