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. 2023 Feb 1;18(1):169-172.
doi: 10.26603/001c.68024. eCollection 2023.

Effectiveness of Spinal Stabilization Exercises on Movement Performance in Adults with Chronic Low Back Pain

Khalid Alkhathami  1 , Yousef Alshehre  2 , Kelli Brizzolara  3 , Mark Weber  3 , Sharon Wang-Price  3
Affiliations

Effectiveness of Spinal Stabilization Exercises on Movement Performance in Adults with Chronic Low Back Pain

Khalid Alkhathami et al. Int J Sports Phys Ther. .

Abstract

Introduction: Low back pain (LBP) is a musculoskeletal disorder that affects more than 80% of people in the United States at least once in their lifetime. LBP is one of the most common complaints prompting individuals to seek medical care. The purpose of this study was to determine the effects of spinal stabilization exercises (SSEs) on movement performance, pain intensity, and disability level in adults with chronic low back pain (CLBP).

Methods: Forty participants, 20 in each group, with CLBP were recruited and randomly allocated into one of two interventions: SSEs and general exercises (GEs). All participants received their assigned intervention under supervision one to two times per week for the first four weeks and then were asked to continue their program at home for another four weeks. Outcome measures were collected at baseline, two weeks, four weeks, and eight weeks, including the Functional Movement ScreenTM (FMSTM), Numeric Pain Rating Scale (NPRS), and Modified Oswestry Low Back Pain Disability Questionnaire (OSW) scores.

Results: There was a significant interaction for the FMSTM scores (p = 0.016), but not for the NPRS and OSW scores. Post hoc analysis showed significant between-group differences between baseline and four weeks (p = 0.005) and between baseline and eight weeks (p = 0.026) favor SSEs over GEs. Further, the results demonstrated that all participants, regardless of group, had significant improvements in movement performance, pain intensity, and disability level over time.

Conclusion: The results of the study favor SSEs over GEs in improving movement performance for individuals with CLBP, specifically after four weeks of the supervised SSE program.

Keywords: disability level; functional movement screen; lumbar spine; movement impairments; movement system; pain intensity.

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Conflict of interest statement

The authors declare that there is no conflict of interest. In addition, the results of the study are presented clearly, honestly, and without fabrication, falsification, or inappropriate data manipulation, and the statement that the results of the present study do not constitute an endorsement by ACSM.

Figures

Figure 1.
Figure 1.. Consort diagram of participants’ screening, enrollment, and randomization.
Figure 2.
Figure 2.. Movement performance using the modified Functional Movement Screen scoring system between the spinal stabilization exercise (SSE) group and the general exercise (GE) group at baseline, 2 weeks, 4 weeks, and 8 weeks.
Figure 3.
Figure 3.. Pain intensity using the Numeric Pain Rating Scale (NPRS) between the spinal stabilization exercise (SSE) group and the general exercise (GE) group at baseline, 2 weeks, 4 weeks, and 8 weeks.
Figure 4.
Figure 4.. Disability levels using the Modified Oswestry Low Back Pain Disability Questionnaire (OSW) between the spinal stabilization exercise (SSE) group and the general exercise (GE) group at baseline, 2 weeks, 4 weeks, and 8 weeks.
See this image and copyright information in PMC

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