Effects of Core Stabilization and Strengthening Exercise on Quality of Life in Clinical Lumbar Instability

Study Overview
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Brief Summary
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This study will compare the effects of 2 exercise programs including core stabilization exercise and general trunk strengthening exercise programs on trunk muscle activity, physical dysfunction, quality of life and lumbar motion in low back pain patient with clinical lumbar instability.

Detailed Description
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Clinical lumbar instability is the one of causes of chronic low back pain, that affects to pain intensity and quality of life. For clinical studies using core stabilization exercise (CSE) as treatment have revealed conflicting findings on pain, functional disability and muscle responses in chronic low back pain. The CSE promotes local muscle system that to provide lumbar stability. However, the stability of spine related to global muscle system, that using in this study.

Official Title
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Clinical Practice Guideline With Core Stabilization and Strengthening Exercise Programs for Low Back Pain With Clinical Lumbar Instability

Conditions
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Chronic Low Back Pain

Intervention / Treatment
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* Other: Core Stabilization Exercise
* Other: General Strengthening Exercise


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Chronic low back pain due to clinical lumbar instability Exclusion Criteria: Specific low back pain Cuada equine syndrome Neurological deficit

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Core Stabilization Exercise (CSE)<br>The participants asked to performed CSE program, 20 min/session, 2 session/week, 10 weeks | Other: Core Stabilization Exercise<br>* the participants asked to performed CSE program, 20 min/session, 2 session/week, 10 weeks<br>|
| Experimental: General Strengthening Exercise (GSE)<br>The participants asked to performed GSE program, 20 min/session, 2 session/week, 10 weeks. | Other: General Strengthening Exercise<br>* the participants asked to performed GSE program, 20 min/session, 2 session/week, 10 weeks<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Effect of 2-exercise on quality of life | health-related quality of life was measured by using SF-36 questionnaire | Change from baseline at 10-week after training session, and follow up session | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Effect of 2-exercise on physical disability | Physical disability was measured by using Oswestry disability index | Change from baseline at 10-week after training session, and follow up session | 
| Effect of 2-exercise on trunk muscle activity | Trunk muscle activity was measured by using surface EMG | Change from baseline at 10-week after training session, and follow up session | 
| Effect of 2-exercise on lumbar segmental motion | Lumbar segmental motion was measured by using radiography | Change from baseline at 10-week after training session, and follow up session | 
| Effect of 2-exercise on pain intensity | Pain intensity was measured by using numeric rating scale | Change from baseline at 10-week after training session, and follow up session |