Volume 29, Issue 2 (Spring 2023)
Intern Med Today 2023, 29(2): 105-115 |
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Shahrokhi H, Fallah Mohammadi M, Naderi A, Nabizadeh Z. Effects of Core Stabilization on Lumbopelvic Motor Control and Pain in Patients with Nonspecific Chronic Low Back Pain: A Randomized Clinical Trial. Intern Med Today 2023; 29 (2) :105-115
URL: http://imtj.gmu.ac.ir/article-1-4016-en.html
URL: http://imtj.gmu.ac.ir/article-1-4016-en.html
1- Department of Sports Pathology and Corrective Movements, Faculty of Sports Sciences, Hakim Sabzevari University, Sabzevar, Iran. , h.shahrokhi@hsu.ac.ir
2- Department of Sports Sciences, School of Humanities, Shafagh Institute of Higher Education, Mazandaran, Iran.
3- Department of Health and Exercise Sciences, School of Sport Sciences, Shahrood University of Technology, Shahrood, Semnan, Iran.
2- Department of Sports Sciences, School of Humanities, Shafagh Institute of Higher Education, Mazandaran, Iran.
3- Department of Health and Exercise Sciences, School of Sport Sciences, Shahrood University of Technology, Shahrood, Semnan, Iran.
Abstract: (879 Views)
Aims :Pain and altered motor control are consequences of chronic low back pain (LBP). The present study aimed to assess the effects of a six-week Swiss ball core stabilization program on pain levels and lumbopelvic motor control in patients suffering from nonspecific LBP.
Materials & Methods :This randomized clinical pilot study involved 24 participants (12 females and 12 males) who were diagnosed with nonspecific chronic LBP (mean age=42.08±7.05 years). Participants were randomly assigned to two groups: experimental (n=12) and control (n=12). The experimental group underwent a six-week intervention of core stability exercises, while the control group received routine physical therapy. The primary outcome measured was pain intensity using a visual analog scale ranging from 0-10. Secondary outcomes included lumbopelvic motor control, which was assessed using various tests, such as the knee lift abdominal test, bent knee fall-out test, Waiter's Bow test, sitting knee extension test, and transversus abdominis test. Evaluations were conducted at three time points: baseline, the end of a six-week intervention, and after one month of follow-up.
Findings :The core intervention resulted in a significant increase in motor control during the post-test (P<.001; Cohen's d=6.04), although this effect did not persist in the follow-up assessment. Moreover, a significant decrease in pain intensity was observed both during the post-test (P<.001; Cohen's d=3.31) and follow-up (P<.001; Cohen's d=2.98) periods. Furthermore, significant differences were identified between the two groups in all outcome measures following the intervention (P<.05).
Conclusion: Compared to routine physical therapy, the six-week core stability exercises on the Swiss ball resulted in marked improvements in pain intensity and lumbopelvic motor control in patients with nonspecific chronic LBP.
Materials & Methods :This randomized clinical pilot study involved 24 participants (12 females and 12 males) who were diagnosed with nonspecific chronic LBP (mean age=42.08±7.05 years). Participants were randomly assigned to two groups: experimental (n=12) and control (n=12). The experimental group underwent a six-week intervention of core stability exercises, while the control group received routine physical therapy. The primary outcome measured was pain intensity using a visual analog scale ranging from 0-10. Secondary outcomes included lumbopelvic motor control, which was assessed using various tests, such as the knee lift abdominal test, bent knee fall-out test, Waiter's Bow test, sitting knee extension test, and transversus abdominis test. Evaluations were conducted at three time points: baseline, the end of a six-week intervention, and after one month of follow-up.
Findings :The core intervention resulted in a significant increase in motor control during the post-test (P<.001; Cohen's d=6.04), although this effect did not persist in the follow-up assessment. Moreover, a significant decrease in pain intensity was observed both during the post-test (P<.001; Cohen's d=3.31) and follow-up (P<.001; Cohen's d=2.98) periods. Furthermore, significant differences were identified between the two groups in all outcome measures following the intervention (P<.05).
Conclusion: Compared to routine physical therapy, the six-week core stability exercises on the Swiss ball resulted in marked improvements in pain intensity and lumbopelvic motor control in patients with nonspecific chronic LBP.
Type of Study: Original |
Subject:
Orthopedics and Biomechanics
Received: 2023/11/13 | Accepted: 2024/07/31 | Published: 2023/03/10
Received: 2023/11/13 | Accepted: 2024/07/31 | Published: 2023/03/10
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