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Effectiveness of whole-body vibration exercise and core stabilization exercise in chronic non-specific low back pain: a randomized-controlled study
Cigdem Karacay B, Sahbaz T, Gurtekin B, Yildiz S, Ozcan E
Turkiye Fiziksel Tip ve Rehabilitasyon Dergisi [Turkish Journal of Physical Medicine and Rehabilitation] 2022;68(2):184-194
clinical trial
6/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVES: The aim of this study was to investigate the effectiveness of whole-body vibration exercise (WBVE) and core stabilization exercise (CSE) on pain, muscle strength, and functional recovery in patients with chronic non-specific low back pain (NLBP). PATIENTS AND METHODS: Between June 2016 and July 2017, a total of 74 patients with NLBP (12 males, 62 females; mean age 44.7+/-8.9 years; range, 24 to 64 years) were included in this prospective, randomized-controlled study. The patients were randomly assigned to WBVE group (WBVEG, n = 25), CSE group (CSEG, (n = 25), and home exercise group as the control group (CG, (n = 24). All groups performed 24 sessions of exercise for a total of eight weeks. Clinical outcome was measured using the Visual Analog Scale (VAS), Roland-Morris Disability Questionnaire (RMDQ), computerized isokinetic muscle strengths (IMS) and progressive isoinertial lifting evaluation (PILE) test. RESULTS: The VAS and RMDQ scores in WBVEG and CSEG statistically significantly decreased (p < 0.05). The difference between the pre-treatment and at three-month VAS scores during intense activity were significantly different in both WBVEG and CSEG than the CG (p < 0.05). The IMS values, except for the isokinetic flexion total work (IKFTW), increased significantly in all three groups (p < 0.05). The IKFTW values increased significantly in the WBVEG and CSEG (p < 0.05). A statistically significant increase in the functional work performance with PILE was observed in all three groups (p < 0.05). The differences between the pre-treatment and three-month PILE test (ground to back and back to shoulder) were significantly different in both WBVEG and CSEG than the CG (p < 0.05). CONCLUSION: In the treatment of chronic NLBP, WBVE and CSE appear to be effective in pain and functionality. Although there was a significant improvement in muscle strength and functional work performance in all three groups, greater improvements were observed in the WBVEG and CSEG than the CG.

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