The Effects of Core Program Exercise on Balance in Patients with Chronic Low Back Pain

Choi, Won-Jye; Park, Beom-Seok; Yoo, Byung-Kook; Jeon, Jae-Keun; Son, Kyung-Hyun

doi:10.26862/jkpts.2018.06.25.1.1

Cited by 4 publications

(3 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The results of the present study are similar to those reported by Choi and coworkers (2018). These researchers ascertained the effects of a core exercise program on balance in patients with chronic LBP and proposed that it improved balance abilities in patients with chronic LBP [ 61 ]. The results of the present study differed from the previous findings of Shamsi et al (2017), who reported no significant difference in stability indices between the two exercise groups in patients with chronic NSLBP [ 41 ].…”

Section: Discussionmentioning

confidence: 99%

Effects of core stabilization exercise and strengthening exercise on proprioception, balance, muscle thickness and pain related outcomes in patients with subacute nonspecific low back pain: a randomized controlled trial

Hlaing

Puntumetakul

Khine³

et al. 2021

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background Therapeutic exercises are used in clinical practice for patients with low back pain (LBP). Core stabilization exercises can retrain the important function of local trunk muscles and increase the accuracy of the sensory integration process for stability of the spine in individuals with LBP. The aim of this study was to compare the effects of two different exercise regimes, Core stabilization exercises (CSE) and Strengthening exercise (STE), on proprioception, balance, muscle thickness and pain-related outcomes in patients with subacute non-specific low back pain (NSLBP). Methods Thirty-six subacute NSLBP patients, [mean age, 34.78 ± 9.07 years; BMI, 24.03 ± 3.20 Kg/m2; and duration of current pain, 8.22 ± 1.61 weeks], were included in this study. They were randomly allocated into either CSE (n = 18) or STE groups (n = 18). Exercise training was given for 30 min, three times per week, for up to 4 weeks. Proprioception, standing balance, muscle thickness of transversus abdominis (TrA) and lumbar multifidus (LM), and pain-related outcomes, comprising pain, functional disability and fear of movement, were assessed at baseline and after 4 weeks of intervention. Results The CSE group demonstrated significantly more improvement than the STE group after 4 weeks of intervention. Improvements were in: proprioception [mean difference (95% CI): − 0.295 (− 0.37 to − 0.2), effect size: 1.38, (p < 0.001)], balance: single leg standing with eyes open and eyes closed on both stable and unstable surfaces (p < 0.05), and percentage change of muscle thickness of TrA and LM (p < 0.01). Although both exercise groups gained relief from pain, the CSE group demonstrated greater reduction of functional disability [effect size: 0.61, (p < 0.05)] and fear of movement [effect size: 0.80, (p < 0.01)]. There were no significant adverse effects in either type of exercise program. Conclusion Despite both core stabilization and strengthening exercises reducing pain, core stabilization exercise is superior to strengthening exercise. It is effective in improving proprioception, balance, and percentage change of muscle thickness of TrA and LM, and reducing functional disability and fear of movement in patients with subacute NSLBP. Trial registration Thai Clinical Trial Registry (TCTR20180822001; August 21, 2018).

show abstract

Section: Discussionmentioning

confidence: 99%

Effects of core stabilization exercise and strengthening exercise on proprioception, balance, muscle thickness and pain related outcomes in patients with subacute nonspecific low back pain: a randomized controlled trial

Hlaing

Puntumetakul

Khine³

et al. 2021

BMC Musculoskelet Disord

View full text Add to dashboard Cite

show abstract

“…Additionally, development occurs as a result of adjustments to various postures, the basis of support, and hurdles to the center of gravity. The influence of a core strengthening program on balance in patients with persistent low back pain was investigated by Choi et al 17 , who found that it enhanced balance.…”

Section: Discussionmentioning

confidence: 99%

Neural mobilization versus somatosensory motor control in treatment of chronic low back pain with unilateral sciatica: a randomized clinical trial.

