The Effect of Stabilization Exercises on Objective Outcome Measures in Patients with Chronic Non-Specific Low Back Pain: A Systematic Review with Particular Emphasis On Randomized Controlled Clinical Trial

Objective: Low back pain (LBP) is one of the most common and costly health problems. Changes in muscle activity and recruitment of lumbar deep muscles which are responsible for lumbar spine stability have been reported in patients with LBP. Different exercise programs are used in the treatment of su...

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Main Authors: Fatemeh Ehsani, Mohammad Ali Mohseni-Bandpei, Sanaz Shanbeh-Zadeh
Format: Article
Language:fas
Published: University of Social Welfare and Rehabilitation Sciences 2013-07-01
Series:Journal of Rehabilitation
Subjects:
Online Access:http://rehabilitationj.uswr.ac.ir/browse.php?a_code=A-10-907-2&slc_lang=en&sid=1
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spelling doaj-372144d6acea4c998f23d0f947d43cf52020-11-25T01:13:29ZfasUniversity of Social Welfare and Rehabilitation SciencesJournal of Rehabilitation1607-29601607-29602013-07-01142821The Effect of Stabilization Exercises on Objective Outcome Measures in Patients with Chronic Non-Specific Low Back Pain: A Systematic Review with Particular Emphasis On Randomized Controlled Clinical TrialFatemeh Ehsani0Mohammad Ali Mohseni-Bandpei1Sanaz Shanbeh-Zadeh2 University of Social Welfare and Rehabilitation Sciences Professor of Pediatric Neurorehabilitation Research Cener and Department of Physiotherapy, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran AND Visiting Professor, University Institute of Physical Therapy, Faculty of Allied Health Sciences, University of Lahore, Lahore, Pakistan. University of Social Welfare and Rehabilitation Sciences Objective: Low back pain (LBP) is one of the most common and costly health problems. Changes in muscle activity and recruitment of lumbar deep muscles which are responsible for lumbar spine stability have been reported in patients with LBP. Different exercise programs are used in the treatment of such patients to improve spinal stability. The purpose of this study was to systematically review the effect of stabilization exercises on objective outcome measures in patients with non-specific chronic LBP in previous randomized controlled trials. Materials & Methods: A literature search for the period of 2000-2012 was performed, using MEDLINE, PubMed, Google scholar, Science Direct, OVID and CINAHL databases. Low back pain, stabilization exercise, motor control exercise, segmental stabilization, transverse abdominis muscle, multifidus muscle, electromyography, ultrasound, ultrasonography, and randomized controlled trial were used as keywords. Muscle recruitment, postural balance control, muscle endurance, muscle size and lumbar range of motion were studied as objective outcome measures.  Results: In total, of 158 articles, 13 articles were selected according to the inclusion criteria of the study. There was a wide variation among studies in terms of methodology, main outcome measures, sample size, procedure, etc. The results demonstrated that stabilization exercise was more effective than other interventions on activity pattern of deep muscles, postural balance control, muscle endurance and range of motion, while it was not significantly different with other interventions on deep muscle size.  Conclusion: It seems that stabilization exercise has considerable effect on activity pattern of deep muscles, postural control, muscle endurance and range of motion and can be considered as an effective intervention in the treatment of patients with non-specific chronic LBPhttp://rehabilitationj.uswr.ac.ir/browse.php?a_code=A-10-907-2&slc_lang=en&sid=1Chronic low back pain Randomized control trial Stabilization exercise Systematic review
collection DOAJ
language fas
format Article
sources DOAJ
author Fatemeh Ehsani
Mohammad Ali Mohseni-Bandpei
Sanaz Shanbeh-Zadeh
spellingShingle Fatemeh Ehsani
Mohammad Ali Mohseni-Bandpei
Sanaz Shanbeh-Zadeh
The Effect of Stabilization Exercises on Objective Outcome Measures in Patients with Chronic Non-Specific Low Back Pain: A Systematic Review with Particular Emphasis On Randomized Controlled Clinical Trial
Journal of Rehabilitation
Chronic low back pain
Randomized control trial
Stabilization exercise
Systematic review
author_facet Fatemeh Ehsani
Mohammad Ali Mohseni-Bandpei
Sanaz Shanbeh-Zadeh
author_sort Fatemeh Ehsani
title The Effect of Stabilization Exercises on Objective Outcome Measures in Patients with Chronic Non-Specific Low Back Pain: A Systematic Review with Particular Emphasis On Randomized Controlled Clinical Trial
title_short The Effect of Stabilization Exercises on Objective Outcome Measures in Patients with Chronic Non-Specific Low Back Pain: A Systematic Review with Particular Emphasis On Randomized Controlled Clinical Trial
title_full The Effect of Stabilization Exercises on Objective Outcome Measures in Patients with Chronic Non-Specific Low Back Pain: A Systematic Review with Particular Emphasis On Randomized Controlled Clinical Trial
title_fullStr The Effect of Stabilization Exercises on Objective Outcome Measures in Patients with Chronic Non-Specific Low Back Pain: A Systematic Review with Particular Emphasis On Randomized Controlled Clinical Trial
title_full_unstemmed The Effect of Stabilization Exercises on Objective Outcome Measures in Patients with Chronic Non-Specific Low Back Pain: A Systematic Review with Particular Emphasis On Randomized Controlled Clinical Trial
title_sort effect of stabilization exercises on objective outcome measures in patients with chronic non-specific low back pain: a systematic review with particular emphasis on randomized controlled clinical trial
publisher University of Social Welfare and Rehabilitation Sciences
series Journal of Rehabilitation
issn 1607-2960
1607-2960
publishDate 2013-07-01
description Objective: Low back pain (LBP) is one of the most common and costly health problems. Changes in muscle activity and recruitment of lumbar deep muscles which are responsible for lumbar spine stability have been reported in patients with LBP. Different exercise programs are used in the treatment of such patients to improve spinal stability. The purpose of this study was to systematically review the effect of stabilization exercises on objective outcome measures in patients with non-specific chronic LBP in previous randomized controlled trials. Materials & Methods: A literature search for the period of 2000-2012 was performed, using MEDLINE, PubMed, Google scholar, Science Direct, OVID and CINAHL databases. Low back pain, stabilization exercise, motor control exercise, segmental stabilization, transverse abdominis muscle, multifidus muscle, electromyography, ultrasound, ultrasonography, and randomized controlled trial were used as keywords. Muscle recruitment, postural balance control, muscle endurance, muscle size and lumbar range of motion were studied as objective outcome measures.  Results: In total, of 158 articles, 13 articles were selected according to the inclusion criteria of the study. There was a wide variation among studies in terms of methodology, main outcome measures, sample size, procedure, etc. The results demonstrated that stabilization exercise was more effective than other interventions on activity pattern of deep muscles, postural balance control, muscle endurance and range of motion, while it was not significantly different with other interventions on deep muscle size.  Conclusion: It seems that stabilization exercise has considerable effect on activity pattern of deep muscles, postural control, muscle endurance and range of motion and can be considered as an effective intervention in the treatment of patients with non-specific chronic LBP
topic Chronic low back pain
Randomized control trial
Stabilization exercise
Systematic review
url http://rehabilitationj.uswr.ac.ir/browse.php?a_code=A-10-907-2&slc_lang=en&sid=1
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