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Effect of 10-week core stabilization exercise training and detraining on pain-related outcomes in patients with clinical lumbar instability

BACKGROUND AND AIMS: Clinical lumbar instability causes pain and socioeconomic suffering; however, an appropriate treatment for this condition is unknown. This article examines the effect of a 10 week core stabilization exercise (CSE) program and 3 month follow-up on pain-related outcomes in patient...

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Autores principales: Puntumetakul, Rungthip, Areeudomwong, Pattanasin, Emasithi, Alongkot, Yamauchi, Junichiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3875242/
https://www.ncbi.nlm.nih.gov/pubmed/24399870
http://dx.doi.org/10.2147/PPA.S50436
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author Puntumetakul, Rungthip
Areeudomwong, Pattanasin
Emasithi, Alongkot
Yamauchi, Junichiro
author_facet Puntumetakul, Rungthip
Areeudomwong, Pattanasin
Emasithi, Alongkot
Yamauchi, Junichiro
author_sort Puntumetakul, Rungthip
collection PubMed
description BACKGROUND AND AIMS: Clinical lumbar instability causes pain and socioeconomic suffering; however, an appropriate treatment for this condition is unknown. This article examines the effect of a 10 week core stabilization exercise (CSE) program and 3 month follow-up on pain-related outcomes in patients with clinical lumbar instability. METHODS: Forty-two participants with clinical lumbar instability of at least 3 months in duration were randomly allocated either to 10 weekly treatments with CSE or to a conventional group (CG) receiving trunk stretching exercises and hot pack. Pain-related outcomes including pain intensity during instability catch sign, functional disability, patient satisfaction, and health-related quality of life were measured at 10 weeks of intervention and 1 and 3 months after the last intervention session (follow-up); trunk muscle activation patterns measured by surface electromyography were measured at 10 weeks. RESULTS: CSE showed significantly greater reductions in all pain-related outcomes after 10 weeks and over the course of 3 month follow-up periods than those seen in the CG (P<0.01). Furthermore, CSE enhanced deep abdominal muscle activation better than in the CG (P<0.001), whereas the CG had deterioration of deep back muscle activation compared with the CSE group (P<0.01). For within-group comparison, CSE provided significant improvements in all pain-related outcomes over follow-up (P<0.01), whereas the CG demonstrated reduction in pain intensity during instability catch sign only at 10 weeks (P<0.01). In addition, CSE showed an improvement in deep abdominal muscle activation (P<0.01), whereas the CG revealed the deterioration of deep abdominal and back muscle activations (P<0.05). CONCLUSION: Ten week CSE provides greater training and retention effects on pain-related outcomes and induced activation of deep abdominal muscles in patients with clinical lumbar instability compared with conventional treatment.
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spelling pubmed-38752422014-01-07 Effect of 10-week core stabilization exercise training and detraining on pain-related outcomes in patients with clinical lumbar instability Puntumetakul, Rungthip Areeudomwong, Pattanasin Emasithi, Alongkot Yamauchi, Junichiro Patient Prefer Adherence Original Research BACKGROUND AND AIMS: Clinical lumbar instability causes pain and socioeconomic suffering; however, an appropriate treatment for this condition is unknown. This article examines the effect of a 10 week core stabilization exercise (CSE) program and 3 month follow-up on pain-related outcomes in patients with clinical lumbar instability. METHODS: Forty-two participants with clinical lumbar instability of at least 3 months in duration were randomly allocated either to 10 weekly treatments with CSE or to a conventional group (CG) receiving trunk stretching exercises and hot pack. Pain-related outcomes including pain intensity during instability catch sign, functional disability, patient satisfaction, and health-related quality of life were measured at 10 weeks of intervention and 1 and 3 months after the last intervention session (follow-up); trunk muscle activation patterns measured by surface electromyography were measured at 10 weeks. RESULTS: CSE showed significantly greater reductions in all pain-related outcomes after 10 weeks and over the course of 3 month follow-up periods than those seen in the CG (P<0.01). Furthermore, CSE enhanced deep abdominal muscle activation better than in the CG (P<0.001), whereas the CG had deterioration of deep back muscle activation compared with the CSE group (P<0.01). For within-group comparison, CSE provided significant improvements in all pain-related outcomes over follow-up (P<0.01), whereas the CG demonstrated reduction in pain intensity during instability catch sign only at 10 weeks (P<0.01). In addition, CSE showed an improvement in deep abdominal muscle activation (P<0.01), whereas the CG revealed the deterioration of deep abdominal and back muscle activations (P<0.05). CONCLUSION: Ten week CSE provides greater training and retention effects on pain-related outcomes and induced activation of deep abdominal muscles in patients with clinical lumbar instability compared with conventional treatment. Dove Medical Press 2013-11-19 /pmc/articles/PMC3875242/ /pubmed/24399870 http://dx.doi.org/10.2147/PPA.S50436 Text en © 2013 Puntumetakul et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Puntumetakul, Rungthip
Areeudomwong, Pattanasin
Emasithi, Alongkot
Yamauchi, Junichiro
Effect of 10-week core stabilization exercise training and detraining on pain-related outcomes in patients with clinical lumbar instability
title Effect of 10-week core stabilization exercise training and detraining on pain-related outcomes in patients with clinical lumbar instability
title_full Effect of 10-week core stabilization exercise training and detraining on pain-related outcomes in patients with clinical lumbar instability
title_fullStr Effect of 10-week core stabilization exercise training and detraining on pain-related outcomes in patients with clinical lumbar instability
title_full_unstemmed Effect of 10-week core stabilization exercise training and detraining on pain-related outcomes in patients with clinical lumbar instability
title_short Effect of 10-week core stabilization exercise training and detraining on pain-related outcomes in patients with clinical lumbar instability
title_sort effect of 10-week core stabilization exercise training and detraining on pain-related outcomes in patients with clinical lumbar instability
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3875242/
https://www.ncbi.nlm.nih.gov/pubmed/24399870
http://dx.doi.org/10.2147/PPA.S50436
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