Kuzu Şafak, Canli Mehmet, Valamur İrem, Özüdoğru Anıl, Alkan Halil, Hartavi Abdulmetin
School of Physical Therapy and Rehabilitation, Kırşehir Ahi Evran University, Kırşehir, Turkey.
Faculty of Health Science, Deparment of Physiotherapy and Rehabilitation, Muş Alparslan University, Muş, Turkey.
BMC Sports Sci Med Rehabil. 2025 Jul 29;17(1):218. doi: 10.1186/s13102-025-01271-7.
Geriatric individuals may frequently develop low back pain after physiological changes. The aim of our study was to compare the effects of core stabilization exercises alone and aerobic exercises in addition to core stabilization exercises on functional capacity, physical performance and fall risk in geriatric individuals with chronic non-specific low back pain (CNLBP).
In this randomized controlled study, 30 participants in the core stabilization exercise group (CG) received intervention, and the mean age of this group was 70.43 ± 4.48 years. The mean age of the 30 participants in the core stabilization + aerobic exercise group (CAG) was determined as 69.60 ± 4.05 years. Sixty individuals with CNLBP were included in the study and divided into two groups: CG (n = 30) and CAG (n = 30). CG received core stabilization exercises for 8 weeks, while CAG received aerobic exercise using a treadmill in addition to core stabilization exercises for 8 weeks. Functional capacity (six-minute walk test), physical performance (Oswestry Disability Index), fall risk (Biodex Balance System), pain intensity (Visual Analogue Scale), depression status (Beck Depression Inventory) and kinesiophobia level (Tampa Kinesiophobia Scale) were evaluated before and after the treatment programmes.
Significant improvements were found in all parameters in both groups after the treatment programmes (p < 0.05). In addition, functional capacity, physical performance, fall risk, pain severity and depression scores improved more in CAG compared to CG (p < 0.05), but the improvement in kinesiophobia was similar (p > 0.05).
The results of the study showed that both core stabilization exercises alone and core stabilization exercises combined with aerobic exercise led to improvements in patients with CNLBP. However, the group that combined aerobic and core stabilization exercises (CAG) showed greater improvements, particularly in functional capacity, physical performance, fall risk, pain intensity, and depression levels. These findings suggest that core stabilization exercises are beneficial for CNLBP, but adding aerobic exercise may enhance these positive effects. Therefore, incorporating aerobic exercise into rehabilitation programmes for older adults with CNLBP may provide additional clinical benefits.
This clinical trial was registered at http://clinicaltrials.gov (Number: NCT06946758; registration date: 21/04/2025).
老年个体在生理变化后常出现腰痛。我们研究的目的是比较单纯核心稳定训练以及核心稳定训练加有氧运动对患有慢性非特异性腰痛（CNLBP）的老年个体的功能能力、身体表现和跌倒风险的影响。
在这项随机对照研究中，核心稳定训练组（CG）的30名参与者接受了干预，该组的平均年龄为70.43±4.48岁。核心稳定训练+有氧运动组（CAG）的30名参与者的平均年龄为69.60±4.05岁。60名患有CNLBP的个体被纳入研究并分为两组：CG组（n = 30）和CAG组（n = 30）。CG组接受了8周的核心稳定训练，而CAG组除了8周的核心稳定训练外，还使用跑步机进行有氧运动。在治疗方案前后评估功能能力（6分钟步行试验）、身体表现（Oswestry功能障碍指数）、跌倒风险（Biodex平衡系统）、疼痛强度（视觉模拟评分）、抑郁状态（贝克抑郁量表）和运动恐惧水平（坦帕运动恐惧量表）。
治疗方案后两组的所有参数均有显著改善（p < 0.05）。此外，与CG组相比，CAG组的功能能力、身体表现、跌倒风险、疼痛严重程度和抑郁评分改善得更多（p < 0.05），但运动恐惧的改善情况相似（p > 0.05）。
研究结果表明，单纯的核心稳定训练以及核心稳定训练与有氧运动相结合均能使CNLBP患者有所改善。然而，将有氧运动与核心稳定训练相结合的组（CAG）改善更大，特别是在功能能力、身体表现、跌倒风险、疼痛强度和抑郁水平方面。这些发现表明核心稳定训练对CNLBP有益，但增加有氧运动可能会增强这些积极效果。因此，将有氧运动纳入老年CNLBP患者的康复计划可能会带来额外的临床益处。
该临床试验在http://clinicaltrials.gov注册（编号：NCT06946758；注册日期：2025年4月21日）。
