The Effects of Core Stabilization Exercise with the Abdominal Drawing-in Maneuver Technique versus General Strengthening Exercise on Lumbar Segmental Motion in Patients with Clinical Lumbar Instability
A Randomized Controlled Trial with 12-Month Follow-Up
Bibliographic Data
| ID | 15504457 |
|---|---|
| Authors | Rungthip Puntumetakul (0000-0002-3343-5313, Khon Kaen University, corresponding author), Pongsatorn Saiklang (0000-0003-2029-7895, Srinakharinwirot University), Weerasak Tapanya (0000-0002-7080-5213, University of Phayao), Thiwaphon Chatprem (0000-0002-3334-768X, Khon Kaen University), Jaturat Kanpittaya (Khon Kaen University), Preeda Arayawichanon (0000-0002-3729-6410, Khon Kaen University), Rose Boucaut (0000-0002-1832-077X, University of South Australia) |
| Year | 2021 |
| Volume | 18 |
| Issue | 15 |
| Pages | 7811-7811 |
| Publication date | 2021-07-23 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph18157811 |
| PMID | 34360103 |
| OpenAlex | W3183163780 |
| Language | EN |
| Citations received | 3 |
| References cited | 57 |
Trunk stability exercises that focus on either deep or superficial muscles might produce different effects on lumbar segmental motion. This study compared outcomes in 34 lumbar instability patients in two exercises at 10 weeks and 12 months follow up. Participants were divided into either Core stabilization (deep) exercise, incorporating abdominal drawing-in maneuver technique (CSE with ADIM), or General strengthening (superficial) exercise (STE). Outcome measures were pain, muscle activation, and lumbar segmental motion. Participants in CSE with ADIM had significantly less pain than those in STE at 10 weeks. They showed significantly more improvement of abdominal muscle activity ratio than participants in STE at 10 weeks and 12 months follow-up. Participants in CSE with ADIM had significantly reduced sagittal translation at L4-L5 and L5-S1 compared with STE at 10 weeks. Participants in CSE with ADIM had significantly reduced sagittal translations at L4-L5 and L5-S1 compared with participants in STE at 10 weeks, whereas STE demonstrated significantly increased sagittal rotation at L4-L5. However, at 12 months follow-up, levels of lumbar sagittal translation were increased in both groups. CSE with ADIM which focuses on increasing deep trunk muscle activity can reduce lumbar segmental translation and should be recommended for lumbar instability
Core (optical fiber · Core stability · Low back pain · Lumbar · Physical medicine and rehabilitation · Physical therapy · Randomized controlled trial · Range of motion · Sagittal plane · Trunk · Medicine · Musculoskeletal pain and rehabilitation · Myofascial pain diagnosis and treatment · Spine and Intervertebral Disc Pathology · Anatomy · Surgery
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Prevalence of Lumbar Segmental Instability in Young Individuals with the Different Types of Lumbar Disc Herniation—Preliminary Report
The Effect of Core Stabilization Exercise with the Abdominal Drawing-in Maneuver Technique on Stature Change during Prolonged Sitting in Sedentary Workers with Chronic Low Back Pain
| Citations per year | 0.6 |
|---|---|
| Citation span | 2021 - 2022 (2) |
| Highly cited | No |