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The effect of segmental stabilization exercises on pain, disability and static postural stability in patients with spondylolisthesis: a double blinded pilot randomized controlled trial |
Choopani R, Ghaderi F, Salahzadeh Z, Adigozali H, Sivaki HN, Majd EM, Azghani MR, Soltani A, Jafarabadi MA |
Muscles, Ligaments and Tendons Journal 2019 Oct-Dec;9(4):615-626 |
clinical trial |
7/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; 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* |
PURPOSE: The aim of this study was to compare the effects of stabilization and general exercises on pain, disability and postural stability variables in patients with spondylolisthesis. METHODS: 24 patients randomly assigned into the stabilization (n = 12) and general exercise (n = 12) groups. Both groups performed the exercises 2 times a week for a period of 2 months. Visual analogue scale (VAS) and Quebec back pain disability questionnaire were used to assess the pain and functional disability, respectively. Postural stability has been evaluated using a force platform with eyes opened and closed while standing on firm and foam base of support. The parameters were the mean total velocity (M-V) and the SD of velocity in sagittal (SD-Vy) and frontal (SD-Vx) plan. RESULTS: There was a significant decrease in VAS and Quebec in both stabilization and general exercise groups (p = 0.001, p < 0.001 for VAS and p = 0.001, p = 0.001 for Quebec respectively). From postural stability parameters only SD-Vx has increases significantly in general exercise group (p = 0.008). More increase was observed in M-V variable in the stabilization group (p < 0.001). CONCLUSIONS: Pain and disability were improved in both stabilization and general exercise groups but postural stability variables was not changed in different directions in stabilization group.
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