Effectiveness of Movement Control Exercise and Core Stability Exercise on Reducing Pain, Improving Range of Motion and Functional Activities in Patients with Mechanical Low Back Pain

Study Design: Experimental study pretest-posttest design with comparative treatment. Summary of background: Low back pain is a common condition that affects the Most people at some point of their lives with up to an 84%lifetime prevalence. Mechanical low back pain may be due to faulty posture sedentary lifestyle and improper ergonomics. Core muscles maintain the stability of the lumbar spine. Due to improper mechanics of the spine, there leads muscle imbalance in the lumbar spine. Thus, the rehabilitation of the core muscle results in improving the muscular control around the lumbar spine to maintain functional stability of the spine during activities. Movement control exercises are aimed to identify the Kinesio pathological models of movement dysfunction of the spine. Based on the principle, the treatment aimed to correct and restore the movement pattern and avoiding the posture which provokes them. Objective: This study is to investigate the effectiveness of movement control exercise and core stability exercise on reducing pain, improving range of motion and functional activities in patients with mechanical low back pain. The primary outcomes include pain intensity and Functional disability. The secondary outcome includes lumbar range of motion. Study Setting: Department of Orthopedics, Neurology and Physical Medicine & Rehabilitation PSG hospitals, Coimbatore. Participants: A total of 32 individuals with mechanical LBP participated in the study. Intervention: Included individuals were randomly assigned to receive 2 weeks treatment Program on movement control exercise and core stability exercise. Measurements: Pain intensity measured by NPRS, functional disability by Modified ODI And lumbar ROM by MMST. Results: Subjects receiving movement control exercise showed greater change on pain Intensity, functional disability, and lumbar ROM at p value <0.05 after 2 weeks of intervention than comparing with core stability exercise. Conclusion: So, we conclude that the movement control exercise is effective on reducing pain, improving range of motion and functional activities in patients with mechanical low back pain compared to core stability exercise. Key words: Mechanical Low Back Pain, Modified Oswestry Disability Index, Numerical Pain Rating Scale, Movement Control Exercise, Core Stability Exercise, Un Controlled Motion, Non-Specific Low Back Pain, Lumbar Flexion, Lumbar Extension Significant.