School of Physical Therapy and Rehabilitation, Dokuz Eylul University, Balcova, Izmir, Turkey.
Graduate School of Health Sciences, Dokuz Eylul University, Balcova, Izmir, Turkey.
Work. 2021;70(1):99-107. doi: 10.3233/WOR-213557.
Many studies have emphasized the importance of stabilization exercises (SE) for the management of non-specific low back pain (NSLBP), yet there is no study assessing all aspects of core stability in comparing SE and other exercises.
To investigate the effects of SE on pain and core stability by using core stability tests that focus on all aspects of core stability in patients with NSLBP.
Thirty-seven individuals with chronic NSLBP were randomly divided into two groups as SE and conventional exercises (CE). Both groups underwent the progressive exercise program three days per week for six weeks. The assessments were conducted before and after the exercise programs. The outcome measures included pain, disability, trunk strength, trunk flexor, extensor and lateral flexor endurance, function, flexibility, and motor control during eyes open/closed.
All assessment parameters except motor control during eyes open improved after SE (p < 0.05). Also, all assessment parameters except motor control during eyes open/closed and lateral trunk endurance improved after CE (p < 0.05). When comparing groups for gain scores, there were more significant improvements in pain during activity, endurance and function after SE (p < 0.05).
SE is more effective than CE in reducing pain during activity and improving core stability regarding functionality and endurance.
许多研究强调了稳定练习(SE)在非特异性下腰痛(NSLBP)管理中的重要性,但尚无研究评估 SE 和其他练习在比较核心稳定性的所有方面的效果。
通过使用侧重于 NSLBP 患者核心稳定性所有方面的核心稳定性测试,来研究 SE 对疼痛和核心稳定性的影响。
将 37 名患有慢性 NSLBP 的个体随机分为 SE 和常规运动(CE)两组。两组均每周进行三天的渐进运动方案,共进行六周。在运动方案前后进行评估。评估结果包括疼痛、残疾、躯干力量、躯干屈肌、伸肌和侧屈肌耐力、功能、灵活性以及睁眼/闭眼时的运动控制。
除睁眼时的运动控制外,所有评估参数在 SE 后均有所改善(p<0.05)。此外,除睁眼/闭眼时的运动控制和侧躯干耐力外,所有评估参数在 CE 后均有所改善(p<0.05)。当比较组间的增益得分时,SE 在活动时的疼痛、耐力和功能方面的改善更为显著(p<0.05)。
SE 在减轻活动时的疼痛和提高核心稳定性方面,在功能和耐力方面比 CE 更有效。