The effect of stabilization exercise on pain-related disability, sleep disturbance, and psychological status of patients with non-specific chronic low back pain

Akodu, Ashiyat Kehinde; Akindutire, Oluwagbemisola Marian

doi:10.3344/kjp.2018.31.3.199

Cited by 32 publications

(32 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The effect sizes were also large, thus suggesting that the magnitude of the changes observed was clinically relevant. This indicates the ability of stabilization exercise as also reported by many authors ( Akodu and Akindutire, 2018 ; Bhadauria and Gurudut, 2017 ; Ibrahim et al, 2018 ; Ojoawo et al, 2017 ) to improve symptoms of pain and disability in patients with CNLBP in the short-term. However, contrary to the findings of previous studies ( Golby et al, 2006 ; Shaughnessy and Caulfield, 2004 ), we found no significant differences in the physical and mental health outcomes after the intervention which might be partly explained by the shorter treatment sessions (12 treatment sessions) provided.…”

Section: Discussionsupporting

confidence: 81%

Effects of spinal stabilization exercise with real-time ultrasound imaging biofeedback in individuals with chronic nonspecific low back pain: a pilot study

Sarafadeen¹,

Ganiyu²,

Ibrahim³

2020

J Exerc Rehabil

View full text Add to dashboard Cite

The use of real-time ultrasound imaging (RUSI) as biofeedback to enhance the performance of spinal stabilization exercise and recovery from low back pain has been a recent trend in musculoskeletal rehabilitation. The aim of this pilot study was to evaluate whether it would be feasible to conduct a randomized controlled trial investigating the effects of spinal stabilization exercise with RUSI biofeedback in individuals with chronic nonspecific low back pain. This was a single-group pretest-posttest quasi-experimental study. Ten consecutive patients with chronic nonspecific low back pain met the study criteria. They received spinal stabilization exercise with the RUSI biofeedback focusing on lumbar multifidus muscle activation. The intervention was provided twice weekly for 6 weeks. Outcome measures were lumbar multifidus muscle cross-sectional area, pain, disability and quality of life assessed at baseline and after intervention. A paired t-test was applied and effect size (Cohen d) was computed. The recruitment and retention rates were 75% and 83% respectively. No adverse events were reported during the study. Compared with the baseline, the participants demonstrated statistically significant improvement in lumbar multifidus muscle crosssectional area (P< 0.05, d= 1.03), pain (P< 0.001, d= 2.56) and disability (P< 0.05, d= 1.43) with large effect size after the intervention. However, no statistically significant differences were observed for physical and mental health (P> 0.05) after the intervention. It was concluded that spinal stabilization exercise with RUSI biofeedback is effective in improving lumbar multifidus muscle cross-sectional area, pain and disability in individuals with chronic nonspecific low back pain. The results demonstrated the feasibility of conducting a future, larger-scale powered randomized controlled trial to confirm these preliminary findings.

show abstract

Section: Discussionsupporting

confidence: 81%

Effects of spinal stabilization exercise with real-time ultrasound imaging biofeedback in individuals with chronic nonspecific low back pain: a pilot study

Sarafadeen¹,

Ganiyu²,

Ibrahim³

2020

J Exerc Rehabil

View full text Add to dashboard Cite

show abstract

“…The basic approach of choice for LBP therapy is still conservative management, which includes mainly pharmacotherapy,3–5 physical exercises and manual methods,6–8 and physiotherapeutic procedures;9,10 more recently, modern extracorporeal shock wave therapy (ESWT) have been also used.…”

Section: Introductionmentioning

confidence: 99%

<p>The Effectiveness Of Radial Extracorporeal Shock Wave Therapy In Patients With Chronic Low Back Pain: A Prospective, Randomized, Single-Blinded Pilot Study</p>

