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Comparing the efficacy of core stability exercises and conventional physical therapy in the management of lower back pain: a randomized controlled trial
Bibi M, Shah A
Northwest Journal of Medical Sciences 2023 Jan-Mar;2(1):13-17
clinical trial
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BACKGROUND: A significant section of the population around the world suffers from lower back pain (LBP), a prevalent musculoskeletal ailment. It is characterized by pain, sffness, or muscle lightness in the lumbar region, which can radiate to one or both legs. LBP can have a significant impact on an individual's quality of life, affecting their ability to perform daily activities, work, and participate in physical activities. Various treatment approaches have been used to manage LBP, including conventional physical therapy and core stability exercises. While both treatment modalies have been shown to be effecve in managing LBP, it is not clear which approach is more effective. This has led to a need for further research to compare the efficacy of these two treatment approaches. OBJECTIVE: To evaluate the efficacy of core stability exercises and conventional physical therapy in managing lower back pain (LBP) among patients. METHODOLOGY: A randomized control trial was conducted at Rehman Medical Instute from July 2017 to December 2017. Patients were randomly assigned to Group A and Group B using the loery method. Data were collected from 60 patients meeting the inclusion criteria. Patients in the Group Received Core stability exercises for 30 minutes three times a week for four weeks. Patients in Group B received Convenonal physiotherapy for 30 minutes three times a week for four weeks. Pre-treatment and post-treatment evaluation of pain and function were done using (VAS) and MODI) questionnaires, the Visual Analogue Scale modified disability (respectively. The data was analyzed using SPSS version 23. RESULTS: The mean ages of both groups were 29.70 and 30.86 years. Out of 60 patients, 2 (3.33%) were female and 58 (96.66%) were male. There was no significant difference at the baseline in Group A and Group B in terms of age, Pre-VAS, and Pre-MODI p > 0.05). There was a significant improvement in pain and functional status in Group A and B as post-VAS (0.038) and post-MODI (0.02) which showed significant differences. CONCLUSION: This study found that both core stability exercises and conventional physical therapy are beneficial in easing pain and enhancing patients' functional status with LBP. However, core stability exercises were shown to be more effective in managing LBP compared to conventional physical therapy. Therefore, it is recommended that core stability exercises be incorporated into the management of patients with LBP.

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