Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

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A Comparative Analysis between Effects of Core Stabilization Program V/s Conventional Exercise in the Management of Chronic Mechanical Low Back Pain


Affiliations
1 Nitte Institute of Physiotherapy, Nitte University, Mangalore, India
2 Dept of Orthopedics, JNMC, KLE University, Belgaum, India
3 Dept of Anatomy, Yenepoya Medical College, Yenepoya University, Mangalore, India
     

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Background: conventional back care exercise is usually advocated to treat pain and to strengthen the involved muscles, and there will be always chance of pain reoccurrence due to disproportionate balance and stability in the muscles. The core stabilization is major trend of rehabilitation as it aims at improving stability during functional activities, balance, flexibility, strength training and effectively manage the pain as well.

Objective: To introduce the efficacy of concept of core stabilization when compared to conventional back care exercise in patients with mechanical low back pain.

Methods: 40 patients with chronic mechanical low back pain were selected through purposive sampling and were randomly assigned to control group that received conventional back exercise and short wave diathermy (n=20), both group received short wave diathermy, along with conventional exercise for one group and core stabilization for the other group 3 days in week for 6 weeks, the treatment out come was assessed by visual analogue scale, Roland Morris disability scale and lumbar range of motion by using goniometry.

Results: after 6 week training period the core stabilization group scored significantly higher than conventional group for vas (p=0.05), and rmdq (p=0.05) where as range of motion improved in conventional group.

Conclusion: after the treatment sessions core stabilization group registered a significant improvement when compared to conventional back care exercise in improving function and relieving pain.


Keywords

Core Stabilization, Conventional Exercise, Physio Ball, Visual Analogue Scale, Roland Morris Disability Scale
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  • Brain J, Shilpi DO: The physician and Sports Medicine, vol 25, p 8 Aug.1997.

  • “Low Back Pain”, The Merck Manual; 17th edition, p112, 1999.

  • Troup JDG, low back pain; spine 12;p 645, 1987

  • Jeffrey D booyling, Nigel palastanga; grives modern manual therapy, 2nd edn, p309.

  • James A. Porterfield; mechanical low back pain,2nd edn,page 1&4

  • McGill SM 1998. Low Back exercises: Prescription for the healthy back and when recovering from injury. in; resources manual for guidelines for exercise testing and prescription,3rd edn.indianapolis,ind;American college of sports medicine.baltimore,Williams and Wilkins, p 56-57,1998

  • Foster, DM & Fulton, MN: Back Pain & Exercise Program, Clinics in Sports Medicine :p 10, p187-209,1991

  • Gramse r,Sinaki M,lumbar spondylolisthesis; rational approach to conservative treatment, Mayo clin proc,55p681-6,1980

  • Saal JA, the new back school prescription; stabilization training, part II, spine state art rev, 5:p357-65,1997

  • Mc Gill S 1995.the mechanics of torso flexion; sit ups and standing dynamic flexion manuevers,clin biomech 10;184-192

  • Koes B W , Bouter LM,Vandour heijden g j, physiotherapy exercise and back pain, a blinded review;BMJ1991;302;1572-6

  • Freiberg O,Lumabr instability; a dynamic approach by traction-compression radiography, spine 1987;12;119-29

  • Punjabi MM ,stabilizing system of spine part 1,function,dysfunction,adaption, and enhancement, J Spinal disorders;5;383-9.1992

  • Saps ford RR, Hodges P;activation of abdominal and pelvic muscles during voluntary exercises, Neuro urology urodynaimcs;20(1);31-452,2001

  • Jull GA,Hamilton CA,proceedings of 9th biannual conference of manual therapists association of austaralia,gold coast,Victoria,pp 22-5,1995

  • Kaigle A, Holm S, experimental instability in lumbar spine,20.421-30,1995

  • Wilke H,Wolf S ,Stability increase in lumbar spine with different muscle group,spine;20;192-8,1995

  • Creswell A, Thorstensson A, change in intra abdominal pressure, trunk muscle activation and force during, isokinetic lifting and lowering. European journal of applied physiology;68;315-21,1994

  • Lind green K, Sivonen T, Radiographic findings and electromyography activity in lumbar spine instability, Arch phys med rehabilitation;74;933-9,1993

  • Hodges P, Richardson C, Jull G,evaluvation of relationship between laboratory and clinical tests of transverse abdominus function, physiotherapy res int;1;30-40,1996

  • Shivonen T, Partanen J ,Electric behavior of low back muscles during lumbo pelvic rhythm in low back pain healthy and controls, Arch physical med rehab;72;1080-7,1991

  • Marshall PW, Murphy BA. Core stability exercises on and off a Swiss ball. Arch phys Med Rehab. 86(2):242-9, Feb 2005.

  • Maher CG: Effective Physical Treatment for Chronic low back pain, Spine J, 4(1):106-15, Jan 2004.

  • Rainsville Jet al: Exercise as a treatment for chronic low back pain, Spine J, 4(1):106-16, Jan 2004.


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  • A Comparative Analysis between Effects of Core Stabilization Program V/s Conventional Exercise in the Management of Chronic Mechanical Low Back Pain

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Authors

K.U. Dhanesh Kumar
Nitte Institute of Physiotherapy, Nitte University, Mangalore, India
B.B. Putti
Dept of Orthopedics, JNMC, KLE University, Belgaum, India
S. Bindhu
Dept of Anatomy, Yenepoya Medical College, Yenepoya University, Mangalore, India

Abstract


Background: conventional back care exercise is usually advocated to treat pain and to strengthen the involved muscles, and there will be always chance of pain reoccurrence due to disproportionate balance and stability in the muscles. The core stabilization is major trend of rehabilitation as it aims at improving stability during functional activities, balance, flexibility, strength training and effectively manage the pain as well.

Objective: To introduce the efficacy of concept of core stabilization when compared to conventional back care exercise in patients with mechanical low back pain.

Methods: 40 patients with chronic mechanical low back pain were selected through purposive sampling and were randomly assigned to control group that received conventional back exercise and short wave diathermy (n=20), both group received short wave diathermy, along with conventional exercise for one group and core stabilization for the other group 3 days in week for 6 weeks, the treatment out come was assessed by visual analogue scale, Roland Morris disability scale and lumbar range of motion by using goniometry.

Results: after 6 week training period the core stabilization group scored significantly higher than conventional group for vas (p=0.05), and rmdq (p=0.05) where as range of motion improved in conventional group.

Conclusion: after the treatment sessions core stabilization group registered a significant improvement when compared to conventional back care exercise in improving function and relieving pain.


Keywords


Core Stabilization, Conventional Exercise, Physio Ball, Visual Analogue Scale, Roland Morris Disability Scale

References