CORE STABILIZATION PROGRAM AND CONVENTIONAL EXERCISES IN THE PATIENTS WITH LOW BACK PAIN-A COMPARATIVE STUDY
DOI:
https://doi.org/10.15621/ijphy/2015/v2i1/60041Keywords:
core stabilization, conventional exercises, Mechanical low back pain, Physio ball, VAS, RMDQ, and ROM.Abstract
Background: Conventional back care exercises are advocated to treat the pain and to strengthen the involved muscles. There will always be the possibility of the pain getting recurred due to disproportionate balance and stability in the muscles. The core stabilization is major trend in rehabilitation. It aims at improving stability during functional activities, balance, flexibility, strength training and effectively manage the pain as well. Methods: Forty patients with chronic Mechanical Low back pain were randomly assigned into control group that received conventional back exercises and SWD (n=20), experimental group received core stabilization and SWD (n=20). Both the groups received SWD, along with conventional back exercises for one-group and core stabilization for the other group 3 days a week for 6 weeks .The treatment outcome was assessed using visual analogue scale, Rolland Morris Disability Questionnaire and Lumbar range of motion by using goniometer. Results: After a 6 week training period the core stabilization group scored significantly higher than the conventional group for VAS (p=0.05) and RMDQ (p=0.05) where as ROM improved higher in conventional group (p=0.05) Conclusion: After the treatment sessions Core stabilization group registered a significant improvement when compared to conventional back care exercises in improving function and in relieving pain.References
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15. Francisco J Vera-Garcia, Stuart M McGill etal: Abdominal Muscle Response During Curl-ups on Both Stable and Labile Surfaces. Phys Ther. 2000 Jun;80(6):564-9.
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Int J Physiother 2015; 2(1) Page | 360
17. Carpenter DM, Nelson BW: Low back strengthening for the prevention and treatment of low back pain, Med Sci Sports Exerc.1999;31(1): 18-24.
18. Mior S: Exercise in the treatment of chronic pain, Clin J pain.2001;17(4): S77-85.
19. Richardson, Carolyn, et al, Therapeutic Exercise for Spinal Segmental Stabilization in Low Back Pain. Churchill Livingstone, Edinburgh, 1999.
20. Marshall PW, Murphy BA. Core stability exercises on and off a Swiss ball. Arch Phys Med Rehabil.2005; 86(2): 242-9.
21. Cosio-Lima LM etal: Effects of physioball and conventional floor exercises on early phase adaptations in back and abdominal core stability and balance in women. J Strength Cond Res. 2003;17(4): 721-5.
22. Koes BW, Bouter LM, Beckerman H, van der Heijden GJ, Knipschild PG. Physiotherapy exercises and back pain: a blinded review. BMJ, 1991;302: 1572-6.
2. Hides JA, Jull GA, and Richardson CA: Long-term effects of specific stabilizing exercises for first-episode low back pain. Spine. 2001; 26(11):243-8.
3. Carpenter DM, Nelson BW: Low back strengthening for the prevention and treatment of low back pain, Med Sci Sports Exerc.1999; 31(1): 18-24.
4. Panjabi MM: Clinical spinal instability and low back pain, J Electromyogr Kinesiol.2003;13(4): 371-9.
5. McGill SM: Low back exercises: evidence for improving exercise regimens, Phys Ther. 1998;78(7):754-65.
6. Nelson BW, O'Reilly E: The clinical effects of intensive, specific exercise on chronic low back pain: a controlled study of 895 consecutive patients with 1-year follow up, Orthopedics. 1995; 18(10): 971-81.
7. Hodges, Paul W. Richardson: etal, Inefficient Muscular Stabilization of the Lumbar Spine Associated with Low Back Pain: A Motor Control Evaluation of Transversus Abdominis Spine.1996; 21(22): 2640-2650.
8. Granata KP, Wilson SE: Trunk posture and spinal stability. Clin Biomech (Bristol, Avon). 200;16(8): 650-9.
9. O'Sullivan PB: Lumbar segmental 'instability': clinical presentation and specific stabilizing exercise management. Man Ther. 2000; 5(1):2-12.
10. Van Dieen JH, Cholewicki J, Radebold: A. Trunk muscle recruitment patterns in patients with low back pain enhance the stability of the lumbar spine. Spine.2003; 28(8): 834-41.
11. Akuthota V, Nadler SF: Core strengthening, Arch Phys Med Rehabil. 2004;85(3 Suppl 1): S86-92.
12. Yilmaz F, Yilmaz A: Efficacy of dynamic lumbar stabilization exercise in lumbar microdiscectomy, J Rehabil Med.2003; 35(4): 163-7.
13. Johannsen F, Remvig L: Exercises for chronic low back pain: a clinical trial, J Orthop Sports Phys Ther.1995; 22(2): 52-9.
14. Gardner-Morse MG, Stokes IA: The effects of abdominal muscle co activation on lumbar spine stability, Spine.1998;23(1): 86-91.
15. Francisco J Vera-Garcia, Stuart M McGill etal: Abdominal Muscle Response During Curl-ups on Both Stable and Labile Surfaces. Phys Ther. 2000 Jun;80(6):564-9.
16. R S Jemmett: Rehabilitation of lumbar multifidus dysfunction in low back pain: strengthening versus a motor re-education model. Br J Sports Med.2003 37(1):91.
Int J Physiother 2015; 2(1) Page | 360
17. Carpenter DM, Nelson BW: Low back strengthening for the prevention and treatment of low back pain, Med Sci Sports Exerc.1999;31(1): 18-24.
18. Mior S: Exercise in the treatment of chronic pain, Clin J pain.2001;17(4): S77-85.
19. Richardson, Carolyn, et al, Therapeutic Exercise for Spinal Segmental Stabilization in Low Back Pain. Churchill Livingstone, Edinburgh, 1999.
20. Marshall PW, Murphy BA. Core stability exercises on and off a Swiss ball. Arch Phys Med Rehabil.2005; 86(2): 242-9.
21. Cosio-Lima LM etal: Effects of physioball and conventional floor exercises on early phase adaptations in back and abdominal core stability and balance in women. J Strength Cond Res. 2003;17(4): 721-5.
22. Koes BW, Bouter LM, Beckerman H, van der Heijden GJ, Knipschild PG. Physiotherapy exercises and back pain: a blinded review. BMJ, 1991;302: 1572-6.
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07-02-2015
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Prahalada Karnati, D. V. N. . ., & reddy .R , S. kumar . (2015). CORE STABILIZATION PROGRAM AND CONVENTIONAL EXERCISES IN THE PATIENTS WITH LOW BACK PAIN-A COMPARATIVE STUDY. International Journal of Physiotherapy, 2(1), 352–360. https://doi.org/10.15621/ijphy/2015/v2i1/60041
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