Effects of noxious stimulation and pain expectations on neuromuscular control of the spine in patients with chronic low back pain

Abstract Objective This study was to comparison of level of lumbar stability and postural sway in sagittal plane and coronal plane between exercise with ball and sling in the patients with non-specific chronic low back pain (NCLBP). Methodology Twenty participants with NCLBP aged 20 to 55 years were randomly divided into exercise with ball group (BG) and exercise with sling group (SG). Both groups performed 8 exercise sessions; two times per week for four weeks. The visual analog scale (VAS), modified oswestry disability questionnaire (MODQ), modified isometric stability test (MIST) were used to measure at baseline, week 2 and week 4 after exercise. Moreover, the sway area and sway velocity were evaluated at before and after training. Both group performed exercise 15 repetitions per set for 3 sets with 1-minute resting between set. A repeated two-way ANOVA was used to analyze the difference variables between both groups. Results The results showed significant difference between pre and post treatment of pain intensity, functional disability, MIST and postural sway in both groups (p<.001). When compared between both groups, the reduction in all parameters for the BG group was significantly higher than the SG group (p<.05). Moreover, the findings represented that the postural sway in both sagittal and coronal plane showed no significant difference between both groups after complete treatment. Conclusion The core stabilization exercise with ball and with sling can provided reduction of pain and functional disability. Moreover, the BG group is more effective for decreasing of pain, disability and improving of lumbar stability may described by greater perturbation of the ball. During perform exercise on ball bring to unstable and increasing of neuromuscular control. These results can applied to clinical practice for choosing the appropriate exercise program in the patients with NCLBP.

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Effect of experimental low back pain on neuromuscular control of the trunk in healthy volunteers and patients with chronic low back pain

Journal of Electromyography and Kinesiology ◽

10.1016/j.jelekin.2011.05.004 ◽

2011 ◽

Vol 21 (5) ◽

pp. 774-781 ◽

Cited By ~ 31

Author(s):

Jean-Daniel Dubois ◽

Mathieu Piché ◽

Vincent Cantin ◽

Martin Descarreaux

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Healthy Volunteers ◽

Chronic Low Back Pain ◽

Neuromuscular Control ◽

Low Back

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Efficacy of Core Stability in Non-Specific Chronic Low Back Pain

Journal of Functional Morphology and Kinesiology ◽

10.3390/jfmk6020037 ◽

2021 ◽

Vol 6 (2) ◽

pp. 37

Author(s):

Antonio Frizziero ◽

Giacomo Pellizzon ◽

Filippo Vittadini ◽

Davide Bigliardi ◽

Cosimo Costantino

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Chronic Low Back Pain ◽

Muscle Activation ◽

Neuromuscular Control ◽

Core Stability ◽

Cochrane Library ◽

Therapeutic Effects ◽

Low Back ◽

Therapeutic Exercises

(1) Background: Management of chronic low back pain (cLBP) is often multidisciplinary, involving a combination of treatments, including therapeutic exercises. Core stability exercises aim to improve pain and disability in cLBP increasing spinal stability, neuromuscular control, and preventing shear force that causes injury to the lumbar spine. The purpose of this study was to review the available evidence about the effectiveness in reducing pain and improving disability of core stability exercises for non-specific cLBP. (2) Methods: We perform a systematic research on common Medline databases: PubMed, Pedro, and Cochrane Library. Search results were limited to articles written in English and published between January 2005 and November 2020.The search provided a total of 420 articles. Forty-nine articles met the inclusion criteria and 371 articles were excluded. (3) Results: Core stability provides great therapeutic effects in patients with non-specific chronic low back pain reducing pain intensity, functional disability, and improving quality of life, core muscle activation, and thickness. Evidences suggest that core stability is more effective than rest or no/minimal intervention and combination with other types of exercise for cLBP have shown grater efficacy. (4) Conclusion: Core stability could be proposed in a comprehensive approach in cLBP, the combination with other modalities of therapeutic exercise should be promoted. Patient compliance is crucial to determine the efficacy of the intervention.

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