TO COMPARE THE EFFECTIVENESS OF TRUNK STABILIZATION EXERCISE AND GENERAL EXERCISE IN NON-SPECIFIC CHRONIC LOW BACK PAIN-A COMPARATIVE STUDY
Keywords:
Low back pain, visual analog pain scale, spine, trunk stabilization, core stability, exercise therapy, strengthening programAbstract
Aim of study: To identify the effectiveness of particular trunk stabilization versus a general exercise in low back pain management.
Methodology: An experimental study was conducted at the physiotherapy department of Dow University of Health Sciences, 52 participants with low backache were enrolled and assessed for pain intensity using Visual Analog Scale (VAS) and disability by using the Modified Oswestry Low Back Disability Index (MOLBDQ-I). Through equal randomization one group got their low back pain treated through trunk stabilization exercises while the other with general exercises, 3times/week* 4weeks. Data were analyzed using SPSS version 25.0 by applying non-parametric Mann-Whitney U-test.
Results: This study demonstrated that males and females are equally affected by chronic low back pain. Trunk stabilizing and general exercise regimes both significantly reduced the pain and disability in the study population but the effectiveness of trunk stabilizing exercises were significantly superior in reducing pain.
Limitations and Future Implications: Study did not include a control group that received no intervention. It would be valuable to assess the cost-effectiveness of trunk stabilization exercises compared to general exercises or other interventions.
Originality: Trunk stabilizing exercises are superior in reducing pain, disability, and restoring functional mobility than general exercises in chronic back pain.
Conclusion: Trunk stabilizing exercises are superior in reducing pain, disability, and restoring functional mobility than general exercises in chronic back pain.
References
Minobes-Molina E, Nogués MR, Giralt M, Casajuana C, de Souza DLB, Jerez-Roig J, Romeu M. Effectiveness of specific stabilization exercise compared with traditional trunk exercise in women with non-specific low back pain: a pilot randomized controlled trial. PeerJ. 2020 Nov 27;8: pp e10304.
Bansal D, Asrar MM, Ghai B, Pushpendra D. Prevalence and Impact of Low Back Pain in a Community-Based Population in Northern India. Pain Physician. 2020;23(4): pp E389.
Maher C, Underwood M, Buchbinder R. Non-specific low back pain. The Lancet. 2017 Feb 18;389(10070): pp 736-747.
Edwards, J., Hayden, J., Asbridge, M. et al. Prevalence of low back pain in emergency settings: a systematic review and meta-analysisBMC Musculoskelet Disord .2017;(18): pp 143. https://doi.org/10.1186/s12891-017-1511-7
Vos, T “Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010.”. Lancet. 2012.380 (9859): pp 2163–2196.
Malhotra V, Yao, Fun-Sun F.; Fontes, Manuel da CostaYao and Artusio’s Anesthesiology: Problem-Oriented Patient Management. Hagerstwon, MD: Lippincott Williams & Wilkins.2011. pp. Chapter 49. ISBN 1-4511-0265-8.
Lutz Schega, Britta Kaps, Kim-Charline Broscheid, Robert Bielitzki, Martin Behrens, Katharina Meiler, Steffen Drange, Jörg Franke, Effects of a multimodal exercise intervention on physical and cognitive functions in patients with chronic low back pain (MultiMove): study protocol for a randomized controlled trial, BMC Geriatrics. 2021;(21): 1-3.
Akhtar MW, Karimi H, Gilani SA. Effectiveness of core stabilization exercises and routine exercise therapy in management of pain in chronic non-specific low back pain: A randomized controlled clinical trial. Pak J Med Sci. 2017 Jul;33(4): pp 1002-1006.
Shipton EA. Physical Therapy Approaches in the Treatment of Low Back Pain. Pain Ther. 2018;7(2): pp 127-137.
Franca FR. Burke TN, Hanada ES Segmental stabilization, and muscular strengthening in chronic low back pain- comparative study; J, Therapeutic Exercise for Spinal segmental. 2010; 65(10): pp 1013–1017.
