Comparing Motor Control Exercise and General Exercise on Lumbo-Pelvic Stability of Chronic Nonspecific Low Back Pain Sufferers Using Endurance Stability Tests
Journal Title: Archives of Rehabilitation - Year 2018, Vol 18, Issue 4
Abstract
Objective There is a controversy regarding whether Motor Control Exercise (MCE) is more effective than General Exercise (GE) for Chronic Low Back Pain (CLBP). MCE has been compared to other exercises using outcomes such as pain, but they have not been compared with outcomes related to lumbopelvic stability. As it is claimed that MCE enhances back stability, endurance (as a component of stability) tests that assess lumbopelvic stability were selected. The aim of this study was to compare MCE and GE on CLBP patients based on lumbopelvic stability through three endurance tests. Materials & Methods This study was conducted in Rasool Akram hospital and Motor Control Lab of School of Rehabilitation Science. While being admitted, 43 people (aged 18-60 yrs) with chronic non-specific Low Back Pain (LBP) were alternately allocated to either motor control (n=22) or general exercise group (n=21). Inclusion criteria included having LBP for more than three months and pain intensity 3-6 in the Visual Analogue Scale. Exclusion criteria included having pathology or anomaly lower limb such as hyperplasia, inflammatory diseases, sever osteoporosis, arthritis or other bone diseases. Labeling patients as CLBP was based on physical examination and clinical tests. Three endurance score stability tests such as: Trunk flexor, Trunk extensor, and side bridge tests used as primary outcomes. Pain and disability were also measured as secondary variables at two levels, prior to the start and end of the program. The MCE and GE programs of 16 sessions each were provided to the two groups of participants. Both groups performed their exercises three times a week. In the MCE group, anatomy and function of local back stabilizing muscles and the way they could be activated were taught. For the GE group, exercises activating the extensor (paraspinals) and flexor (abdominals) muscle groups were used. Results At the beginning of the study, there was no significant difference in the variables of test time, pain intensity, and disability index. After the intervention, test times increased, and disability and pain decreased within the groups. There was no significant difference between two groups in increasing test times (P=0.23 to 0.36) or decreasing disability and pain, P=0.16, P=0.73 respectively. Conclusion Though it is claimed that MCE increases spinal stability, the lack of significant difference in the results of variables between the two groups may be due to our MCE not being specific for increasing spinal stability or equal effects of both interventions on increasing spinal stability and no preference of MCE. It may also be due to poor sensitivity of our outcome measures in detecting changes in spinal stability, especially with respect to the sample size. Based on these results, it could be concluded that MCE is not more effective than GE in improving endurance core stability tests and reducing disability and pain in chronic non-specific LBP patients.
Authors and Affiliations
Mohammad Bagher Shamsi, Morteza Saeb, Amir Hossein Hashemian
Keywords
Related Articles
- EP ID EP262979
- DOI 10.21859/jrehab.18.4.5
- Views 123
- Downloads 0
The Correlation Between Rates of Falling, Balance, Quality of Life and Fear of Falling in Patients With Chronic Stroke
Objective Stroke is one of the most important causes of disability worldwide. Fear of falling is one of the consequences of stroke that could decrease the quality of life. It presents in the patients who have fallen as w...
The Effects of Two Months Body Weight Supported Treadmill Training on Balance and Quality of Life of Patients With Incomplete Spinal Cord Injury
Objective Spinal cord injury is a major problem for all communities that affect personal and social aspects of the patient’s life. The most common issues that spinal cord injury patients face are paralysis, muscle atroph...
Translation, Cultural Adaptation and the Reliability of the Persian Version of Quick Exposure Check Questionnaire
Objective Work-related Musculoskeletal Disorders (MSDs) happen due to risk factors during work, across the world, especially in developing countries. Multiple risk factors (physical, psychosocial and mental) have contrib...
Comparison of General Health and Depression in the People Covered With the Community-Based Rehabilitation Program (CBR) With the Non-Covered
Objective The prevalence of disability is growing with the development of science and industrialization of the society. Disability is a psychological, biological phenomenon and impairment in any of these areas affect a p...
Investigation of the Validity and Reliability of Balance Evaluation Systems Test (BESTest) in Assessment of Balance Disorders in People With Multiple Sclerosis
Objective Balance system and postural control are one of the major problems in people with multiple sclerosis. Therefore, the assessment of the balance system and postural control is very essential. Identification and us...