Elabbasi,

Samir,

Soliman

2023

Benha International Journal of Physical Therapy

View full text Add to dashboard Cite

Background: Low back pain is one of the most prevalent musculoskeletal illnesses in contemporary culture. The greater demand for orthopedic physical therapy identifies the need for more evidence-based techniques. Purpose: This research compared the efficacy of neural mobilization and somatosensory motor control training on balance, nerve excitability, and lumbar range of motion in individuals with persistent low back pain and unilateral sciatica. Methods: Forty-five male and female patients with persistent lower back pain and unilateral sciatica were included in this investigation. They were between thirty and fifty years old. They were randomly divided into three treatment groups (groups A, B, and C) of equal size. Group A received a traditional physiotherapy program (Transcutaneous Electrical Nerve Stimulation (TENS), hot pack, passive stretching, and core strengthening). Group B received the same traditional program, followed by sciatic neural slider mobilization. Group C received the traditional program followed by somatosensory motor control training, which consisted of proprioceptive neuromuscular facilitation (PNF), somatosensory exercises, and vestibular exercises. Results: All groups had statistically significant improvements in all outcome measures (p < 0.05) post treatment. No significant variations were recorded among the three groups in respect to balance scores, lumbar range of motion, and pain (p > 0.05) post treatment. Group B and C similarly improved and higher than group A in respect to nerve excitability (Hlatency). Group B improved significantly higher than group A and C in respect to function (P < 0.05). Conclusion: Adding the neural mobilization and/or somatosensory motor control training to traditional physiotherapy program is beneficial in management of individuals with persistent lower back discomfort and unilateral sciatica.

show abstract

“…A pattern of daily life involving excessive work, incorrect posture, and lack of exercise may cause problems such as weakening of back muscles, lack of flexibility, and poor balance. These problems lead to instability of the lower back, which may develop into more severe chronic low back pain [ 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

Immediate effect of trunk flexion and extension isometric exercise using an external compression device on electromyography of the hip extensor and trunk range of motion of healthy subjects

Huang

Kim

2022

BMC Sports Sci Med Rehabil

View full text Add to dashboard Cite

Background Sacroiliac joints (SIJs) transmitted trunk load to lower extremities through the lumbopelvis. External compression devices across the SIJs could provide stability to the SIJs. A previous study established that using a device known as Active Therapeutic Movement version 2 (ATM®2) has been developed to improve pain and joint range of motion (ROM) in patients with LBP. However, no study has examined the physiological change in the muscle through ATM®2-based exercise thus far. This study aimed to determine the immediate effects of ATM®2 exercise on the contraction timing, back extension endurance, muscle fatigue, and trunk ROM of lumbar and lower limb muscles in healthy subjects. Methods Thirty-six healthy subjects (mean age = 23.16 ± 2.3) volunteered to participate in this study. Subjects were instructed to perform ROM test using sit and reach test, back extensor endurance test using Biering-Sorensen test, erector spinae (ES), lumbar multifidus (LM) fatigue and onset time of Gluteus maximus (GM) in prone hip extension using electromyography before and after trunk flexion and extension isometric exercises. Results The ROM in trunk flexion showed a significant increase of 7.9% after exercise compared to that before exercise (p < 0.05). Relative GM contraction onset timing significantly decreased after exercise (p < 0.05). The result of the Sorensen test after exercise showed a trend of increase in duration time. Muscle fatigue in the LM, however, showed a significant increase (p < 0.05), whereas muscle fatigue in the ES was reduced without statistical significance. Conclusions The results base on this study showed that exercise-based on ATM®2 is an effective exercise protocol with an effect on the biomechanics of healthy subjects. Clinical trial registration numbers KCT0006728. Clinical trial registration date: 09/11/2021.

show abstract

The Effects of Core Program Exercise on Balance in Patients with Chronic Low Back Pain

Cited by 4 publications

References 11 publications

Effects of core stabilization exercise and strengthening exercise on proprioception, balance, muscle thickness and pain related outcomes in patients with subacute nonspecific low back pain: a randomized controlled trial

Effects of core stabilization exercise and strengthening exercise on proprioception, balance, muscle thickness and pain related outcomes in patients with subacute nonspecific low back pain: a randomized controlled trial

Neural mobilization versus somatosensory motor control in treatment of chronic low back pain with unilateral sciatica: a randomized clinical trial.

Immediate effect of trunk flexion and extension isometric exercise using an external compression device on electromyography of the hip extensor and trunk range of motion of healthy subjects

Contact Info

Product

Resources

About