Effectiveness of spinal stabilization exercises on movement performance in adults with chronic low back pain

Date
2023
Authors
Alkhathami, Khalid
Alshehre, Yousef
Brizzolara, Kelli
Weber, Mark
Wang-Price, Sharon
Journal Title
Journal ISSN
Volume Title
Publisher
North American Sportsmedicine Institute
Abstract

Introduction: Low back pain (LBP) is a musculoskeletal disorder that affects more than 80% of people in the United States at least once in their lifetime. LBP is one of the most common complaints prompting individuals to seek medical care. The purpose of this study was to determine the effects of spinal stabilization exercises (SSEs) on movement performance, pain intensity, and disability level in adults with chronic low back pain (CLBP).


Methods: Forty participants, 20 in each group, with CLBP were recruited and randomly allocated into one of two interventions: SSEs and general exercises (GEs). All participants received their assigned intervention under supervision one to two times per week for the first four weeks and then were asked to continue their program at home for another four weeks. Outcome measures were collected at baseline, two weeks, four weeks, and eight weeks, including the Functional Movement ScreenTM (FMSTM), Numeric Pain Rating Scale (NPRS), and Modified Oswestry Low Back Pain Disability Questionnaire (OSW) scores.


Results: There was a significant interaction for the FMSTM scores (p = 0.016), but not for the NPRS and OSW scores. Post hoc analysis showed significant between-group differences between baseline and four weeks (p = 0.005) and between baseline and eight weeks (p = 0.026) favor SSEs over GEs. Further, the results demonstrated that all participants, regardless of group, had significant improvements in movement performance, pain intensity, and disability level over time.


Conclusion: The results of the study favor SSEs over GEs in improving movement performance for individuals with CLBP, specifically after four weeks of the supervised SSE program.

Description
Article originally published in International Journal of Sports Physical Therapy, 18(1). English. Published online 2023. https://doi.org/10.26603/001c.68024
Keywords
Functional movement screen, Pain intensity, Disability level, Lumbar spine, Movement impairments, Movement system
Citation
This is a published version of an article that is available at: https://doi.org/10.26603/001c.68024. Recommended citation: Alkhathami, K., Alshehre, Y., Brizzolara, K., Weber, M., & Wang-Price, S. (2023). Effectiveness of spinal stabilization exercises on movement performance 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.