Core strength training for patients with chronic low back pain

Wen-Dien Chang, Hung-Yu Lin, Ping-Tung Lai, Wen-Dien Chang, Hung-Yu Lin, Ping-Tung Lai

Abstract

[Purpose] Through core strength training, patients with chronic low back pain can strengthen their deep trunk muscles. However, independent training remains challenging, despite the existence of numerous core strength training strategies. Currently, no standardized system has been established analyzing and comparing the results of core strength training and typical resistance training. Therefore, we conducted a systematic review of the results of previous studies to explore the effectiveness of various core strength training strategies for patients with chronic low back pain. [Methods] We searched for relevant studies using electronic databases. Subsequently, we evaluated their quality by analyzing the reported data. [Results] We compared four methods of evaluating core strength training: trunk balance, stabilization, segmental stabilization, and motor control exercises. According to the results of various scales and evaluation instruments, core strength training is more effective than typical resistance training for alleviating chronic low back pain. [Conclusion] All of the core strength training strategies examined in this study assist in the alleviation of chronic low back pain; however, we recommend focusing on training the deep trunk muscles to alleviate chronic low back pain.

Keywords: Chronic low back pain; Core strength training; Resistance training.

References

    1. Rozenberg S: [Chronic low back pain: definition and treatment]. Rev Prat, 2008, 58: 265–272.
    1. Lawrence JP, Greene HS, Grauer JN: Back pain in athletes. J Am Acad Orthop Surg, 2006, 14: 726–735.
    1. Peng HY, Lin TB: Spinal pelvic-urethra reflex potentiation. Biomedicine, 2012, 2: 64–67.
    1. Magni G, Caldieron C, Rigatti-Luchini S, et al. : Chronic musculoskeletal pain and depressive symptoms in the general population. An analysis of the 1st National Health and Nutrition Examination Survey data. Pain, 1990, 43: 299–307.
    1. Aluko A, DeSouza L, Peacock J: The effect of core stability exercises on variations in acceleration of trunk movement, pain, and disability during an episode of acute nonspecific low back pain: a pilot clinical trial. J Manipulative Physiol Ther, 2013, 36: 497–504, e1–e3.
    1. Huang JT, Chen HY, Hong CZ, et al. : Lumbar facet injection for the treatment of chronic piriformis myofascial pain syndrome: 52 case studies. Patient Prefer Adherence, 2014, 8: 1105–1111.
    1. Wong AY, Parent EC, Funabashi M, et al. : Do various baseline characteristics of transversus abdominis and lumbar multifidus predict clinical outcomes in nonspecific low back pain? A systematic review. Pain, 2013, 154: 2589–2602.
    1. Kumar SP: Efficacy of segmental stabilization exercise for lumbar segmental instability in patients with mechanical low back pain: a randomized placebo controlled crossover study. N Am J Med Sci, 2011, 3: 456–461.
    1. Ekstrom RA, Donatelli RA, Carp KC: Electromyographic analysis of core trunk, hip, and thigh muscles during 9 rehabilitation exercises. J Orthop Sports Phys Ther, 2007, 37: 754–762.
    1. Ezechieli M, Siebert CH, Ettinger M, et al. : Muscle strength of the lumbar spine in different sports. Technol Health Care, 2013, 21: 379–386.
    1. Huxel Bliven KC, Anderson BE: Core stability training for injury prevention. Sports Health, 2013, 5: 514–522.
    1. Lee CW, Hwangbo K, Lee IS: The effects of combination patterns of proprioceptive neuromuscular facilitation and ball exercise on pain and muscle activity of chronic low back pain patients. J Phys Ther Sci, 2014, 26: 93–96.
    1. Chang WD, Chang WY, Lee CL, et al. : Validity and reliability of wii fit balance board for the assessment of balance of healthy young adults and the elderly. J Phys Ther Sci, 2013, 25: 1251–1253.
    1. Schilling JF, Murphy JC, Bonney JR, et al. : Effect of core strength and endurance training on performance in college students: randomized pilot study. J Bodyw Mov Ther, 2013, 17: 278–290.
    1. Clark HD, Wells GA, Huët C, et al. : Assessing the quality of randomized trials: reliability of the Jadad scale. Control Clin Trials, 1999, 20: 448–452.
    1. Akbari A, Khorashadizadeh S, Abdi G: The effect of motor control exercise versus general exercise on lumbar local stabilizing muscles thickness: randomized controlled trial of patients with chronic low back pain. J Back Musculoskeletal Rehabil, 2008, 21: 105–112.
    1. Andrusaitis SF, Brech GC, Vitale GF, et al. : Trunk stabilization among women with chronic lower back pain: a randomized, controlled, and blinded pilot study. Clinics (Sao Paulo), 2011, 66: 1645–1650.
    1. França FR, Burke TN, Hanada ES, et al. : Segmental stabilization and muscular strengthening in chronic low back pain: a comparative study. Clinics (Sao Paulo), 2010, 65: 1013–1017.
    1. Gatti R, Faccendini S, Tettamanti A, et al. : Efficacy of trunk balance exercises for individuals with chronic low back pain: a randomized clinical trial. J Orthop Sports Phys Ther, 2011, 41: 542–552.
    1. Borghuis J, Hof AL, Lemmink KA: The importance of sensory-motor control in providing core stability: implications for measurement and training. Sports Med, 2008, 38: 893–916.
    1. Chang WD, Tsai CC, Lee CL, et al. : The correlation between heart rate variability and menopausal syndromes of postmenopausal phase in the middle-aged women. Exp Clin Cardiol, 20: 1790–1807.
    1. Panjabi MM: The stabilizing system of the spine. Part I. Function, dysfunction, adaptation, and enhancement. J Spinal Disord, 1992, 5: 383–389, discussion 397.
    1. Chang WD: Effects of home-based physical therapy on functional outcome of disabled elderly: the experience of Miaoli county in Taiwan. J Phys Ther Sci, 2012, 24: 663–666.
    1. Kawi J: Self-management and self-management support on functional ablement in chronic low back pain. Pain Manag Nurs, 2014, 15: 41–50.

Source: PubMed

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