{"id":905,"date":"2020-10-11T10:09:16","date_gmt":"2020-10-11T10:09:16","guid":{"rendered":"http:\/\/www.ijmhr.org\/IntJPhysiotherRes\/?page_id=905"},"modified":"2020-10-11T10:09:16","modified_gmt":"2020-10-11T10:09:16","slug":"ijpr-2020-168","status":"publish","type":"page","link":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/ijpr-2020-168","title":{"rendered":"IJPR.2020.168"},"content":{"rendered":"<p style=\"text-align: justify;\"><div class=\"su-row\"><div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/www.ijmhr.org\/ijpr.8.5\/IJPR.2020.168.pdf\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#3498db;border-color:#2a7ab0;border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#71b7e6;border-radius:5px;text-shadow:none\"><i class=\"sui sui-cloud-download\" style=\"font-size:13px;color:#FFFFFF\"><\/i> DOWNLOAD PDF<\/span><\/a><\/div><\/div><\/div> <div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/www.ijmhr.org\/ijpr_vol8_5.html\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#3498db;border-color:#2a7ab0;border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#71b7e6;border-radius:5px;text-shadow:none\"><i class=\"sui sui-book\" style=\"font-size:13px;color:#FFFFFF\"><\/i> Table of Contents<\/span><\/a><\/div><\/div><\/div><\/div>\n<h3 style=\"text-align: justify;\"><strong>Type of Article:<\/strong> \u00a0Original Research<\/h3>\n<h3 style=\"text-align: justify;\"><strong>Volume 8; Issue 5 (October 2020)<\/strong><\/h3>\n<h3 style=\"text-align: justify;\"><strong>Page No.:<\/strong> 3648-3655<\/h3>\n<h3 style=\"text-align: justify;\"><strong>DOI:\u00a0<\/strong>https:\/\/dx.doi.org\/10.16965\/ijpr.2020.168<\/h3>\n<h3 style=\"text-align: justify;\">COMPARISON OF CORE STRENGTHENING EXERCISES AND GENERAL TRUNK EXERCISES IN PATIENTS WITH CHRONIC LOW BACK PAIN USING LUMBO-PELVIC STABILITY TESTS AND PELVIC RADIUS TECHNIQUE<\/h3>\n<p style=\"text-align: justify;\"><strong>Disha Shah *<sup>1<\/sup>, Swati Kubal <sup>2<\/sup>.<\/strong><\/p>\n<p style=\"text-align: justify;\"><sup>*1 <\/sup>Physiotherapy School and Center, Topiwala National Medical College, Mumbai, India.<\/p>\n<p style=\"text-align: justify;\"><sup>2<\/sup> Physiotherapy School and Center, Topiwala National Medical College, Mumbai, India.<\/p>\n<p style=\"text-align: justify;\"><strong>Corresponding Author:<\/strong> Disha Shah, Physiotherapy School and Center, Topiwala National Medical College, Mumbai, India. <strong>E-Mail:<\/strong> dishachitalia19@gmail.com<\/p>\n<p style=\"text-align: justify;\"><strong>ABSTRACT<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>Background:<\/strong> Core stability is defined as comprising of the lumbopelvic-hip complex and is the capacity to maintain equilibrium of the vertebral column within its physiologic limits by reducing displacement from perturbations and maintaining structural integrity. Over the years, the concept of core stability has changed and authors have highlighted the significance and contribution of the transversus abdominus muscle, especially, in lumbo pelvic stability. Upon this basis, it has now become an important part in the management of spinal stability. Thus, exercises relying on the activation, recruitment and strengthening the core muscles are a common avenue of treatment of chronic back pain.\u00a0Pelvic compensation of the sagittal spinal alignment is important as it correlates to lumbar lordosis and overall sagittal balance. Hence pelvic radius technique (PRT) is used to measure the lumbar lordosis.<\/p>\n<p style=\"text-align: justify;\"><strong>Context and Purpose of the study:<\/strong> To compare the effectiveness of core strengthening exercises and general trunk exercises on pain, lumbo-pelvic stability, lumbar lordosis and functional abilities in patients with chronic low back pain.