Effectiveness of spinal stabilization exercises on dynamic balance in adults with chronic low back pain

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dc.contributor.authorAlshehre, Yousef
dc.contributor.authorAlkhathami, Khalid
dc.contributor.authorBrizzolara, Kelli
dc.contributor.authorWeber, Mark
dc.contributor.authorWang-Price, Sharon
dc.creator.orcidhttps://orcid.org/0000-0001-8826-2029
dc.date.accessioned2023-07-31T20:32:36Z
dc.date.available2023-07-31T20:32:36Z
dc.date.issued2023
dc.description.abstractBackground: Dynamic balance is a vital aspect of everyday life. It is important to incorporate an exercise program that is useful for maintaining and improving balance in patients with chronic low back pain (CLBP). However, there is a lack of evidence supporting the effectiveness of spinal stabilization exercises (SSEs) on improving dynamic balance. Purpose: To determine the effectiveness of SSEs on dynamic balance in adults with CLBP. Study Design: A double-blind randomized clinical trial. Methods: Forty participants with CLBP were assigned randomly into either an SSE group or a general exercise (GE) group, which consisted of flexibility and range-of-motion exercises. Participants attended a total of four to eight supervised physical therapy (PT) sessions and performed their assigned exercises at home in the first four weeks of the eight-week intervention. In the last four weeks, the participants performed their exercises at home with no supervised PT sessions. Participants’ dynamic balance was measured using the Y-Balance Test (YBT) and the normalized composite scores, Numeric Pain Rating Scale and Modified Oswestry Low Back Pain Disability Questionnaire scores were collected at baseline, two weeks, four weeks, and eight weeks. Results: A significant difference between groups from two weeks to four weeks (p = 0.002) was found, with the SSE group demonstrating higher YBT composite scores than the GE group. However, there were no significant between-group differences from baseline to two weeks (p =0.098), and from four weeks to eight weeks (p = 0.413). Conclusions: Supervised SSEs were superior to GEs in improving dynamic balance for the first four weeks after initiating intervention in adults with CLBP. However, GEs appeared to have an effect equivalent to that of SSEs after 8-week intervention. Levels of Evidence: 1b.en_US
dc.description.sponsorshipThe authors would like to thank the Texas Physical Therapy Foundation for funding this study.en_US
dc.identifier.citationThis is a published version of an article that is available at: https://doi.org/10.26603/001c.68075. Recommended citation: Alshehre, Y. M., Alkhathami, K., Brizzolara, K., Weber, M., & Wang-Price, S. (2023). Effectiveness of spinal stabilization exercises on dynamic balance in adults with chronic low back pain. International Journal of Sports Physical Therapy, 18(1). This item has been deposited in accordance with publisher copyright and licensing terms and with the author’s permission.en_US
dc.identifier.urihttps://hdl.handle.net/11274/15299
dc.identifier.urihttps://doi.org/10.26603/001c.68075
dc.language.isoen_USen_US
dc.publisherNorth American Sportsmedicine Instituteen_US
dc.rights.licenseCC-BY-NC
dc.subjectInstabilityen_US
dc.subjectLumbar spineen_US
dc.subjectMovement impairmenten_US
dc.subjectPostural stabilityen_US
dc.subjectSupervised exercisesen_US
dc.titleEffectiveness of spinal stabilization exercises on dynamic balance in adults with chronic low back painen_US
dc.typeArticleen_US

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