The Effectiveness of Trunk Stabilization Exercise Combined with Vibration for Adolescent Patients with Nonspecific Low Back Pain

Abstract

There are many adolescent patients complaining of low back pain, but research on it is lacking. The purpose of this study was to investigate the effects of trunk stabilization exercise combined with vibration on the pain, proprioception, and kinematics of the lumbar spine (LS) during sit to stand (STS) in adolescent patients with nonspecific low back pain (LBP). Fifty LBP patients were recruited and were randomly divided into two groups: Vibration group (n = 25) and placebo group (n = 25). All participants underwent 36-sessions of training consisting of six exercises. The Vibration group provided vibration stimulation during exercise, but the placebo group did not. The Numeric Pain Rating Scale (NPRS) and digital dual inclinometer were used to measure pain intensity and proprioception. The kinematics of the lumbar spine during STS were measured by motion capture system. After training, the pain and proprioception in the vibration group improved significantly greater than the placebo group (p < 0.05). The mobility of LS (maximum range of motion, angular velocity, lumbar to hip movement ratios) and lumbar-hip coordination during STS in the vibration group were significantly improved compared to the placebo group (p < 0.05). Thus, trunk stabilization exercise combined with vibration may be used to improve the pain, proprioception, and kinematic of the lumbar spine during sit to stand in adolescent patients with LBP.

Rehabilitation of back pain in the pediatric population: a mixed studies systematic review

“…The mean age of participants ranged from 12.3 to 18 years old. Among participants in the eight studies reporting sex, 50.4% ( n = 261) were female [ 22 , 32 – 34 , 37 , 38 , 40 , 41 ]. All studies included participants with nonspecific LBP, with no studies focusing on TSP.…”

“…All studies included participants with nonspecific LBP, with no studies focusing on TSP. Participants received various rehabilitation interventions including exercise (4 studies) [ 34 – 36 , 39 , 40 ], spinal manipulation (2 studies) [ 22 , 33 ], cognitive therapy (1 study) [ 38 ], whole-body vibration (1 study) [ 37 ], and multimodal care (2 studies) [ 32 , 41 ]. The duration of rehabilitation interventions varied: 1) four weeks (1 study) [ 22 ]; 2) eight weeks (4 studies) [ 34 – 36 , 38 , 40 ]; and 3) 12 weeks (4 studies) [ 32 , 33 , 37 , 39 ]; and 4) variable duration (1 study) [ 41 ].…”

“…Participants received various rehabilitation interventions including exercise (4 studies) [ 34 – 36 , 39 , 40 ], spinal manipulation (2 studies) [ 22 , 33 ], cognitive therapy (1 study) [ 38 ], whole-body vibration (1 study) [ 37 ], and multimodal care (2 studies) [ 32 , 41 ]. The duration of rehabilitation interventions varied: 1) four weeks (1 study) [ 22 ]; 2) eight weeks (4 studies) [ 34 – 36 , 38 , 40 ]; and 3) 12 weeks (4 studies) [ 32 , 33 , 37 , 39 ]; and 4) variable duration (1 study) [ 41 ]. These 10 studies investigated rehabilitation interventions: 1) as an addition to active comparison interventions where the attributable effect of the comparison interventions can be isolated (4 studies) [ 32 , 33 , 37 , 39 ]; 2) compared to no treatment (3 studies) [ 34 – 36 , 38 ]; 3) compared to sham (1 study) [ 22 ]; and 4) compared to other active interventions (2 studies) [ 40 , 41 ], respectively.…”

“…The duration of rehabilitation interventions varied: 1) four weeks (1 study) [ 22 ]; 2) eight weeks (4 studies) [ 34 – 36 , 38 , 40 ]; and 3) 12 weeks (4 studies) [ 32 , 33 , 37 , 39 ]; and 4) variable duration (1 study) [ 41 ]. These 10 studies investigated rehabilitation interventions: 1) as an addition to active comparison interventions where the attributable effect of the comparison interventions can be isolated (4 studies) [ 32 , 33 , 37 , 39 ]; 2) compared to no treatment (3 studies) [ 34 – 36 , 38 ]; 3) compared to sham (1 study) [ 22 ]; and 4) compared to other active interventions (2 studies) [ 40 , 41 ], respectively. Outcomes included LBP intensity (9 studies) [ 22 , 32 – 40 ], function (5 studies) [ 22 , 32 , 33 , 38 , 41 ], quality of life (2 studies) [ 32 , 33 ], improvement (2 studies) [ 22 , 33 ], satisfaction (1 study) [ 33 ], wellbeing (1 study) [ 34 ], feelings about school and life (1 study) [ 34 ], absence from school or physical activity (1 study) [ 35 ], and health resource utilization (1 study) [ 22 ].…”

Effect of Transversus abdominis muscle training on pressure-pain threshold in patients with chronic low Back pain

“…After TrA training, the blood circulation of the waist core muscles is accelerated, which could promote the absorption of pain inflammatory factors [54]. After the pain is reduced, it could promote improvement of waist proprioception [55]. Studies showed that even a small amount of exercise may cause changes in the cerebral cortex and increase motor evoked potentials [56].…”