Movement control and stabilization exercises could be revolutionary treatment for people with extension related non -specific low back pain

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Movement control and stabilization exercises could be revolutionary treatment for people with extension related non -specific low back pain

A recent pilot, randomized control trial, examined the exercise as an effective treatment strategy for non-specific chronic low back pain (NSCLBP). There is wide use of exercise protocols, but still, it is not clear that what type of exercise is more effective in decreasing pain, disability and normalizing muscle activation patterns in people with chronic low back pain (CLBP). Saeed Talebian and colleagues conducted a study to estimate the effects of two exercise protocols (stabilization vs movement control) on pain and then calculating the disability scores and the flexion relaxation ratio (FRR) of lumbar multifidus (LM) and iliocostalis lumbarum pars thoracic (ICLT) in people with extension related to NACLBP.

The present study involved 32 patients with active extension pattern CLBP (stabilization group = 16, movement control group = 16). A four-week exercise therapy was given to the treatment group.

On the study assessed pain scores (Numeric rating Scale-NRS), disability (Oswestry Disability Index- ODI) and FRR of the LM and ICLT. From each group, 4 people dropped out of the study due to reasons unrelated to the protocols of the study. A reduction in pain and disability was noticed in both the groups, with no reliable difference. There was no change in FRR of LM in any of treatment group after the treatment, but there was an increase in FRR of ICLT after treatment in the movement control group.

It was concluded that there was a reduction in pain and disability among people with extension pattern NSCLBP, but there was no difference in effectiveness when a movement control and stabilization exercise therapy was given. However, movement control exercises were more potent in normalizing back muscle activation patterns as compared to stabilization exercises.

Source:

Journal of Bodywork and Movement Therapies

Link to the source:

http://www.bodyworkmovementtherapies.com/article/S1360-8592(17)30022-0/fulltext?rss=yes

Original title of article:

Effect of movement control and stabilization exercises in people with extension related non -specific low back pain- a pilot study

Authors:

Saeed Talebian et al.

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