• Nouman Ghaffar Awan Lecturer Central Park Medical College
  • Muhammad Qasim Idrees Assistant Professor Central Park Medical College, Lahore
  • Muhammad Khizer Hayat Assistant Professor Bakhtawar Amin Medical College
  • Arif Ali Rana Assistant Professor Central Park Medical College, Lahore
  • Mahnoor Asif Physiotherapist Rex Medical Centre Lahore


Back pain, core stability exercises, supine bridging, plyometric exercises, athletes, functional disability


Background: Low back pain in athletes is common. Core muscles action and function can be understood by the coordination of upper and lower limbs during sports and other dynamic activities. Plyometric exercises are a mainstream type of activity, most generally used to improve athletic performance.

Objective: The objective of this study was to compare the effects of core stability and plyometric exercises in athletes to improve pain and disability in non-specific low back pain Study design and sampling technique: Current study was the randomized controlled trial. Simple random sampling technique was used in this study. The participants were divided into Group A and B according to Lottery method.

Setting and participants: 38 subjects were considered for the study and divided into two equal groups of 19 each, randomly. Age of selected subjects ranges from 20-40 years. Data were collected from PSB.

Interventions & data collection tools: Participants of groups A performed core stability exercises and group B did plyometric exercises. Pre-Treatment values of VAS and MODI were calculated.

Results: Parametric and Non-parametric tests were performed. Within group comparison after 4th and 8th week was done by using Friedman ANOVA test and it indicated improved results in both groups. Between groups comparison after 4th and 8th week was made by using Mann-Whitney U Test and it showed significant changes in VAS and MODI scores.

Conclusion: Core stability exercises are more effective than plyometric exercises in athletes to improve pain and disability in non-specific low back pain.


Balagué F, Mannion AF, Pellisé F, Cedraschi C. Non-specific low back pain. The lancet. 2012;379(9814):482-91.

Moreno Catalá M, Schroll A, Laube G, Arampatzis A. Muscle strength and neuromuscular control in low-back pain: elite athletes versus general population. Frontiers in neuroscience. 2018;12:436.

Huang L, Liu H, Zhao L, Peng L. The Effect of Exercise Intervention Based Upon the Selective Functional Movement Assessment in an Athlete With Non-specific Low Back Pain: A Case Report and Pilot Study. Frontiers in Psychology. 2020;11:2010.

Rajan Balakrishnan EY, Mahat MFB. Effectiveness of the core stabilisation exercise on floor and Swiss ball on individual with non-Specific low back pain. International Journal of Physical Education, Sports and Health. 2016;3(1):347-56.

Kibler WB, Press J, Sciascia A. The role of core stability in athletic function. Sports medicine. 2006;36(3):189-98.

De Blaiser C, Roosen P, Willems T, De Bleecker C, Vermeulen S, Danneels L, et al. The role of core stability in the development of non-contact acute lower extremity injuries in an athletic population: A prospective study. Physical Therapy in Sport. 2021;47:165-72.

Srivastav P, Nayak N, Nair S, Sherpa LB, Dsouza D. Swiss ball versus mat exercises for core activation of transverse abdominis in recreational athletes. Journal of Clinical and Diagnostic Research: JCDR. 2016;10(12):YC01.

Wirth K, Hartmann H, Mickel C, Szilvas E, Keiner M, Sander A. Core stability in athletes: a critical analysis of current guidelines. Sports medicine. 2017;47(3):401-14.

Saki F, Ramezani F. Comparison of Range of Motion and Strength of Hip Muscles in Female Athletes with and without Dynamic Knee Valgus. Avicenna Journal of Clinical Medicine. 2020;27(2):100-9.

Bagherian S, Ghasempoor K, Rahnama N, Wikstrom EA. The effect of core stability training on functional movement patterns in college athletes. Journal of sport rehabilitation. 2019;28(5):444-9.

Cugliari G, Boccia G. Core muscle activation in suspension training exercises. Journal of human kinetics. 2017;56(1):61-71.

