Interventions for chronic low back pain: whole body vibration and spinal stabilisation

Baard, ML; Pietersen, J; Rensburg, Susan J. van

doi:10.17159/2078-516x/2011/v23i2a343

Cited by 9 publications

(9 citation statements)

References 8 publications

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“…The vibrations also activate the supplementary motor area, the Caudal cingulate motor area, and the 4 th brain region, which may affect the excitation level of peripheral and central structures of the brain to facilitate subsequent voluntary movements (39). Our results support those of Baard et al study, in that, they found whole-body vibration exercises significantly improved back muscles endurance over the stabilization exercises (40). Vibration waves stimulate the primary ending of the muscle spindles and activate a large portion of the motor neuron in the neural pool, as a result, contract motor units that were previously inactive.…”

Section: Discussionsupporting

confidence: 87%

Stabilization Exercises versus Flexi-Bar Exercises in Chronic Non-Specific Low Back Pain: Pain, Disability, Back Muscles Endurance. A Randomized Controlled Trial

Amiri¹,

Roostayi²,

Naimi³

et al. 2022

Muscle Ligaments and Tendons J

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Background. Low back pain (LBP) is one of the most prevalent and costly musculoskeletal problems. Impaired neuromuscular control and reduced use of the dorsal and abdominal muscles lead to instability in the spine and subsequent injury. Recently, vibration therapy has been proposed as an alternative method for LBP rehabilitation. Flexi-bar is a vibratory tool. When it is shaken, the core muscles are automatically activated to control the trunk against oscillatory forces created by the Flexi-bar. This study aimed to compare the efficacy of Flexi-bar and stabilization exercises in LBP rehabilitation. Methods. Thirty-eight patients were randomly assigned into Flexi-bar (n = 19) and stabilization (n = 19) groups. The Flexi-bar group received general physiotherapy and Flexi-bar exercises and the stabilization group received general physiotherapy and stabilization exercises. Both groups received treatment for 3 sessions per week, a total of 10 sessions. The outcome measures were Numeric Pain Rating Scale, Oswestry Disability Index, and Sorensen test. Results. After the intervention, both groups showed a significant improvement in pain, functional disability, and back muscles endurance (p < 0.05) however, no significant differences were found between the groups after treatment, while only back muscles endurance was significantly improved in the Flexi-bar group over the stabilization group (p < 0.001). Conclusions. Neither of the two exercise interventions wasn't superior in reducing pain and functional disability. However, the Flexi-bar group showed significant improvement in back muscles endurance over the stabilization group. Flexi-bar is recommended as an effective, portable, and cheap tool in LBP rehabilitation. Study registration. This study was registered in the Clinical Trial Center with no: IRCT20191015045122N1.

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Section: Discussionsupporting

confidence: 87%

Stabilization Exercises versus Flexi-Bar Exercises in Chronic Non-Specific Low Back Pain: Pain, Disability, Back Muscles Endurance. A Randomized Controlled Trial

Amiri¹,

Roostayi²,

Naimi³

et al. 2022

Muscle Ligaments and Tendons J

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“…No statistical difference was found between groups for LBP as measured by the VAS. Core exercise training with/without WBV has been used as a means to treat participants with chronic LBP [ 9 , 10 , 11 , 12 , 13 , 14 , 15 , 42 ]. To the authors knowledge this is the first study that has used WBV to prevent or reduce LBP in otherwise healthy participants.…”

Section: Discussionmentioning

confidence: 99%

“…A variety of core muscle training programs have been used to successfully reduce chronic LBP [ 9 ]. More recently, whole body vibration (WBV) training has been used to reduce LBP and overall disability in patients with chronic LBP [ 10 , 11 , 12 , 13 , 14 , 15 , 16 ]. WBV is a low frequency, low amplitude, mechanical vibration exercise that has been shown to induce muscular contractions and influence neuromuscular potentiation through the tonic vibration reflex [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

“…WBV is a low frequency, low amplitude, mechanical vibration exercise that has been shown to induce muscular contractions and influence neuromuscular potentiation through the tonic vibration reflex [ 17 ]. WBV with or without a combination of core exercises has been shown to increase core muscle activity and proprioception in patients with chronic LBP [ 10 , 11 , 12 , 13 , 14 , 15 , 16 ] and in healthy patients [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

