Core Stability and Hip Exercises Improve Physical Function and Activity in Patients with Non-Specific Low Back Pain: A Randomized Controlled Trial.

The Tohoku Journal of Experimental Medicine
Beomryong Kim, Jongeun Yim

Abstract

Approximately 90% of low back pain (LBP) diagnoses are non-specific (NSLBP; i.e. with unknown cause). In NSLBP patients, the hamstrings, iliopsoas, piriformis, and tensor fasciae latae are overactive due to weak hip abductor, extensor, and core muscles. Core stability is essential for proper load balance within the pelvis, spine, and kinetic chain, and core stability exercise (CSE) is an exercise treatment regimen for LBP conditions. We investigated how core stability and hip muscle stretching exercises affected NSLBP patients' physical function and activity. Patients were randomly allocated to three groups. The Stretch group (n = 24) performed exercises for hip muscle stretching for maximal motion; the Strengthen group (n = 22) performed exercises for hip muscle strengthening while maintaining the maximal isometric contraction. The Sham group (n = 20) received gentle palpation of the skin. Therapy was conducted thrice weekly for 6 weeks. Pain intensity, lower back instability, and hip muscle flexibility were measured to assess physical function. Disability level, balance ability, and quality of life were measured to assess physical activity. Data were collected prior to intervention and at 6-week follow-up. There were signific...Continue Reading

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Citations

Feb 23, 2021·Neuromodulation : Journal of the International Neuromodulation Society·Breanna L SheldonJulie G Pilitsis
Jun 3, 2021·International Journal of Environmental Research and Public Health·Erika ZemkováLudmila Zapletalová
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Sep 29, 2021·The Cochrane Database of Systematic Reviews·Jill A HaydenMaurits W van Tulder

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