Effects of Core Stabilization and Strengthening Exercise on Quality of Life in Clinical Lumbar Instability

Clinical Practice Guideline With Core Stabilization and Strengthening Exercise Programs for Low Back Pain With Clinical Lumbar Instability

This study will compare the effects of 2 exercise programs including core stabilization exercise and general trunk strengthening exercise programs on trunk muscle activity, physical dysfunction, quality of life and lumbar motion in low back pain patient with clinical lumbar instability.

Study Overview

• Status: Completed
• Conditions: Chronic Low Back Pain
• Intervention / Treatment: Other: Core Stabilization Exercise; Other: General Strengthening Exercise

Detailed Description

Clinical lumbar instability is the one of causes of chronic low back pain, that affects to pain intensity and quality of life. For clinical studies using core stabilization exercise (CSE) as treatment have revealed conflicting findings on pain, functional disability and muscle responses in chronic low back pain. The CSE promotes local muscle system that to provide lumbar stability. However, the stability of spine related to global muscle system, that using in this study.

• Study Type: Interventional
• Enrollment (Actual): 30
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Thailand
  • Khon Kaen, Thailand, 40000
    • Research Center in Back, Neck, Other Joint Pain and Human Performance

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 20 years to 60 years (Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Chronic low back pain due to clinical lumbar instability

Exclusion Criteria:

• Specific low back pain
• Cuada equine syndrome
• Neurological deficit

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Core Stabilization Exercise (CSE); The participants asked to performed CSE program, 20 min/session, 2 session/week, 10 weeks	Other: Core Stabilization Exercise; the participants asked to performed CSE program, 20 min/session, 2 session/week, 10 weeks
Experimental: General Strengthening Exercise (GSE); The participants asked to performed GSE program, 20 min/session, 2 session/week, 10 weeks.	Other: General Strengthening Exercise; the participants asked to performed GSE program, 20 min/session, 2 session/week, 10 weeks

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Effect of 2-exercise on quality of life	health-related quality of life was measured by using SF-36 questionnaire	Change from baseline at 10-week after training session, and follow up session

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Effect of 2-exercise on physical disability	Physical disability was measured by using Oswestry disability index	Change from baseline at 10-week after training session, and follow up session
Effect of 2-exercise on trunk muscle activity	Trunk muscle activity was measured by using surface EMG	Change from baseline at 10-week after training session, and follow up session
Effect of 2-exercise on lumbar segmental motion	Lumbar segmental motion was measured by using radiography	Change from baseline at 10-week after training session, and follow up session
Effect of 2-exercise on pain intensity	Pain intensity was measured by using numeric rating scale	Change from baseline at 10-week after training session, and follow up session

Collaborators and Investigators

• Sponsor: Khon Kaen University
• Investigators: Principal Investigator: Wantanee Yodchaisarn, M.Sc., The Research Center in Back, Neck, Other Joint Pain and Human Performance (BNOJPH), Khon Kaen University, Thailand

Publications and helpful links

General Publications

• Puntumetakul R, Areeudomwong P, Emasithi A, Yamauchi J. Effect of 10-week core stabilization exercise training and detraining on pain-related outcomes in patients with clinical lumbar instability. Patient Prefer Adherence. 2013 Nov 19;7:1189-99. doi: 10.2147/PPA.S50436. eCollection 2013.
• Javadian Y, Behtash H, Akbari M, Taghipour-Darzi M, Zekavat H. The effects of stabilizing exercises on pain and disability of patients with lumbar segmental instability. J Back Musculoskelet Rehabil. 2012;25(3):149-55. doi: 10.3233/BMR-2012-0321.

Study record dates

Study Major Dates

• Study Start: August 1, 2016
• Primary Completion (Actual): August 1, 2018
• Study Completion (Actual): August 1, 2018

Study Registration Dates

• First Submitted: November 24, 2014
• First Submitted That Met QC Criteria: September 6, 2016
• First Posted (Estimate): September 12, 2016

Study Record Updates

• Last Update Posted (Actual): January 27, 2020
• Last Update Submitted That Met QC Criteria: January 22, 2020
• Last Verified: January 1, 2020

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pain; Neurologic Manifestations; Back Pain; Low Back Pain
• Other Study ID Numbers: HE562257