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Core and Whole Body Vibration Exercise Influences Muscle Sensitivity and Posture during a Military Foot March

Lyons

Parks

Dadematthews

et al. 2021

IJERPH

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Military foot marches account for 17–22% of Army musculoskeletal injuries (MSI), with low back pain (LBP) being a common complaint. Core-exercise and whole-body vibration (WBV) have been shown to decrease LBP in patients with chronic low back MSI. This study investigated if WBV and/or core-exercise influenced LBP or posture associated with a military ruck march. A randomized control trial with three groups: (1) WBV and core-exercise (WBVEx); (2) core-exercise alone (Ex); and (3) control evaluated the effects of core-exercise and WBV on LBP during/after a two 8 K foot marches with a 35 lb rucksack. The intervention groups completed three weeks of core-exercise training with/without WBV. Outcome measurements included visual analog scale (VAS), algometer, posture and electromyography (EMG). LBP, pressure threshold, and posture were elevated throughout the foot march regardless of group. LBP remained elevated for 48 h post foot march (p = 0.044). WBVEx and Ex did not have a significant effect on LBP. WBVEx and Ex both decreased muscle sensitivity and increased trunk flexion (p < 0.001) during the second foot march (FM2). The 8 K foot marches significantly increased LBP. Core-exercise training with/without WBV decreases low back muscle sensitivity. WBV and core-exercise increases trunk flexion which may help improve performance and may influence LBP.

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“…WBV exercise has been shown to improve muscle performance and strength [27,28]. Several studies have reported an increase in the endurances of abdominal and multifidus muscles in CLBP patients following WBV exercise [29,30]. The activation of a larger fraction of the motor neuron pool and the recruitment of previously inactive motor units into contraction results in more efficient use of the force production potential [29,30]; this is considered to be the major effect of vibration exercise.…”

Section: Discussionmentioning

confidence: 99%

Effect of Whole Body Horizontal Vibration Exercise in Chronic Low Back Pain Patients: Vertical Versus Horizontal Vibration Exercise

et al. 2018

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ObjectiveTo elucidate the effect of a 12-week horizontal vibration exercise (HVE) in chronic low back pain (CLBP) patients as compared to vertical vibration exercise (VVE).MethodsTwenty-eight CLBP patients were randomly assigned to either the HVE or VVE group. All participants performed the exercise for 30 minutes each day, three times a week, for a total of 12 weeks. Altered pain and functional ability were evaluated using the visual analog scale (VAS) and Oswestry Disability Index (ODI), respectively. Changes in lumbar muscle strength, transverse abdominis (TrA) and multifidus muscle thicknesses, and standing balance were measured using an isokinetic dynamometer, ultrasonography, and balance parameters, respectively. These assessments were evaluated prior to treatment, 6 weeks and 12 weeks after the first treatment, and 4 weeks after the end of treatment (that is, 16 weeks after the first treatment).ResultsAccording to the repeated-measures analysis of variance, there were significant improvements with time on VAS, ODI, standing balance score, lumbar flexor, and extensor muscle strength (all p<0.001 in both groups) without any significant changes in TrA (p=0.153 in HVE, p=0.561 in VVE group) or multifidus (p=0.737 in HVE, p=0.380 in VVE group) muscle thickness. Further, there were no significant differences between groups according to time in any of the assessments. No adverse events were noticed during treatment in either group.ConclusionHVE is as effective as VVE in reducing pain, strengthening the lumbar muscle, and improving the balance and functional abilities of CLBP patients. Vibrational exercise increases muscle strength without inducing muscle hypertrophy.

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Interventions for chronic low back pain: whole body vibration and spinal stabilisation

Cited by 9 publications

References 8 publications

Stabilization Exercises versus Flexi-Bar Exercises in Chronic Non-Specific Low Back Pain: Pain, Disability, Back Muscles Endurance. A Randomized Controlled Trial

Stabilization Exercises versus Flexi-Bar Exercises in Chronic Non-Specific Low Back Pain: Pain, Disability, Back Muscles Endurance. A Randomized Controlled Trial

Core and Whole Body Vibration Exercise Influences Muscle Sensitivity and Posture during a Military Foot March

Effect of Whole Body Horizontal Vibration Exercise in Chronic Low Back Pain Patients: Vertical Versus Horizontal Vibration Exercise

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