Walewicz¹,

Taradaj²,

Rajfur³

et al. 2019

CIA

View full text Add to dashboard Cite

PurposeThis prospective, randomized and single-blinded study assesses the influence of radial extracorporeal shock wave therapy (rESWT) in patients with low back pain (LBP).MethodsA total of 52 patients with LBP were enrolled in the study, out of which a homogeneous group of 40 patients with mean age of 53.45±4.9 years was included. Patients were randomized into group A (n=20) treated with rESWT (2000 pulses; 2.5 bars; 5 Hz, 7 mins) performed twice a week for five weeks (10 sessions) and stabilization training, as well as group B (n=20) treated with sham rESWT and stabilization training. To analyze the therapeutic progress, the following tests were performed (before and after therapy; 1 and 3 months follow-up) to assess pain and functional efficiency: (1) Visual Analog Scale (VAS), (2) Laitinen Pain Scale (LPS), and (3) Oswestry Disability Index (ODI).ResultsThe control group had a statistically significant advantage over the rESWT group (4.4 vs. 3.1 points on the VAS; p=0.039). However, in long-term observations, group A gradually experienced more pain relief than group B (2.7 vs. 3.5 points, p>0.05, at one month and 2.0 vs. 4.4 points at three months after treatment; p<0.0001). Similar findings can be seen in the analysis of changes in pain sensations measured with the LPS. The functional state (ODI) was better in rESWT group, especially in follow-up observation (9.3 vs. 14.6 points, p=0.033, at one month and 9.3 vs. 17.8 points, p=0.004, at three months after treatment).ConclusionThe rESWT combined with stabilization training is particularly effective in the long-term and achieves a stable beneficial effect for patients with LBP. The use of rESWT has a significant long-term influence on the reduction of pain and the improvement of the general functional state in relation to the conventional motor improvement program.

show abstract

“…Though exercise and education are essential and among the most commonly recommended nonpharmacological interventions for CLBP ( Wong et al, 2017 ), community based randomized clinical trials using these interventions for rural dwellers with CLBP in Nigeria are lacking. In fact, most trials on exercise and or education for CLBP in Nigeria ( Akodu and Akindutire, 2018 ; Aliyu et al, 2018 ; Johnson et al, 2010 ; Mbada et al, 2015 ; Odebiyi et al, 2009 ; Ojoawo et al, 2017 ; Sokunbi et al, 2015 ) are primarily hospital-based on urban patients who are likely to have higher literacy level and socioeconomic status compared to rural patients.…”

Section: Introductionmentioning

confidence: 99%

Motor control exercise and patient education program for low resource rural community dwelling adults with chronic low back pain: a pilot randomized clinical trial

Ibrahim¹,

Akindele²,

Ganiyu³

2018

J Exerc Rehabil

101

View full text Add to dashboard Cite

This pilot randomized clinical trial assessed the feasibility of implementing motor control exercise (MCE) and patient education (PE) program for the management of chronic low back pain (CLBP) in a low resource rural Nigerian community. Thirty patients with CLBP were recruited and randomly assigned to MCE, PE, or MCE plus PE groups. The MCE program was provided twice a week while the PE program was provided once a week all for 6 weeks. Feasibility was assessed through recruitment rate, treatment compliance, retention/dropout rate, report of adverse events, perceived helpfulness, overall satisfaction, and clinical outcome of pain (numeric pain rating scale) and functional disability (Oswestry Disability Index). Many patients were willing to participate in the study and the recruitment rate was 77%. Treatment compliance in all the three groups were >65% for supervised treatment sessions and <50% for prescribed home program. Retention rate was high and greater overall satisfaction with the interventions was reported. Compared with the baseline, all the three groups improved significantly in pain and disability (P<0.05) after 6 weeks. Pairwise comparison revealed that the MCE plus PE group was superior to the PE group for pain and to the MCE for disability (P<0.05), with large effect size. It was concluded that the designed interventions are promising and conducting a full-scale randomized clinical trial in the future is feasible to confirm the effectiveness of the interventions for the management CLBP in rural Nigeria. (Trial registration: ClinicalTrials.gov, NCT03398174)

show abstract

The effect of stabilization exercise on pain-related disability, sleep disturbance, and psychological status of patients with non-specific chronic low back pain

Cited by 32 publications

References 39 publications

Effects of spinal stabilization exercise with real-time ultrasound imaging biofeedback in individuals with chronic nonspecific low back pain: a pilot study

Effects of spinal stabilization exercise with real-time ultrasound imaging biofeedback in individuals with chronic nonspecific low back pain: a pilot study

<p>The Effectiveness Of Radial Extracorporeal Shock Wave Therapy In Patients With Chronic Low Back Pain: A Prospective, Randomized, Single-Blinded Pilot Study</p>

Motor control exercise and patient education program for low resource rural community dwelling adults with chronic low back pain: a pilot randomized clinical trial

Contact Info

Product

Resources

About