Effect of Exercises on Pain, Functional Disability and Lumbar Stability in Patients With Low Back Pain

Study Overview
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Brief Summary
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The purposes of this study are to compare the effects of core stabilization exercises on pain intensity, functional disability and lumbar stability between using and not using the Swiss ball in patients with non-specific chronic low back pain.

Detailed Description
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For Patient Registries: The participant was screened for inclusion criteria and was asked to sign the informed consent prior to participate. A randomized control trial was performed with participants randomly divided into one of the two treatment groups: core stabilization exercise with ball and core stabilization exercise without ball by using sealed envelopes.

Official Title
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Effects of Core Stabilization Exercises With and Without Ball on Pain, Functional Disability and Level of Lumbar Stability in Patients With Non-specific Chronic Low Back Pain

Conditions
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Exercise

Intervention / Treatment
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* Other: exercise with ball
* Other: exercise without ball


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Male and female with low back pain (LBP) > 3 months Body mass index (BMI) = 18-25 kg/m2 Non-specific LBP (pain at the lower lumbar between costal margin but not below gluteal fold) Willing and able to perform exercise programs No cognitive impairment Age at least 19 years Exclusion Criteria: Having experiences in the core stabilization exercise and Swiss ball exercises Past history of back and abdomen surgery Recent fractures of spine, hip or lower limb Current use of steroids or any other drugs for resolving back pain Red flags (fractures, cancer, infection, cauda equine syndrome) Pregnancy Neuromuscular or respiratory disorders Rheumatologic disorders Hip and knee stiffness Pain intensity > 60 of 100 mm assessed by the VAS

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 68 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: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: exercise with ball<br>The participant in core stabilization exercise with ball group performed 12 training sessions of the core stabilization exercises, 3 days/week for 4 weeks. Each exercise took 15 times/set and each participant did it repeatedly for 3 sets and rested 1 minute between sets. The total time of core stabilization exercise was 20 minutes and assessment time was 10 minutes. | Other: exercise with ball<br>* exercise with ball<br>|
| Other: exercise without ball<br>The participant in core stabilization exercise without ball group performed 12 training sessions of the core stabilization exercises, 3 days/week for 4 weeks. Each exercise took 15 times/set and each participant did it repeatedly for 3 sets and rested 1 minute between sets. The total time of core stabilization exercise was 20 minutes and assessment time was 10 minutes. | Other: exercise without ball<br>* exercise without ball<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain scale | a 0-100 mm of horizontal line (Visual analog scale) assessing pain intensity - reported the distance measured in millimeters from the left hand side of this line to the point that participant marked | 4 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Questionnaire scores of functional disability measure | Thai modified Oswestry Disability Low Back Pain Disability Questionnaire | 4 weeks | 
| Levels of lumbar stability | isometric abdominal contraction assessing lumbar stability | 4 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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exercise