Elgendy Mohamed Hussein, Khalifa Mohamed Hamdy, Kentiba Efrem, Abdelhay Mohamed Ibrahim, Elgendy Omnia M
Department of Basic Science for Physical Therapy, Faculty of Physical Therapy, Cairo University, 7 Ahmed Elzayat St. Been Elsarayat, Giza, Egypt.
Etay Elbaroud General Hospital, Ministry of Health, Al Barud, Beheira Governorate, Egypt.
Eur J Appl Physiol. 2025 Aug 12. doi: 10.1007/s00421-025-05931-x.
To compare the effectiveness of core stability exercises and intermittent lumbar Traction on functional disability and pain intensity in patients with nonspecific chronic low back pain.
Sixty-six male subjects with Nonspecific chronic low back pain participated in the study. Their age ranged from 18 to 60 years, and their body mass index was normal, ranging from 18.9 to 24.9 kg/m. They were randomly assigned to three groups of equal numbers. Group (A) received core stability exercises, TENS, and Hot packs. Group (B) received intermittent traction TENS and Hot packs. Group (C) received TENS and Hot packs only. The treatment was applied for five weeks. Low back pain was measured using the Visual Analog Scale (VAS) and the Oswestry questionnaire before and after the interventions.
The intervention significantly improved outcomes for Group A (Core Stability Exercise) and Group B (Intermittent Lumbar Traction). Group A showed a significant reduction in pain (VAS: 50 ± 10 mm to 18 ± 8.6 mm) and disability (ODI: 12.8% ± 3.7% to 4.9% ± 0.9%) compared to others. Group B also improved, although to a lesser extent. The control group (Group C) showed no significant changes. Between-group comparisons highlighted Group A's superior results (VAS: p = 0.012; ODI: p < 0.001).
Core stability exercises are more effective than intermittent Traction in decreasing low back pain and reducing Oswestry disability questionnaire scores in adults with nonspecific chronic low back pain.
比较核心稳定性训练和间歇性腰椎牵引对非特异性慢性下腰痛患者功能障碍和疼痛强度的疗效。
66名患有非特异性慢性下腰痛的男性受试者参与了该研究。他们的年龄在18至60岁之间，体重指数正常，范围为18.9至24.9kg/m。他们被随机分为人数相等的三组。A组接受核心稳定性训练、经皮电刺激神经疗法（TENS）和热敷。B组接受间歇性牵引、TENS和热敷。C组仅接受TENS和热敷。治疗持续五周。在干预前后，使用视觉模拟量表（VAS）和奥斯威斯利问卷测量下腰痛情况。
干预显著改善了A组（核心稳定性训练）和B组（间歇性腰椎牵引）的结果。与其他组相比，A组的疼痛（VAS：50±10mm降至18±8.6mm）和功能障碍（ODI：12.8%±3.7%降至4.9%±0.9%）显著降低。B组也有改善，尽管程度较小。对照组（C组）无显著变化。组间比较突出显示A组结果更佳（VAS：p = 0.012；ODI：p < 0.001）。
在减轻非特异性慢性下腰痛成人的下腰痛和降低奥斯威斯利功能障碍问卷评分方面，核心稳定性训练比间歇性牵引更有效。