Richardson C. Jull G. Hodges P. Hides J. Therapeutic Exercise for Spinal Segmental Stabilization in Low Back Pain. London: Churchill Livingston. 1999; pp 992-1001.
Low Back Pain Fact Sheet”. National Institute of Neurological Disorders and Stroke. November 3, 2015: Retrieved 5 March 2016. https://www.synovationmedicalgroup.com/wp-content/uploads/2019/10/Low-Back-Pain-Fact-Sheet-_-National-Institute-of-Neurological-Disorders-and-Stroke.pdf.
Casazza, BA “Diagnosis and treatment of acute low back pain”. American family physician.15 February 2012;85 (4): pp 343–350. https:// sjrhem.ca/ wp-content/ uploads/ 2017/ 01/ Diagnosis-and-treatment-of-low-back-pain_AAFP.pdf.
YìXiáng J. Wáng Jùn-QīngWáng, and ZoltánKáplár. Increased low back pain prevalence in females than in males after menopause age: evidences based on synthetic literature review: Quant Imaging Med Surg. 2016; 6(2): pp 199–206.
Shraim BA, Shraim MA, Ibrahim AR, et al. The association between early MRI and length of disability in acute lower back pain: a systematic review and narrative synthesis. BMC Musculoskelet Disord. 2021;22(1):983.
Hendrick P, Milosavljevic S, Hale L, “The relationship between physical activity and low back pain outcomes: a systematic review of observational studies”. European Spine Journal. 2011 Mar: 20 (3): pp 464–474
An updated overview of clinical guidelines for the management of non-specific low back pain in primary care.”. European Spine Journal. 19 (12): pp 2075–2094.
Van Middelkoop M, Rubinstein SM, Kuijpers T, Verhagen AP, Ostelo R, Koes BW, van Tulder MW. “A systematic review on the effectiveness of physical and rehabilitation interventions for chronic non-specific low back pain”. Eur Spine J. 2011: 20 (1): pp 19–39.
Smith C, Grimmer-Somers K. “The treatment effect of exercise programmes for chronic low back pain”. J EvalClinPract. 2010: 16 (3): pp 484–491.
French, SD, Cameron, M, alker, BF,Reggars, JW.Esterman, AJ. “Superficial heat or cold for low back pain.”. Cochrane Database of Systematic Reviews (1):2006.
Lehtola V, Luomajoki H, Leinonen V, Gibbons S, Airaksinen O. Efficacy of movement control exercises versus general exercises on recurrent sub-acute nonspecific low back pain in a sub-group of patients with movement control dysfunction. Protocol of a randomized controlled trial. BMC musculoskeletal disorders. 2012 Dec;13(1):1-9.
Suh JH, Kim H, Jung GP, Ko JY, Ryu JS. The effect of lumbar stabilization and walking exercises on chronic low back pain: A randomized controlled trial. Medicine (Baltimore). 2019;98(26): pp 16173.
Fairbank JC, Pynsent PB.The Oswestry Disability Index. Spine 2000:15;25(22): pp 2940-2953.
Kumar T, Kumar S, Nezamuddin M, Sharma VP. Efficacy of core muscle strengthening exercise in chronic low back pain patients. Journal of back and musculoskeletal rehabilitation. 2015 Jan 1;28(4): pp 699-707.
Abdellatif, M.M., Kamel, M.R., Ahmed, H.H., & Diab, H.R. Effect of Lumbar Stabilization Exercises Versus Kinesio taping on Chronic Mechanical Low Back Pain. Isotope and Radiation Research. 2016;48(2): pp 243-253.
Kwon, Sung Ho, Oh, Seung Jun, and Kim, Do Hyun. ‘The Effects of Lumbar Stabilization Exercise on Transversus Abdominis Muscle Activation Capacity and Function in Low Back Pain Patients.2020: pp 147 – 152.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Pakistan Journal of Rehabilitation
This work is licensed under a Creative Commons Attribution 4.0 International License.