<\/p>\n<p style=\"text-align: justify;\"><strong>Results:<\/strong> Both exercise protocols showed statistically significant improved on Visual Analogue Scale (VAS), Oswetry Disability Index (ODI) and lumbo pelvic stability tests (LPS) (p value&lt;0.05). For the lumbar lordosis only the core strengthening group showed statistically significant improvement (p value&lt;0.05). When a comparison was done between groups it was statistically insignificant (p value&lt;0.05).<\/p>\n<p style=\"text-align: justify;\"><strong>Conclusion:<\/strong> The study the failed to show that core strengthening exercises are better than general trunk exercises on reducing pain, improving lumbo-pelvic stability, improving lumbar lordosis and functional abilities in patients with chronic low back pain. clinicians have a choice to either administer core stability exercise or general exercise when a patient has chronic non-specific low back pain.<\/p>\n<p style=\"text-align: justify;\"><strong>Key words<\/strong><strong>: <\/strong>Chronic back pain, Core strengthening, Lumbo-pelvic stability, Pelvic radius technique<\/p>\n<p style=\"text-align: justify;\"><strong>REFERENCES<\/strong><\/p>\n<p style=\"text-align: justify;\">[1]. Elders LAM, Burdorf A. Prevalence, incidence, and recurrence of low back pain in scaffolders during a three year follow-up study. Department of Public Health, Erasmus MC, University Medical Center Rotterdam. Maetis arbo, Occupational Health Service Rotterdam. Page 20-30.<br \/>\n[2]. Plail J, Moysey Y, Sheehy T et al. The effectiveness of core stability exercise with regards to general exercise in the management of chronic back pain. Nottingham University Spinal Rehabilitation Project.<br \/>\n[3]. Perrott MA, Pizzari T, Opar M et al. Development of Clinical Rating Criteria for Tests of Lumbo-pelvic Stability. Rehabilitation Research and Practice Volume 2012, Article ID 803637, 7 pages.<br \/>\nhttps:\/\/doi.org\/10.1155\/2012\/803637<br \/>\nPMid:22263111 PMCid:PMC3255301<br \/>\n[4]. Panjabi MM. The stabilizing system of the spine-part II: neutral zone and instability hypothesis. Journal of Spinal Disorders 1992;5(4):390-397.<br \/>\nhttps:\/\/doi.org\/10.1097\/00002517-199212000-00002<br \/>\nPMid:1490035<br \/>\n[5]. Sergides IG, McCombe PF, White G et al. Lumbo-pelvic lordosis and the pelvic radius technique in the assessment of spinal sagittal balance: strengths and caveats. Eur Spine J. Sep 2011; 20(Suppl 5): 591-601.<br \/>\nhttps:\/\/doi.org\/10.1007\/s00586-011-1926-z<br \/>\nPMid:21863464 PMCid:PMC3175929<br \/>\n[6]. Fairbank JC, Pynsent PB. The Oswestry Disability Index. November 15, 2000;25(22):2940-2953.<br \/>\nhttps:\/\/doi.org\/10.1097\/00007632-200011150-00017<br \/>\nPMid:11074683<br \/>\n[7]. Franca FR, Burke TN, Hanada ES, et al. Segmental stabilization and muscular strengthening in chronic low back pain &#8211; a comparative study. CLINICS 2010;65(10):1013-1017<br \/>\nhttps:\/\/doi.org\/10.1590\/S1807-59322010001000015<br \/>\nPMid:21120303 PMCid:PMC2972594<br \/>\n[8]. Kisner C, Colby LA. Therapeutic Exercise Foundations and Techniques. 6th Edition, Jaypee Brothers Medical Publishers (P) Ltd: 2013. Chapter 14, The Spine and Posture, Pages: 417 &#8211; 421.<br \/>\n[9]. Johnson J. 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Radebold A, Cholewicki J, Panjabi MM et al. Muscle Response Pattern to Sudden Trunk Loading in Healthy Individuals and in Patients with Chronic Low Back Pain. Spine:15 April 2000;25(8):947-954.<br \/>\nhttps:\/\/doi.org\/10.1097\/00007632-200004150-00009<br \/>\nPMid:10767807<br \/>\n[14]. Popa T, Bonifazi M, Della Volpe R. et al. Adaptive changes in postural strategy selection in chronic low back pain. Exp Brain Res 2007;177: 411.