Parveen A, Nuhmani S, Hussain ME, Khan MH. Effect of lumbar stabilization exercises and thoracic mobilization with strengthening exercises on pain level, thoracic kyphosis, and functional disability in chronic low back pain. Journal of Complementary and Integrative Medicine. 2020;1(ahead-of-print).

Aufar RF, Soegiyanto S, Rustiadi T. Plyometric exercises and concentration levels on the swim-start jump of female athletes in Metro Lampung. Journal of Physical Education and Sports. 2019;8(4):8-14.

Padulo J, Migliaccio GM, Ardigò LP, Leban B, Cosso M, Samozino P. Lower limb force, velocity, power capabilities during leg press and squat movements. International journal of sports medicine. 2017;38(14):1083-9.

Kasmi S, Zouhal H, Hammami R, Clark CCT, Hackney AC, Hammami A, et al. The effects of eccentric and plyometric training programs and their combination on stability and the functional performance in the post-ACL-surgical rehabilitation period of elite female athletes. Frontiers in Physiology. 2021;12:954.

Qaseem A, Wilt TJ, McLean RM, Forciea MA. Noninvasive treatments for acute, subacute, and chronic low back pain: a clinical practice guideline from the American College of Physicians. Annals of internal medicine. 2017;166(7):514-30.

Neff S. The Most Effective Exercises for Low Back Pain: A Literature Review. Journal of the International Academy of Neuromusculoskeletal Medicine. 2020;17(1).

Szafraniec R, Bartkowski J, Kawczyński A. Effects of Short-Term Core Stability Training on Dynamic Balance and Trunk Muscle Endurance in Novice Olympic Weightlifters. Journal of Human Kinetics. 2020;74:43.

Dharod R, Shetty T, Shete R, Mullerpatan R. Effect of Plyometric Training on Explosive Power, Agility, Balance, and Aerobic Performance of Young Adult Male Kabaddi Players. Critical Reviews™ in Physical and Rehabilitation Medicine. 2020;32(3).

Stuber KJ, Bruno P, Sajko S, Hayden JA. Core stability exercises for low back pain in athletes: a systematic review of the literature. Clinical Journal of Sport Medicine. 2018;24(6):448-56.

Hill J, Leiszler M. Review and role of plyometrics and core rehabilitation in competitive sport. Current sports medicine reports. 2017;10(6):345-51.

Akuthota V, Ferreiro A, Moore T, Fredericson M. Core stability exercise principles. Current sports medicine reports. 2018;7(1):39-44.

Garrido-Ardila EM, González-López-Arza MV, Jiménez-Palomares M, García-Nogales A, Rodríguez-Mansilla J. Effectiveness of acupuncture vs. core stability training in balance and functional capacity of women with fibromyalgia: A randomized controlled trial. Clinical rehabilitation. 2020;34(5):630-45.

Chmielewski TL, Myer GD, Kauffman D, Tillman SM. Plyometric exercise in the rehabilitation of athletes: physiological responses and clinical application. Journal of Orthopaedic & Sports Physical Therapy. 2016;36(5):308-19.

AlAteeq DA, Aljhani S, AlEesa D. Perceived stress among students in virtual classrooms during the COVID-19 outbreak in KSA. Journal of Taibah University Medical Sciences. 2020.

Yalfani A, Ahmadnezhad L, Gholami Borujeni B, Khoshnamvand Z. The Effect of six weeks core stability exercise training on balance, pain and function in women with chronic low back pain. Journal of Health and Care. 2017;18(4):336-46.

Coulombe BJ, Games KE, Neil ER, Eberman LE. Core stability exercise versus general exercise for chronic low back pain. Journal of athletic training. 2017;52(1):71-2.



How to Cite

Awan, N. G. ., Idrees, M. Q., Hayat, M. K., Rana, A. A., & Asif, M. (2022). COMPARISON OF CORE STABILITY AND PLYOMETRIC EXERCISES IN ATHLETES TO IMPROVE PAIN AND DISABILITY IN NON-SPECIFIC LOW BACK PAIN. Pakistan Journal of Rehabilitation, 11(2), 92–100. Retrieved from

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