A randomized controlled trial to determine the effect of spinal stabilization exercise intervention based on pain level and standing balance differences in patients with low back pain

Hyun Sill Rhee, Yoon Hyuk Kim, Paul S. Sung

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

Background: A number of studies have evaluated exercise interventions compared with other treatment strategies for subjects with recurrent low back pain (LBP); however, subject pain level and balance were not carefully considered. The purpose of this study was to investigate the effectiveness of spinal stabilization exercises (SSE) for managing pain and increasing balance strategy changes following unexpected perturbations in patients diagnosed with recurrent LBP. Material/Methods: Twenty-one age- and gender-matched patients participated in a supervised SSE or control exercise program 5 times a week over a 4-week period. The Million Visual Analogue Scale (MVAS) and Oswestry Disability Index (ODI) were used to measure each patient's level of pain and disability. Balance measurements were derived from recordings of the anterior-posterior (A/P) and medio-lateral (M/L) center of pressure (COP) displacements during 3 consecutive, unexpected random perturbations. Results: The level of reported pain and disability significantly decreased following treatment for both groups. Although the M/L sway was not significantly different in either group (p=0.86), there was a significant difference between group and measurement time during A/P sway (p=0.04). The A/P displacement of the SSE group significantly decreased compared with the control group. The decreased A/P displacement can be linked to the SSE intervention, which helps prevent further injury by limiting an individual's response rate to external perturbations. Conclusions: Clinicians might consider SSE for LBP patients as a possible rehabilitation strategy to reduce A/P displacement.

Original languageEnglish
JournalMedical Science Monitor
Volume18
Issue number3
Publication statusPublished - 2012 Mar 12

Fingerprint

Low Back Pain
Randomized Controlled Trials
Exercise
Pain
Visual Analog Scale
Rehabilitation
Pressure
Control Groups
Displacement (Psychology)
Wounds and Injuries
Therapeutics

Keywords

  • Balance of body
  • Center of pressure
  • Low back pain
  • Stabilization exercises

ASJC Scopus subject areas

  • Medicine(all)

Cite this

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title = "A randomized controlled trial to determine the effect of spinal stabilization exercise intervention based on pain level and standing balance differences in patients with low back pain",
abstract = "Background: A number of studies have evaluated exercise interventions compared with other treatment strategies for subjects with recurrent low back pain (LBP); however, subject pain level and balance were not carefully considered. The purpose of this study was to investigate the effectiveness of spinal stabilization exercises (SSE) for managing pain and increasing balance strategy changes following unexpected perturbations in patients diagnosed with recurrent LBP. Material/Methods: Twenty-one age- and gender-matched patients participated in a supervised SSE or control exercise program 5 times a week over a 4-week period. The Million Visual Analogue Scale (MVAS) and Oswestry Disability Index (ODI) were used to measure each patient's level of pain and disability. Balance measurements were derived from recordings of the anterior-posterior (A/P) and medio-lateral (M/L) center of pressure (COP) displacements during 3 consecutive, unexpected random perturbations. Results: The level of reported pain and disability significantly decreased following treatment for both groups. Although the M/L sway was not significantly different in either group (p=0.86), there was a significant difference between group and measurement time during A/P sway (p=0.04). The A/P displacement of the SSE group significantly decreased compared with the control group. The decreased A/P displacement can be linked to the SSE intervention, which helps prevent further injury by limiting an individual's response rate to external perturbations. Conclusions: Clinicians might consider SSE for LBP patients as a possible rehabilitation strategy to reduce A/P displacement.",
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