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Comparative efficacy of core stabilization exercise and Pilates exercise on patients with non-specific chronic low back pain
Akodu A, Okonkwo S, Akinbo S
Revista Romana de Kinetoterapie [Romanian Journal of Physical Therapy] 2016 Dec;22(38):13-21
clinical trial
4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

INTRODUCTION: OBJECTIVES: Low back pain poses serious challenge to individual's health worldwide. Supervised therapeutic exercise has been reported as an effective intervention for the treatment of patients with chronic low back pain. This study compared the effect of core stabilization exercise and Pilates exercise on pain, functional disability, range of motion of the lumbar spine and level of physical activity in patients with non-specific chronic low back pain (NSCLBP). METHODS: The study involved 29 individuals (13 males and 16 females) with non-specific chronic low back pain. They were randomly assigned into 3 different groups (mean age of 49.10 +/- 11.85 years, 45.30 +/- 11.31 years, and 40.33 +/- 14.47) respectively, using computer generated numbers. Group 1 performed core stabilization exercise plus infra-red radiation, group 2 performed Pilates exercise plus infra- red radiation and group 3 received infra-red radiation and back care education. Measurement of pain intensity, functional disability, lumbar range of motion and level of physical activity were done using numerical rating scale (NRS), Roland Morris Disability Questionnaire (RMDQ), Modified Schobers Test (MST) and International physical activity questionnaire (IPAQ) respectively at baseline, 2nd week and 4th week (post intervention). Data was analysed using statistical package for social science version 20. RESULTS: Findings of this study revealed an improved clinical outcome of the three groups post-intervention (p < 0.05). However, there was statistically significant difference between core stabilization exercise group and control group in all outcome variables (p < 0.05) except for range of motion. CONCLUSION: The result of this study revealed that there was improvement in pain, functional ability and range of motion in the study groups. However both techniques are effective in the treatment of patients with non specific chronic low back pain.

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