The Effects of Stabilization Exercises Combined With Pelvic Floor Exercise in Women With Nonspecific Low Back Pain: A Randomized Clinical Study
- PMID: 35496721
- PMCID: PMC9051137
- DOI: 10.1016/j.jcm.2021.12.008
The Effects of Stabilization Exercises Combined With Pelvic Floor Exercise in Women With Nonspecific Low Back Pain: A Randomized Clinical Study
Abstract
Objective: The purpose of this study was to investigate the effects of stabilization exercises (SEs) combined with pelvic floor muscle (PFM) exercises versus SE alone on pain intensity, functional disability, and static and dynamic endurance of trunk muscles in women with nonspecific low back pain (LBP).
Methods: A total of 48 women with nonspecific LBP (26-45 years) participated in the study. They were randomly allocated into 2 groups. Group A received SEs combined with PFM exercises and physical therapy modalities, and group B received the same intervention without PFM exercises for 6 successive weeks (3 times/wk). Pain intensity, functional disability, and static and dynamic trunk muscle endurance were measured before and after treatment program.
Results: After treatment, both groups revealed significant improvements in pain intensity and functional disability scores (P ˂ .05), and significant increases in static and dynamic endurance of trunk flexor and extensor muscles (P ˂ .05). Moreover, there was higher significance in group A compared to group B regarding pain intensity, functional disability scores, and static and dynamic endurance of trunk muscles (P ˂ .05).
Conclusion: In this study, the addition of PFM exercise to the SE and physical therapy modalities was more effective in reducing pain intensity, improving functional disability, and increasing the static and dynamic trunk muscle endurance in women with nonspecific LBP compared to SE alone.
Keywords: Exercise Therapy; Low Back Pain; Pelvic Floor Disorders.
© 2022 by National University of Health Sciences.
Similar articles
-
Effects of Stabilization Exercises Focusing on Pelvic Floor Muscles on Low Back Pain and Urinary Incontinence in Women.Urology. 2016 Jul;93:50-4. doi: 10.1016/j.urology.2016.03.034. Epub 2016 Apr 5. Urology. 2016. PMID: 27059833 Clinical Trial.
-
The Effects of home-based stabilization exercises focusing on the pelvic floor on postnatal stress urinary incontinence and low back pain: a randomized controlled trial.Int Urogynecol J. 2020 Nov;31(11):2301-2307. doi: 10.1007/s00192-020-04284-7. Epub 2020 Apr 10. Int Urogynecol J. 2020. PMID: 32274521 Clinical Trial.
-
The effectiveness of pelvic floor muscle training on lumbar function and muscle performance in sedentary women with lower back pain: a randomized controlled trial.BMC Womens Health. 2025 Mar 19;25(1):125. doi: 10.1186/s12905-025-03644-z. BMC Womens Health. 2025. PMID: 40108595 Free PMC article. Clinical Trial.
-
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.
-
Is adding pelvic floor muscle training to an exercise intervention more effective at improving pain in patients with non-specific low back pain? A systematic review of randomized controlled trials.Physiotherapy. 2021 Mar;110:15-25. doi: 10.1016/j.physio.2020.02.005. Epub 2020 Mar 2. Physiotherapy. 2021. PMID: 32349867
Cited by
-
A Study on 10-Week Combined Aerobic and Resistance Training Exercise Prescription for Female Patients with Pelvic Floor Dysfunction.Healthcare (Basel). 2025 Mar 8;13(6):592. doi: 10.3390/healthcare13060592. Healthcare (Basel). 2025. PMID: 40150442 Free PMC article.
-
Cause of non-specific low back pain in women: pelvic floor muscle weakness.Int Urogynecol J. 2023 Sep;34(9):2317-2323. doi: 10.1007/s00192-023-05606-1. Epub 2023 Jul 19. Int Urogynecol J. 2023. PMID: 37466692
-
Systematic Review to Inform a World Health Organization (WHO) Clinical Practice Guideline: Benefits and Harms of Structured Exercise Programs for Chronic Primary Low Back Pain in Adults.J Occup Rehabil. 2023 Dec;33(4):636-650. doi: 10.1007/s10926-023-10124-4. Epub 2023 Nov 22. J Occup Rehabil. 2023. PMID: 37991647 Free PMC article.
References
-
- Shiri R, Karppinen J, Leino-Arjas P, Solovieva S, Viikari-Juntura E. The association between obesity and low back pain: a meta-analysis. Am J Epidemiol. 2010;171(2):135–154. - PubMed
-
- Dario AB, Ferreira ML, Refshauge KM, Lima TS, Ordoñana JR, Ferreira PH. The relationship between obesity, low back pain, and lumbar disc degeneration when genetics and the environment are considered: a systematic review of twin studies. Spine J. 2015;15(5):1106–1117. - PubMed
-
- Lötters F, Burdorf A, Kuiper J, Miedema H. Model for the work-relatedness of low-back pain. Scand J Work Environ Health. 2003;29(6):431–440. - PubMed
LinkOut - more resources
Full Text Sources
Miscellaneous