Effects of stabilization exercise using a ball on mutifidus cross-sectional area in patients with chronic low back pain
- PMID: 24149162
- PMCID: PMC3772599
Effects of stabilization exercise using a ball on mutifidus cross-sectional area in patients with chronic low back pain
Abstract
The purpose of this study was to compare the effects of lumbar stabilization exercises using balls to the effects of general lumbar stabilization exercises with respect to changes in the cross section of the multifidus (MF), weight bearing, pain, and functional disorders in patients with non-specific chronic low back pain. Twelve patients participated in either a 8 week (3 days per week) stabilization exercise program using balls and control group (n = 12). The computer tomography (CT) was used to analyze MF cross-sectional areas (CSA) and Tetrax balancing scale was used to analyze left and right weight bearing differences. Both groups had significant changes in the CSA of the MF by segment after training (p < 0.05) and the experimental group showed greater increases at the L4 (F = 9.854, p = 0.005) and L5 (F = 39. 266, p = 0.000). Both groups showed significant decreases in weight bearing, from 9.25% to 5.83% in the experimental group and from 9.33% to 4.25% in the control group (p < 0.05), but did not differ significantly between the two groups. These results suggests that stabilization exercises using ball can increases in the CSA of the MF segments, improvement in weight bearing, pain relief, and recovery from functional disorders, and the increases in the CSA of the MF of the L4 and L5 segments for patients with low back pain. Key PointsCompared with the stabilization exercise using a ball and general stabilization exercise increased the CSA of the MF, weight bearing, pain, and functional ability in patients with low back pain.We verified that increases in the CSA of the MF of the L4 and L5 segments and functional ability during the stabilization exercise using a ball.The stabilization exercise using a ball was shown to be an effective exercise method for patients with low back pain in a rehabilitation program by increasing functional ability and the CSA of the MF.
Keywords: Stabilization exercise; ball; cross-sectional area; low back pain; multifidus.
Figures
Similar articles
-
The effects of exposure to microgravity and reconditioning of the lumbar multifidus and anterolateral abdominal muscles: implications for people with LBP.Spine J. 2021 Mar;21(3):477-491. doi: 10.1016/j.spinee.2020.09.006. Epub 2020 Sep 20. Spine J. 2021. PMID: 32966906
-
The association between back muscle characteristics and pressure pain sensitivity in low back pain patients.Scand J Pain. 2018 Apr 25;18(2):281-293. doi: 10.1515/sjpain-2017-0142. Scand J Pain. 2018. PMID: 29794309
-
Effect of stabilization training on multifidus muscle cross-sectional area among young elite cricketers with low back pain.J Orthop Sports Phys Ther. 2008 Mar;38(3):101-8. doi: 10.2519/jospt.2008.2658. Epub 2007 Dec 7. J Orthop Sports Phys Ther. 2008. PMID: 18349481
-
Effects of McKenzie and stabilization exercises in reducing pain intensity and functional disability in individuals with nonspecific chronic low back pain: a systematic review.J Phys Ther Sci. 2019 Jul;31(7):590-597. doi: 10.1589/jpts.31.590. Epub 2019 Jul 9. J Phys Ther Sci. 2019. PMID: 31417227 Free PMC article. Review.
-
The Effectiveness of Hollowing and Bracing Strategies With Lumbar Stabilization Exercise in Older Adult Women With Nonspecific Low Back Pain: A Quasi-Experimental Study on a Community-based Rehabilitation.J Manipulative Physiol Ther. 2018 Jan;41(1):1-9. doi: 10.1016/j.jmpt.2017.06.012. Epub 2017 Dec 16. J Manipulative Physiol Ther. 2018. PMID: 29254626 Review.
Cited by
-
Criterion Validity of Ultrasound Imaging: Assessment of Multifidi Cross-Sectional Area in Older Adults With and Without Chronic Low Back Pain.J Geriatr Phys Ther. 2017 Apr/Jun;40(2):74-79. doi: 10.1519/JPT.0000000000000073. J Geriatr Phys Ther. 2017. PMID: 26703525 Free PMC article.
-
Comparing the Effects of Different Types of Aquatic Walking on Endurance and Electrical Activities of Spine Extensor Muscles in Men with Nonspecific Chronic Back Pain.Int J Prev Med. 2020 Oct 5;11:168. doi: 10.4103/ijpvm.IJPVM_403_19. eCollection 2020. Int J Prev Med. 2020. PMID: 33312477 Free PMC article.
-
Optimising conservative management of chronic low back pain: study protocol for a randomised controlled trial.Trials. 2017 Apr 20;18(1):184. doi: 10.1186/s13063-017-1913-8. Trials. 2017. PMID: 28427472 Free PMC article. Clinical Trial.
-
An Extracellular Matrix Hydrogel Restores Disc Volume and Alleviates Axial Hypersensitivity in a Rat Model of Disc-Associated Pain.JOR Spine. 2025 May 15;8(2):e70073. doi: 10.1002/jsp2.70073. eCollection 2025 Jun. JOR Spine. 2025. PMID: 40386495 Free PMC article.
-
A reply to the questions regarding to the article 'effect of lumbar stabilization and dynamic lumbar strengthening exercises in patients with chronic low back pain'.Ann Rehabil Med. 2014 Dec;38(6):879-80. doi: 10.5535/arm.2014.38.6.879. Ann Rehabil Med. 2014. PMID: 25566493 Free PMC article. No abstract available.
References
-
- Alexander K.M., LaPier T.L. (1998) Differences in static balance and weight distribution between normal subjects and subjects with chronic unilateral low back pain. Physical Therapy Journal of Orthopedic & Sports Physical Therapy 28(6), 378-383 - PubMed
-
- Anderson K., Behm D.G. (2005) Trunk muscle activity increases with unstable squat movements. Canadian Journal of Applied Physiology 30(1), 33-45 - PubMed
-
- Beneck G.J., Kulig K. (2012) Multifidus atrophy is localized and bilateral in active persons with chronic unilateral low back pain. Archives of Physical Medicine & Rehabilitation 93(2), 300-306 - PubMed
-
- Bennell K.L., Goldie P.A. (1994) The differential effects of external ankle support on postural control. Physical Therapy Journal of Orthopedic & Sports Physical Therapy 20(6), 287-295 - PubMed
LinkOut - more resources
Full Text Sources
Medical