Efficacy and Safety of Abdominal Trunk Muscle Strengthening Using an Innovative Device in Elderly Patients With Chronic Low Back Pain: A Pilot Study

Objective To examine the efficacy and safety of an innovative, device-driven abdominal trunk muscle strengthening program, with the ability to measure muscle strength, to treat chronic low back pain (LBP) in elderly participants.Methods Seven women with non-specific chronic LBP, lasting at least 3 months, were enrolled and treated with the prescribed exercise regimen. Patients participated in a 12-week device-driven exercise program which included abdominal trunk muscle strengthening and 4 types of stretches for the trunk and lower extremities. Primary outcomes were adverse events associated with the exercise program, improvement in abdominal trunk muscle strength, as measured by the device, and improvement in the numerical rating scale (NRS) scores of LBP with the exercise. Secondary outcomes were improvement in the Roland-Morris Disability Questionnaire (RDQ) score and the results of the locomotive syndrome risk test, including the stand-up and two-step tests.Results There were no reports of increased back pain or new-onset abdominal pain or discomfort during or after the device-driven exercise program. The mean abdominal trunk muscle strength, NRS, RDQ scores, and the stand-up and two-step test scores were significantly improved at the end of the trial compared to baseline.Conclusion No participants experienced adverse events during the 12-week strengthening program, which involved the use of our device and stretching, indicating the program was safe. Further, the program significantly improved various measures of LBP and physical function in elderly participants.

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Isokinetic Measurement of Trunk Muscle Strength in Women with Chronic Low-Back Pain

American Journal of Physical Medicine & Rehabilitation ◽

10.1097/00002060-200109000-00004 ◽

2001 ◽

Vol 80 (9) ◽

pp. 650-655 ◽

Cited By ~ 80

Author(s):

Meral Bayramoğlu ◽

Mahmut N. Akman ◽

Şehri Klnç ◽

Nuri Çetin ◽

Nur Yavuz ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Muscle Strength ◽

Chronic Low Back Pain ◽

Trunk Muscle ◽

Low Back ◽

Trunk Muscle Strength

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Trunk Muscle Strength in and Effect of Trunk Muscle Exercises for Patients With Chronic Low Back Pain

Spine ◽

10.1097/00007632-199512000-00012 ◽

1995 ◽

Vol 20 (23) ◽

pp. 2522-2530 ◽

Cited By ~ 59

Author(s):

Ryuichi Takemasa ◽

Hiroshi Yamamoto ◽

Toshikazu Tani

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Muscle Strength ◽

Chronic Low Back Pain ◽

Trunk Muscle ◽

Low Back ◽

Trunk Muscle Strength

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Predictors of Change in Trunk Muscle Strength for Patients with Chronic Low Back Pain Randomized to Lumbar Fusion or Cognitive Intervention and Exercises

Pain Medicine ◽

10.1111/j.1526-4637.2007.00333.x ◽

2008 ◽

Vol 9 (6) ◽

pp. 680-687 ◽

Cited By ~ 15

Author(s):

Anne Keller ◽

Jens Ivar Brox ◽

Olav Reikerås

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Muscle Strength ◽

Chronic Low Back Pain ◽

Lumbar Fusion ◽

Cognitive Intervention ◽

Trunk Muscle ◽

Low Back ◽

Trunk Muscle Strength ◽

Predictors Of Change

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Measurement of Trunk Muscle Strength to Determine the Effects of Two Exercise Regimes on Patients with Chronic Low Back Pain

Physiotherapy ◽

10.1016/s0031-9406(05)67118-0 ◽

1995 ◽

Vol 81 (4) ◽

pp. 243

Author(s):

CA Sweet ◽

K Griffin ◽

M Webb ◽

MI V Jayson ◽

JM Hodgson

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Muscle Strength ◽

Chronic Low Back Pain ◽

Trunk Muscle ◽

Low Back ◽

Trunk Muscle Strength

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Poster 169: Validity of Trunk Muscle Strength and Back Muscle Endurance Measurements in Chronic Low Back Pain

Archives of Physical Medicine and Rehabilitation ◽

10.1016/j.apmr.2008.09.219 ◽

2008 ◽

Vol 89 (11) ◽

pp. e74

Author(s):

Gerold Ebenbichler ◽

Richard Crevenna ◽

Wolfgang Gruther ◽

Christoph Leitner ◽

Michael P. Matzner ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Muscle Strength ◽

Chronic Low Back Pain ◽

Trunk Muscle ◽

Muscle Endurance ◽

Low Back ◽

Back Muscle ◽

Trunk Muscle Strength

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Posterior-Chain Resistance Training Compared to General Exercise and Walking Programmes for the Treatment of Chronic Low Back Pain in the General Population: A Systematic Review and Meta-Analysis

Sports Medicine - Open ◽

10.1186/s40798-021-00306-w ◽

2021 ◽

Vol 7 (1) ◽

Author(s):

Nicholas Tataryn ◽

Vini Simas ◽

Tailah Catterall ◽

James Furness ◽

Justin W. L. Keogh

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Resistance Training ◽

Muscle Strength ◽

Adverse Events ◽

Muscular Strength ◽

Meta Analysis ◽

Low Back ◽

Pain Level ◽

General Exercise

Abstract Background While chronic exercise training has been demonstrated to be an effective non-pharmacological treatment for chronic low back pain (CLBP), there has been a relative lack of evidence or clinical guidelines for whether a posterior chain resistance training programme provides any benefits over general exercise (GE). Objectives To determine if chronic posterior chain resistance training (PCRT), defined as exercise programmes of ≥6 weeks duration focused on the thoracic, lumbar and hip extensor musculature, is more effective than GE in improving pain, level of disability, muscular strength and the number of adverse events in recreationally active and sedentary individuals with CLBP. Methods Four electronic databases were systematically searched from 25 September 2019 until 30 August 2020. Using the Joanna Briggs Institute (JBI) Critical Appraisal Tools checklist for randomized controlled trials (RCTs), articles were critically appraised and compared against the inclusion/exclusion criteria. Standardized mean difference (SMD), risk difference (RD) and confidence interval (CI) were calculated using Review Manager 5.3. Results Eight articles were included, with a total of 408 participants (203 PCRT, 205 GE). Both PCRT and GE were effective in improving a number of CLBP-related outcomes, but these effects were often significantly greater in PCRT than GE, especially with greater training durations (i.e. 12–16 weeks compared to 6–8 weeks). Specifically, when compared to GE, PCRT demonstrated a greater reduction in pain (SMD = − 0.61 (95% CI − 1.21 to 0.00), p = 0.05; I2 = 74%) and level of disability (SMD = − 0.53 (95% CI − 0.97 to − 0.09), p = 0.02; I2 = 52%), as well as a greater increase in muscle strength (SMD = 0.67 (95% CI 0.21 to 1.13), p = 0.004; I2 = 0%). No differences in the number of adverse events were reported between PCRT and GE (RD = − 0.02 (95% CI − 0.10 to 0.05), p = 0.57; I2 = 72%). Conclusion Results of the meta-analysis indicated that 12–16 weeks of PCRT had a statistically significantly greater effect than GE on pain, level of disability and muscular strength, with no significant difference in the number of adverse events for recreationally active and sedentary patients with CLBP. Clinicians should strongly consider utilizing PCRT interventions for 12–16 weeks with patients with CLBP to maximize their improvements in pain, disability and muscle strength. Future research should focus on comparing the efficacy and adverse events associated with specific PCRT exercise training and movement patterns (i.e. deadlift, hip lift) in treating this population. Trial registration PROSPERO CRD42020155700.

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