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Randomized Controlled Trial
. 2025 Feb 21:13:1518612.
doi: 10.3389/fpubh.2025.1518612. eCollection 2025.

The impact of core training combined with breathing exercises on individuals with chronic non-specific low back pain

Ying Li  1 , Qian Zhao  2 , Xiao Zhang  1 , Yan E  3 , Yuqin Su  4
Affiliations
Randomized Controlled Trial

The impact of core training combined with breathing exercises on individuals with chronic non-specific low back pain

Ying Li et al. Front Public Health. .

Abstract

Background: Chronic non-specific low back pain (CNLBP) is a common condition, defined as pain lasting more than 3 months between the lower thoracic margin and gluteal folds, without identifiable tissue damage. Despite its low disability rate, the complex etiology and high recurrence impose significant health and socioeconomic burdens. According to European LBP guidelines, exercise therapy is the preferred treatment for CNLBP. This study evaluates the efficacy of core training combined with breathing exercises as a therapeutic intervention for CNLBP.

Methods: Eighteen CNLBP patients were randomly assigned to three groups: core training only, core training with breathing exercises, and a control group. A 12-week intervention included VAS, ODI scores, and muscle strength tests.

Results: The combined group showed significantly greater pain reduction, functional improvement, and muscle strength enhancement compared to the other groups.

Conclusion: Core training with breathing exercises is more effective in alleviating CNLBP symptoms, highlighting the added value of integrating breathing exercises.

Keywords: breathing exercises; chronic non-specific low back pain; core training; exercise therapy; functional improvement; pain management.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Flow chart of the experimental procedure.
See this image and copyright information in PMC

References

    1. Deyo RA, Dworkin SF, Amtmann D, Andersson G, Borenstein D, Carragee E, et al. . Report of the NIH task force on research standards for chronic low back pain. Phys Ther. (2015) 95:e1–e18. doi: 10.2522/ptj.2015.95.2.e1, PMID: - DOI - PMC - PubMed
    1. Jones CM, Underwood M, Chou R, Schoene M, Sabzwari S, Cavanagh J, et al. . Analgesia for non-specific low back pain. BMJ. (2024) 385:64. doi: 10.1136/bmj-2024-080064, PMID: - DOI - PMC - PubMed
    1. World Health Organization . WHO guideline for non-surgical management of chronic primary low back pain in adults in primary and community care settings. Geneva: World Health Organization; (2023). - PubMed
    1. Farley T, Stokke J, Goyal K, DeMicco R. Chronic low Back pain: history, symptoms, Pain Mechanisms, and Treatment. Life. (2024) 14:812. doi: 10.3390/life14070812, PMID: - DOI - PMC - PubMed
    1. Vyshlova IA, Karpov SM, Raevskaya AI, Reverchuk IV. Rehabilitation of patients with chronic low back pain. Zh Nevrol Psikhiatr Im S S Korsakova. (2022) 122:14–9. doi: 10.17116/jnevro202212206114 - DOI - PubMed

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