Effects of assisted sit-up exercise compared to core stabilization exercise on patients with non-specific low back pain: A randomized controlled trial

Cho Rong Bae, Yan Jin, Bum-Chul Yoon, Nack Hwan Kim, Kun Woo Park, Sang Heon Lee

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

BACKGROUND: Traditional sit-up exercise is a simple method to strengthen core muscles. However, it can increase the potential of lumbar spine injury during the bending process. OBJECTIVE: To evaluate the effect of assisted sit-up exercise (SUE) using a new training device, HubEX-LEX ®, on strengthening core muscles and improving non-specific low back pain (NSLBP) compared to conventional core stabilization exercise (CSE). METHODS: Subjects with chronic NSLBP were randomly divided into two groups: SUE (n= 18) or CSE (n= 18). They participated in 12 sessions of the exercise program. Before and after the training, thickness and activity of core muscles were measured using ultrasonogram and surface electromyography respectively. Pain and disability were assessed using two questionnaires. RESULTS: Thickness ratios (contracted/rest) of rectus abdominis and external oblique in the SUE group and those of transversus abdominis in the CSE group showed statistically significant difference between before and after exercise (p< 0.05). The ratio of activation of internal oblique relative to rectus abdominis and all measurements for pain and disability showed statistically significant improvement in both groups (p< 0.05). CONCLUSIONS: Assisted SUE using new training device can be an effective therapeutic exercise to strengthen dynamic abdominal muscles and improve core muscle activation pattern in NSLBP patients.

Original languageEnglish
Pages (from-to)871-880
Number of pages10
JournalJournal of Back and Musculoskeletal Rehabilitation
Volume31
Issue number5
DOIs
Publication statusPublished - 2018 Jan 1

Fingerprint

Low Back Pain
Randomized Controlled Trials
Exercise
Abdominal Muscles
Muscles
Rectus Abdominis
Equipment and Supplies
Electromyography
Pain Measurement
Teaching
Spine
Pain

Keywords

  • Comparative studies
  • low back pain
  • rehabilitation exercise
  • surface electromyography
  • ultrasonography

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

Cite this

@article{279ee7bbde714b0c9933e1f3e7bbb497,
title = "Effects of assisted sit-up exercise compared to core stabilization exercise on patients with non-specific low back pain: A randomized controlled trial",
abstract = "BACKGROUND: Traditional sit-up exercise is a simple method to strengthen core muscles. However, it can increase the potential of lumbar spine injury during the bending process. OBJECTIVE: To evaluate the effect of assisted sit-up exercise (SUE) using a new training device, HubEX-LEX {\circledR}, on strengthening core muscles and improving non-specific low back pain (NSLBP) compared to conventional core stabilization exercise (CSE). METHODS: Subjects with chronic NSLBP were randomly divided into two groups: SUE (n= 18) or CSE (n= 18). They participated in 12 sessions of the exercise program. Before and after the training, thickness and activity of core muscles were measured using ultrasonogram and surface electromyography respectively. Pain and disability were assessed using two questionnaires. RESULTS: Thickness ratios (contracted/rest) of rectus abdominis and external oblique in the SUE group and those of transversus abdominis in the CSE group showed statistically significant difference between before and after exercise (p< 0.05). The ratio of activation of internal oblique relative to rectus abdominis and all measurements for pain and disability showed statistically significant improvement in both groups (p< 0.05). CONCLUSIONS: Assisted SUE using new training device can be an effective therapeutic exercise to strengthen dynamic abdominal muscles and improve core muscle activation pattern in NSLBP patients.",
keywords = "Comparative studies, low back pain, rehabilitation exercise, surface electromyography, ultrasonography",
author = "Bae, {Cho Rong} and Yan Jin and Bum-Chul Yoon and Kim, {Nack Hwan} and Park, {Kun Woo} and Lee, {Sang Heon}",
year = "2018",
month = "1",
day = "1",
doi = "10.3233/BMR-170997",
language = "English",
volume = "31",
pages = "871--880",
journal = "Journal of Back and Musculoskeletal Rehabilitation",
issn = "1053-8127",
publisher = "IOS Press",
number = "5",

}

TY - JOUR

T1 - Effects of assisted sit-up exercise compared to core stabilization exercise on patients with non-specific low back pain

T2 - A randomized controlled trial

AU - Bae, Cho Rong

AU - Jin, Yan

AU - Yoon, Bum-Chul

AU - Kim, Nack Hwan

AU - Park, Kun Woo

AU - Lee, Sang Heon

PY - 2018/1/1

Y1 - 2018/1/1

N2 - BACKGROUND: Traditional sit-up exercise is a simple method to strengthen core muscles. However, it can increase the potential of lumbar spine injury during the bending process. OBJECTIVE: To evaluate the effect of assisted sit-up exercise (SUE) using a new training device, HubEX-LEX ®, on strengthening core muscles and improving non-specific low back pain (NSLBP) compared to conventional core stabilization exercise (CSE). METHODS: Subjects with chronic NSLBP were randomly divided into two groups: SUE (n= 18) or CSE (n= 18). They participated in 12 sessions of the exercise program. Before and after the training, thickness and activity of core muscles were measured using ultrasonogram and surface electromyography respectively. Pain and disability were assessed using two questionnaires. RESULTS: Thickness ratios (contracted/rest) of rectus abdominis and external oblique in the SUE group and those of transversus abdominis in the CSE group showed statistically significant difference between before and after exercise (p< 0.05). The ratio of activation of internal oblique relative to rectus abdominis and all measurements for pain and disability showed statistically significant improvement in both groups (p< 0.05). CONCLUSIONS: Assisted SUE using new training device can be an effective therapeutic exercise to strengthen dynamic abdominal muscles and improve core muscle activation pattern in NSLBP patients.

AB - BACKGROUND: Traditional sit-up exercise is a simple method to strengthen core muscles. However, it can increase the potential of lumbar spine injury during the bending process. OBJECTIVE: To evaluate the effect of assisted sit-up exercise (SUE) using a new training device, HubEX-LEX ®, on strengthening core muscles and improving non-specific low back pain (NSLBP) compared to conventional core stabilization exercise (CSE). METHODS: Subjects with chronic NSLBP were randomly divided into two groups: SUE (n= 18) or CSE (n= 18). They participated in 12 sessions of the exercise program. Before and after the training, thickness and activity of core muscles were measured using ultrasonogram and surface electromyography respectively. Pain and disability were assessed using two questionnaires. RESULTS: Thickness ratios (contracted/rest) of rectus abdominis and external oblique in the SUE group and those of transversus abdominis in the CSE group showed statistically significant difference between before and after exercise (p< 0.05). The ratio of activation of internal oblique relative to rectus abdominis and all measurements for pain and disability showed statistically significant improvement in both groups (p< 0.05). CONCLUSIONS: Assisted SUE using new training device can be an effective therapeutic exercise to strengthen dynamic abdominal muscles and improve core muscle activation pattern in NSLBP patients.

KW - Comparative studies

KW - low back pain

KW - rehabilitation exercise

KW - surface electromyography

KW - ultrasonography

UR - http://www.scopus.com/inward/record.url?scp=85056134725&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85056134725&partnerID=8YFLogxK

U2 - 10.3233/BMR-170997

DO - 10.3233/BMR-170997

M3 - Article

C2 - 29889057

AN - SCOPUS:85056134725

VL - 31

SP - 871

EP - 880

JO - Journal of Back and Musculoskeletal Rehabilitation

JF - Journal of Back and Musculoskeletal Rehabilitation

SN - 1053-8127

IS - 5

ER -