Effects of core-stabilization and trunk balance exercises on clinical parameters in patients with non-specific chronic low back pain – a randomized pilot study

O. Fapojuwo, A. Akodu, Adurayemi Esther Ositelu
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Abstract

Introduction and aim. This study compared the efficacy of core stabilization (CSE) and trunk balance exercises (TBE) with flexibility training on pain-related disability (PRD), psychological status (PS) and fear avoidance belief (FAB) in patients with non-specific chronic low back pain (NSCLBP). Material and methods. Twenty-eight (28) participants diagnosed of NSCLBP were randomly assigned into CSE, TBE, and control groups (CG). Participants in CSE (n=10); TBE (n=8) and CG groups (n=10) received core stabilization exercise, trunk balance exercise and back care advice respectively. All participants received flexibility training in addition to treatment in their respective groups. Assessment of outcomes were done at baseline, end of 4 th and 8 th week. Results. There was significant improvement in all outcomes in the CSE, TBE and CG at 8 weeks; PRD (p=0.005, p=0.008, p=0.005), PS: depression (p=0.005, p=0.008, p=0.007); anxiety (p=0.005, p=0.007) and FAB about work (p=0.005, p=0.007, p=0.005); about physical activity (p=0.005, p=0.018, p=0.006). Comparison of outcomes between CSE and TBE groups showed no significant difference (p>0.05) Conclusion. Both CSE and TBE with flexibility training are effective in improving PRD, PS and FAB of patients with NSCLBP.
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核心稳定和躯干平衡运动对非特异性慢性腰痛患者临床参数的影响——一项随机先导研究
介绍和目的。本研究比较了核心稳定(CSE)和躯干平衡练习(TBE)与柔韧性训练对非特异性慢性腰痛(NSCLBP)患者疼痛相关残疾(PRD)、心理状态(PS)和恐惧回避信念(FAB)的影响。材料和方法。28名确诊为NSCLBP的参与者被随机分为CSE组、TBE组和对照组(CG)。CSE受试者(n=10);be组(n=8)和CG组(n=10)分别进行核心稳定训练、躯干平衡训练和背部护理建议。所有的参与者在各自小组的治疗之外都接受了柔韧性训练。在基线、第4周和第8周结束时进行结果评估。结果。8周时,CSE、TBE和CG的所有结果均有显著改善;PRD (p=0.005, p=0.008, p=0.005), PS:抑郁症(p=0.005, p=0.008, p=0.007);焦虑(p=0.005, p=0.007)和对工作的焦虑(p=0.005, p=0.007, p=0.005);关于体力活动(p=0.005, p=0.018, p=0.006)。CSE组与TBE组预后比较,差异无统计学意义(p>0.05)。CSE和TBE配合柔韧性训练均能有效改善非慢性粒细胞性bp患者的PRD、PS和FAB。
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