<br \/>\nhttps:\/\/doi.org\/10.1007\/s00221-006-0683-4<br \/>\nPMid:16977448<br \/>\n[15]. Lamoth CJC, Meijer OG, Daffertshofer A. et al. Effects of chronic low back pain on trunk coordination and back muscle activity during walking: changes in motor control. Eur Spine J. 2006;15:23.<br \/>\nhttps:\/\/doi.org\/10.1007\/s00586-004-0825-y<br \/>\nPMid:15864670 PMCid:PMC3454567<br \/>\n[16]. Jull GA &amp; Richardson CA. Motor control problems in patients with spinal pain: a new direction for therapeutic exercise. Journal of Manipulative Physiological Therapeutics, 2000;23(2):115-117.<br \/>\nhttps:\/\/doi.org\/10.1016\/S0161-4754(00)90079-4<br \/>\nhttps:\/\/doi.org\/10.1067\/mmt.2000.104081<br \/>\nPMid:10714539<br \/>\n[17]. Vera-Garcia JF, Elvira JJ, Brown S et al. Effects of abdominal stabilization maneuvers on the control of spine motion and stability against sudden trunk perturbations. Journal of Electromyography and Kinesiology, 2007;17:556-567.<br \/>\nhttps:\/\/doi.org\/10.1016\/j.jelekin.2006.07.004<br \/>\nPMid:16996278<br \/>\n[18]. Lederman E. The myth of core stability. Journal of Bodywork and Movement Therapies, 2010;14(1):84-98.<br \/>\nhttps:\/\/doi.org\/10.1016\/j.jbmt.2009.08.001<br \/>\nPMid:20006294<br \/>\n[19]. Beith ID, Synnott RE, Newman SA. Abdominal muscle activity during the abdominal hollowing manoeuvre in the four point kneeling and prone positions. Man. Ther., 2001;6(2):82-87.<br \/>\nhttps:\/\/doi.org\/10.1054\/math.2000.0376<br \/>\nPMid:11414777<br \/>\n[20]. Nourbakhsh MR and Arab AM. Relationship between Mechanical Factors and Incidence of Low Back Pain. Journal of Orthopaedic &amp; Sports Physical Therapy. 2002 Sep;32(9):447-60.<br \/>\nhttps:\/\/doi.org\/10.2519\/jospt.2002.32.9.447<br \/>\nPMid:12322811<br \/>\n[21]. Koumantakis GA, Watson PJ and Oldham JA. Trunk Muscle Stabilization Training Plus General Exercise Versus General Exercise Only: Randomized Controlled Trial of Patients With Recurrent Low Back Pain. Physical Therapy. 2005;85(3).<br \/>\nhttps:\/\/doi.org\/10.1093\/ptj\/85.3.209<br \/>\nPMid:15733046<\/p>\n<p style=\"text-align: justify;\">\n\t\t\t <div class=\"promo1\" style=\"background-color:#f7f7f7; border-color: #3498db #e8e6e6 #e8e6e6;\">\n             \t <span style=\"color: #3498db;\"><strong>Cite this article:<\/strong><\/span> Disha Shah, Swati Kubal. COMPARISON OF CORE STRENGTHENING EXERCISES AND GENERAL TRUNK EXERCISES IN PATIENTS WITH CHRONIC LOW BACK PAIN USING LUMBO-PELVIC STABILITY TESTS AND PELVIC RADIUS TECHNIQUE. Int J Physiother Res 2020;8(5):3648-3655. DOI: 10.16965\/ijpr.2020.168 \n             <\/div>\t\n\t\t\n","protected":false},"excerpt":{"rendered":"<p>Type of Article: \u00a0Original Research Volume 8; Issue 5 (October 2020) Page No.: 3648-3655 DOI:\u00a0https:\/\/dx.doi.org\/10.16965\/ijpr.2020.168 COMPARISON OF CORE STRENGTHENING EXERCISES AND GENERAL TRUNK EXERCISES IN PATIENTS WITH CHRONIC LOW BACK PAIN USING LUMBO-PELVIC STABILITY TESTS AND PELVIC RADIUS TECHNIQUE Disha Shah *1, Swati Kubal 2. *1 Physiotherapy School and Center, Topiwala National Medical College, Mumbai,<br \/><a class=\"moretag\" href=\"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/ijpr-2020-168\">+ Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-905","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages\/905"}],"collection":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/comments?post=905"}],"version-history":[{"count":1,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages\/905\/revisions"}],"predecessor-version":[{"id":916,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages\/905\/revisions\/916"}],"wp:attachment":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/media?parent=905"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}