Responsiveness of the Double Limb Lowering Test and Lower Abdominal Muscle Progression to Core Stabilization Exercise Programs in Healthy Adults

2014 ◽  
Vol 28 (7) ◽  
pp. 1920-1927 ◽  
Author(s):  
Douglas E. Haladay ◽  
Sayers J. Miller ◽  
John H. Challis ◽  
Craig R. Denegar
Author(s):  
Rungthip Puntumetakul ◽  
Pongsatorn Saiklang ◽  
Weerasak Tapanya ◽  
Thiwaphon Chatprem ◽  
Jaturat Kanpittaya ◽  
...  

Trunk stability exercises that focus on either deep or superficial muscles might produce different effects on lumbar segmental motion. This study compared outcomes in 34 lumbar instability patients in two exercises at 10 weeks and 12 months follow up. Participants were divided into either Core stabilization (deep) exercise, incorporating abdominal drawing-in maneuver technique (CSE with ADIM), or General strengthening (superficial) exercise (STE). Outcome measures were pain, muscle activation, and lumbar segmental motion. Participants in CSE with ADIM had significantly less pain than those in STE at 10 weeks. They showed significantly more improvement of abdominal muscle activity ratio than participants in STE at 10 weeks and 12 months follow-up. Participants in CSE with ADIM had significantly reduced sagittal translation at L4-L5 and L5-S1 compared with STE at 10 weeks. Participants in CSE with ADIM had significantly reduced sagittal translations at L4-L5 and L5-S1 compared with participants in STE at 10 weeks, whereas STE demonstrated significantly increased sagittal rotation at L4-L5. However, at 12 months follow-up, levels of lumbar sagittal translation were increased in both groups. CSE with ADIM which focuses on increasing deep trunk muscle activity can reduce lumbar segmental translation and should be recommended for lumbar instability.


Author(s):  
Rungthip PUNTUMETAKUL ◽  
Pongsatorn SAIKLANG ◽  
Wantanee YODCHAISARN ◽  
Torkamol HUNSAWONG ◽  
Janyawat RUANGSRI

Postural balance is important for activities of daily living. Patients with chronic low back pain (CLBP) exhibit balance problems, such as difficulty performing daily activities. Specifically, CLBP patients with clinical lumbar instability (CLI) have demonstrated deep trunk muscular dysfunction that induces poor postural control and may result in a high risk of falling. This study aimed to investigate the effect of a 10-week core stabilization exercise (CSE) regimen versus a strengthening trunk exercise (STE) regimen and conduct a 3-month follow-up on balance, pain, and trunk muscle activity patterns in CLI patients. A single-blind randomized controlled trial was used to compare the effects of CSE and STE on balance, pain, and trunk muscle activity patterns in 38 CLBP patients with CLI. The results of the 5-times-sit-to-stand test (FTSST) and pain intensity revealed significant improvements in both groups after ten weeks of exercise and at the 3-month follow-up point. However, the differences in the FTSST scores and pain intensity between the CSE and STE patients were not significant. Moreover, the CSE group presented significantly greater deep abdominal muscle activation than the STE group after ten weeks of exercise. In addition, both groups exhibited a trend of improvement in terms of deep back muscle activation. Therefore, the current study results suggest that both exercise regimens can improve balance performance and pain intensity. Moreover, the CSE group showed more significant improvements in deep abdominal muscle activation than the STE group.


2019 ◽  
Vol 43 (3) ◽  
pp. 301-308 ◽  
Author(s):  
Gozde Yagci ◽  
Yavuz Yakut

Background: There are several kinds of scoliosis-specific and general physiotherapeutic exercise methods used in scoliosis rehabilitation. But there is need for comparable studies on the effectiveness of different exercise approaches for the treatment of adolescent idiopathic scoliosis. Objectives: Comparison of the effects of combined core stabilization exercise and bracing treatment with Scientific Exercises Approach to Scoliosis and bracing treatment in patients with moderate adolescent idiopathic scoliosis. Methods: Thirty females with adolescent idiopathic scoliosis, who have moderate curves (20°–45°), were randomly divided into two groups. In addition to brace wearing for 4 months, one group received core stabilization exercise therapy, while the other received scientific exercises approach to scoliosis exercise therapy. The outcome measures were based on Cobb angle, angle of trunk rotation, body symmetry, cosmetic trunk deformity, and quality of life. Results: Thoracic and lumbar Cobb angles and trunk rotation angles, body symmetry, and cosmetic trunk deformity improved for both groups. Quality of life did not change in either group. The pain domain of the Scoliosis Research Society-22 questionnaire improved in the core stabilization group only. Conclusion: Both treatment conditions including core stabilization with bracing and scientific exercises approach to scoliosis with bracing had similar effects in the short-term treatment of moderate adolescent idiopathic scoliosis. Clinical relevance This study showed that when scientific exercises approach to scoliosis (SEAS) and core stabilization (CS) exercises were administered with equal intensity, the effects of the two treatment protocols including CS and bracing and SEAS and bracing were similar in the treatment of patients with moderate adolescent idiopathic scoliosis (AIS).


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