Effects of assisted sit-up exercise compared to core stabilization exercise on patients with non-specific low back pain: A randomized controlled trial

Bae, Cho Rong; Yan, Jin; Yoon, Bum Chul; Kim, Nack Hwan; Park, Kun Woo; Lee, Sangheon

doi:10.3233/bmr-170997

Cited by 24 publications

(22 citation statements)

References 30 publications

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“…Two of the studies are controlled trials (CT) [18] [19], while the other eight adopted a randomized controlled design (RCT) [20,21,22,23,24,25,26,27]. Main inclusion criterion was (sub-acute chronic) nonspecific low back pain � 6 weeks (1x, [25]), � 8 weeks (1x, [26]), �12 weeks (3 x, [20,21,22]), 24 weeks (1x, [18]). The baseline pain (VAS, 0-10 points) ranged from 2.9±0.8 [20] to 6.5±2.1 [22].…”

Section: Study Characteristics and Individual Studies' Resultsmentioning

confidence: 99%

“…The baseline pain (VAS, 0-10 points) ranged from 2.9±0.8 [20] to 6.5±2.1 [22]. The effect sizes (Cohens d, MCE only) for the sustainability measures ranged from .27 [19] to 2.6 [27] (pain intensity) and, for disability, from .17 [20] to 1.9 [25]…”

Section: Study Characteristics and Individual Studies' Resultsmentioning

confidence: 99%

“…All interventions and the respective comparators are described. The motor control stabilisation exercises are named MCE: [22][23][24], core stability exercises: [20], stabilization: [21,25,26,28] sensorimotor [18], sling training [19], and Pilates-based exercise [27]. Six out of the ten studies adopted an eightweek intervention, and the mean training time was 53 minutes.…”

Section: Grouped Effect Estimatesmentioning

confidence: 99%

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Sustainability effects of motor control stabilisation exercises on pain and function in chronic nonspecific low back pain patients: A systematic review with meta-analysis and meta-regression

Niederer

Mueller

2020

PLoS ONE

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Study design Systematic review with meta-analysis and meta-regression. Background and objectives We systematically reviewed and delineated the existing evidence on sustainability effects of motor control exercises on pain intensity and disability in chronic low back pain patients when compared with an inactive or passive control group or with other exercises. Secondary aims were to reveal whether moderating factors like the time after intervention completion, the study quality, and the training characteristics affect the potential sustainability effects. Methods Relevant scientific databases (Medline, Web of Knowledge, Cochrane) were screened. Eligibility criteria for selecting studies: All RCTs und CTs on chronic (� 12/13 weeks) nonspecific low back pain, written in English or German and adopting a longitudinal core-specific/ stabilizing sensorimotor control exercise intervention with at least one pain intensity and disability outcome assessment at a follow-up (sustainability) timepoint of � 4 weeks after exercise intervention completion. Results and conclusions From the 3,415 studies that were initially retrieved, 10 (2 CTs & 8 RCTs) on N = 1081 patients were included in the review and analyses. Low to moderate quality evidence shows a sustainable positive effect of motor control exercise on pain (SMD =-.46, Z = 2.9, p < .001) and disability (SMD =-.44, Z = 2.5, p < .001) in low back pain patients when compared to

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Section: Study Characteristics and Individual Studies' Resultsmentioning

confidence: 99%

Section: Study Characteristics and Individual Studies' Resultsmentioning

confidence: 99%

Section: Grouped Effect Estimatesmentioning

confidence: 99%

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Sustainability effects of motor control stabilisation exercises on pain and function in chronic nonspecific low back pain patients: A systematic review with meta-analysis and meta-regression

Niederer

Mueller

2020

PLoS ONE

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“…All interventions and the comparators are described. The stabilisation exercises are called core stability exercise 25,27,[30][31][32]47,51,54,[61][62][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…”

Section: Study Quality and Risk Of Bias Within Studiesmentioning

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%

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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The relationship between muscle size, obesity, body fat ratio, pain and disability in individuals with and without nonspecific low back pain

et al. 2021

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Patients with nonspecific low back pain (NSLBP) may face motor control problems and health disability barriers during various tasks. However, studies investigating the extent of these disadvantages, and possible associated factors are quite limited in patients with NSLBP. To compare motor control performances and physical assessment domains between patients with NSLBP and asymptomatic controls. Twentyseven patients with NSBLP and 27 age-and sex-matched asymptomatic controls participated in this cross-sectional study. Ultrasonographic imaging was used to determine abdominal and multifidus muscles thicknesses and adipose tissue rate. Visual analog scale was used to assess LBP severity. Body mass index (BMI) and Oswestry Disability Index (ODI) scores of the participants were physical assessment domains of LBP. BMI values were greater in the NSLBP group compared to the asymptomatic participants. ANCOVA revealed a significant interaction effect regarding external abdominal oblique and multifidus lumborum muscles thickness, and abdominal adipose tissue (p = 0.015; p = 0.001; p = 0.006), respectively in terms of two groups.The thicknesses of these muscles were lesser in the NSLBP group compared with the control group. Similarly, abdominal adipose tissue was higher in the NSLBP group.The stepwise multiple regression analysis demonstrated that the Oswestry Disability Index and abdominal adipose tissue rate were significant and independent factors of the low back pain severity with 73.5% of the variance. The study results indicate that increased disability and fat infiltration are possible determinants influencing pain severity, although further research is required. Examining musculoskeletal properties of lumbar region could provide information about the limitation in patients with NSBLP.

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Effects of assisted sit-up exercise compared to core stabilization exercise on patients with non-specific low back pain: A randomized controlled trial

Abstract: Assisted SUE using new training device can be an effective therapeutic exercise to strengthen dynamic abdominal muscles and improve core muscle activation pattern in NSLBP patients.

Cited by 24 publications

References 30 publications

Sustainability effects of motor control stabilisation exercises on pain and function in chronic nonspecific low back pain patients: A systematic review with meta-analysis and meta-regression

Sustainability effects of motor control stabilisation exercises on pain and function in chronic nonspecific low back pain patients: A systematic review with meta-analysis and meta-regression

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

The relationship between muscle size, obesity, body fat ratio, pain and disability in individuals with and without nonspecific low back pain

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