Shamsi Mohammad Bagher, Sarrafzadeh Javad, Jamshidi Aliashraf
Physiotherapy Department, School of Rehabilitation Sciences, Iran University of Medical Sciences (IUMS) , Tehran , Iran .
Physiother Theory Pract. 2015 Feb;31(2):89-98. doi: 10.3109/09593985.2014.959144. Epub 2014 Oct 15.
It is a matter of controversy whether core stability exercise is preferred to other types of exercise for chronic low back pain. Lumbopelvic stability is an important element in low back pain. No study was found using lumbopelvic stability tests in comparing core stability and other exercises. The single leg squat, dip test, and runner pose test appear to be suitable as tests for lumbopelvic stability. The aim of this study was to compare "core stability" and "traditional trunk exercise" using these tests and also the Oswestry disability questionnaire and pain intensity. Twenty-nine non-specific chronic low back pain subjects were alternately allocated in one of the two exercise groups. For both groups, a 16-sessions exercise program was provided. Before and after training: (1) video was recorded while subjects performed the tests; (2) Oswestry disability questionnaire was completed; and (3) pain intensity was measured by visual analogue scale. The test videos were scored by three physiotherapists. Statistical analysis revealed a significant improvement in stability test scores (p = 0.020 and p = 0.041) and reduction in disability (p < 0.001) and pain (p < 0.001) within each group. No significant difference was seen between two groups in the three outcomes p = 0.41, p = 0.14, and p = 0.72. Insignificant differences between the two groups may indicate either non-specificity of CSE to increase lumbopelvic stability or equal effectiveness of TTE and CSE on improving LPS. The non-significant differences may also be attributable to the lack of sensitivity of our tests to assess stability change in two groups after training given the relatively small sample size.
对于慢性下腰痛患者，核心稳定性训练是否优于其他类型的训练存在争议。腰骶骨盆稳定性是下腰痛的一个重要因素。尚未发现有研究使用腰骶骨盆稳定性测试来比较核心稳定性训练和其他训练。单腿深蹲、俯卧撑测试和跑步者姿势测试似乎适合作为腰骶骨盆稳定性测试。本研究的目的是使用这些测试以及Oswestry功能障碍问卷和疼痛强度来比较“核心稳定性训练”和“传统躯干训练”。29名非特异性慢性下腰痛患者被交替分配到两个训练组之一。两组均接受了为期16节的训练计划。在训练前后：（1）在受试者进行测试时录制视频；（2）完成Oswestry功能障碍问卷；（3）通过视觉模拟量表测量疼痛强度。测试视频由三名物理治疗师评分。统计分析显示，每组的稳定性测试得分均有显著提高（p = 0.020和p = 0.041），功能障碍（p < 0.001）和疼痛（p < 0.001）均有所减轻。两组在这三个结果上没有显著差异（p = 0.41，p = 0.14和p = 0.72）。两组之间的差异不显著可能表明核心稳定性训练增加腰骶骨盆稳定性的非特异性，或者传统躯干训练和核心稳定性训练在改善腰骶骨盆稳定性方面具有同等效果。鉴于样本量相对较小，两组训练后测试评估稳定性变化缺乏敏感性，差异不显著也可能归因于此。
