Effects of Tailored Stabilization Exercise Regimens on Lumbar Instability

Mustafa Zaveri, Aqsa Faiz, Mubushara Afzal, Malik Osama
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Abstract

Background: The primary goals of Lumbar Stabilization Exercises (LSE) are to increase the muscles’ neuromuscular control, strength, and endurance, essential for dynamic trunk and spinal stability. Even though LSE is a highly successful treatment for lumbar instability and pain reduction, further research is necessary to fully understand its effects and maximize its use for a larger population. Methods: Patients aged between 40 and 60 years with symptoms of lower back pain were included in the study. The patients were chosen based on the diagnosis, symptoms, and clinical presentation, consistent with a radiologic diagnosis of spondylosis and spondylolisthesis. Exercise sessions gradually increased in duration, with a pressure biofeedback monitor ensuring ten accurate contractions held for 10 seconds each. Low-loadleverage through the limbs was introduced to progress the workouts. Results: The significant decrease in pain levels reflects the positive impact of stability exercises on the functional disability level of patients. The baseline mean disability level of 26.34 exhibited notable improvement, decreasing to 16.23 with a mean difference of 10.11. The statistical significance of this mean difference (p<0.05) provides compelling evidence to reject the null hypothesis,affirming the effectiveness of the intervention in positively influencing the disability level among the participants. Conclusion: The study’s findings highlight the beneficial effects of customized stabilization exercise programs on lumbar instability and persistent low back pain. The interventionshowed substantial improvements in functional impairment and pain reduction across participants, focusing on individualized graded lumbar stabilization exercises. Keywords: Exercise, Low Back Pain, Lumbar Region, Spondylosis.
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量身定制的稳定训练方案对腰椎失稳的影响
背景:腰椎稳定训练(LSE)的主要目的是增强肌肉的神经肌肉控制能力、力量和耐力,这对动态躯干和脊柱稳定至关重要。尽管腰椎稳定运动是一种非常成功的治疗腰椎不稳定和减轻疼痛的方法,但仍有必要开展进一步的研究,以充分了解其效果,并最大限度地将其用于更多人群:研究对象包括年龄在 40 岁至 60 岁之间、有下背部疼痛症状的患者。根据诊断、症状和临床表现选择患者,并与脊柱炎和脊柱骨质增生的放射学诊断相一致。锻炼时间逐渐延长,压力生物反馈监测仪确保患者在10秒钟内准确收缩10次。通过肢体的低负荷杠杆作用来促进锻炼的进展:结果:疼痛程度的明显减轻反映了稳定性锻炼对患者功能障碍程度的积极影响。基线平均残疾程度为 26.34,有了明显改善,降至 16.23,平均差异为 10.11。这一平均差异在统计学上的显著性(P<0.05)为拒绝零假设提供了有力的证据,肯定了干预对参与者残疾水平产生积极影响的有效性:研究结果表明,定制的稳定训练计划对腰椎不稳定和持续性腰背痛具有有益的影响。干预措施显示,以个性化的分级腰椎稳定运动为重点,参与者的功能障碍和疼痛减轻程度均有显著改善:运动 腰痛 腰椎区域 脊柱病变
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