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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2013
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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. |
format | Online Article Text |
id | pubmed-3875242 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
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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