Cargando…

Comparative effectiveness of lumbar stabilization, dynamic strengthening, and Pilates on chronic low back pain: randomized clinical trial

The aim of the present study was to compare three different forms of exercises namely lumbar stabilization, dynamic strengthening, and Pilates on chronic low back pain (LBP) in terms of pain, range of motion, core strength and function. In this study, 44 subjects suffering from non-specific LBP for...

Descripción completa

Detalles Bibliográficos
Autores principales: Bhadauria, Esha A., Gurudut, Peeyoosha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Exercise Rehabilitation 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5667628/
https://www.ncbi.nlm.nih.gov/pubmed/29114516
http://dx.doi.org/10.12965/jer.1734972.486
_version_ 1783275524655677440
author Bhadauria, Esha A.
Gurudut, Peeyoosha
author_facet Bhadauria, Esha A.
Gurudut, Peeyoosha
author_sort Bhadauria, Esha A.
collection PubMed
description The aim of the present study was to compare three different forms of exercises namely lumbar stabilization, dynamic strengthening, and Pilates on chronic low back pain (LBP) in terms of pain, range of motion, core strength and function. In this study, 44 subjects suffering from non-specific LBP for more than 3 months were randomly allocated into the lumbar stabilization group, the dynamic strengthening group, and the Pilates group. Ten sessions of exercises for 3 weeks were prescribed along with interferential current and hot moist pack. Pain was assessed by visual analog scale, functional affection by modified Oswestry Disability Questionnaire, range of motion by assessing lumbar flexion and extension by modified Schober test and core strength was assessed by pressure biofeedback on day 1 and day 10 of the treatment. There was reduction of pain, improvement in range of motion, functional ability and core strength in all the 3 exercise groups. The improvement was significantly greater in the lumbar stabilization group for all the outcome measures, when compared the posttreatment after 10th session. Pairwise comparison showed that there was greater reduction of disability in the Pilates group than the dynamic strengthening group. It was concluded that the lumbar stabilization is more superior compared to the dynamic strengthening and Pilates in chronic nonspecific LBP. However, long-term benefits need to be assessed and compared with prospective follow-up studies.
format Online
Article
Text
id pubmed-5667628
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher Korean Society of Exercise Rehabilitation
record_format MEDLINE/PubMed
spelling pubmed-56676282017-11-07 Comparative effectiveness of lumbar stabilization, dynamic strengthening, and Pilates on chronic low back pain: randomized clinical trial Bhadauria, Esha A. Gurudut, Peeyoosha J Exerc Rehabil Original Article The aim of the present study was to compare three different forms of exercises namely lumbar stabilization, dynamic strengthening, and Pilates on chronic low back pain (LBP) in terms of pain, range of motion, core strength and function. In this study, 44 subjects suffering from non-specific LBP for more than 3 months were randomly allocated into the lumbar stabilization group, the dynamic strengthening group, and the Pilates group. Ten sessions of exercises for 3 weeks were prescribed along with interferential current and hot moist pack. Pain was assessed by visual analog scale, functional affection by modified Oswestry Disability Questionnaire, range of motion by assessing lumbar flexion and extension by modified Schober test and core strength was assessed by pressure biofeedback on day 1 and day 10 of the treatment. There was reduction of pain, improvement in range of motion, functional ability and core strength in all the 3 exercise groups. The improvement was significantly greater in the lumbar stabilization group for all the outcome measures, when compared the posttreatment after 10th session. Pairwise comparison showed that there was greater reduction of disability in the Pilates group than the dynamic strengthening group. It was concluded that the lumbar stabilization is more superior compared to the dynamic strengthening and Pilates in chronic nonspecific LBP. However, long-term benefits need to be assessed and compared with prospective follow-up studies. Korean Society of Exercise Rehabilitation 2017-08-29 /pmc/articles/PMC5667628/ /pubmed/29114516 http://dx.doi.org/10.12965/jer.1734972.486 Text en Copyright © 2017 Korean Society of Exercise Rehabilitation This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Bhadauria, Esha A.
Gurudut, Peeyoosha
Comparative effectiveness of lumbar stabilization, dynamic strengthening, and Pilates on chronic low back pain: randomized clinical trial
title Comparative effectiveness of lumbar stabilization, dynamic strengthening, and Pilates on chronic low back pain: randomized clinical trial
title_full Comparative effectiveness of lumbar stabilization, dynamic strengthening, and Pilates on chronic low back pain: randomized clinical trial
title_fullStr Comparative effectiveness of lumbar stabilization, dynamic strengthening, and Pilates on chronic low back pain: randomized clinical trial
title_full_unstemmed Comparative effectiveness of lumbar stabilization, dynamic strengthening, and Pilates on chronic low back pain: randomized clinical trial
title_short Comparative effectiveness of lumbar stabilization, dynamic strengthening, and Pilates on chronic low back pain: randomized clinical trial
title_sort comparative effectiveness of lumbar stabilization, dynamic strengthening, and pilates on chronic low back pain: randomized clinical trial
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5667628/
https://www.ncbi.nlm.nih.gov/pubmed/29114516
http://dx.doi.org/10.12965/jer.1734972.486
work_keys_str_mv AT bhadauriaeshaa comparativeeffectivenessoflumbarstabilizationdynamicstrengtheningandpilatesonchroniclowbackpainrandomizedclinicaltrial
AT gurudutpeeyoosha comparativeeffectivenessoflumbarstabilizationdynamicstrengtheningandpilatesonchroniclowbackpainrandomizedclinicaltrial