Core stability exercise versus movement control exercise in chronic mechanical low back pain – A systematic review

Ahmed Elhamy Koshek, Salwa Fadl, Nagy Ahmed Zaki Sabet, Hamed El-Khozamy


Ahmed Elhamy Koshek, Salwa Fadl, Nagy Ahmed Zaki Sabet, Hamed El-Khozamy – Core stability exercise versus movement control exercise in chronic mechanical low back pain – A systematic review. Fizjoterapia Polska 2022; 22(4); 74-78

DOI: https://doi.org/10.56984/8ZG1A6XT7

Abstract
Purpose. The aim of this study was to compare the efficacy of two types of therapeutic exercise: core stability exercises and movement control exercises in pain and function.
Methods. Thirty-five patients were diagnosed and referred to physiotherapy as CMLBP, their age ranged from 25–40 years old, patients divided randomly into two groups and assessed for their current level of pain using a visual analog scale (VAS) and for disability using Oswestry disability index (ODI) before and after the study. Both groups received a well-documented fully supervised exercise program as group I movement control exercise, and group II received core stability exercises. Results. Showed significant effect of both exercise approaches on reducing pain level and restoring function. Although the group I exercises showed to be more effective in reducing pain than group II, their difference regarding improving function was non-significant. Conclusion. Conservative forms of treatment (therapeutic exercises) still prove it is a successful, cost-effective treatment of choice in patients with chronic mechanical low back pain. Movement control exercises are superior in reducing pain to core stability exercises.

Keywords
chronic mechanical low back pain, therapeutic exercises, functional training exercises, core stability exercises, movement control exercises

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Muscle energy technique versus core stability exercises on asymptomatic lumbar hyperlordosis in adults: A Randomized controlled trial

Hanaa Kenawy Atta, Abeer Mohamed ElDeeb, Hamada Ahmed Hamada, Yasser Mohamed Aneis

Hanaa Kenawy Atta, Abeer Mohamed ElDeeb, Hamada Ahmed Hamada, Yasser Mohamed Aneis – Muscle energy technique versus core stability exercises on asymptomatic lumbar hyperlordosis in adults: A Randomized controlled trial. Fizjoterapia Polska 2020; 20(4); 50-56

Abstract
Purpose. This study aimed to evaluate and compare the impact of muscle energy technique and core stability exercises on lumbar lordosis angle, pelvic inclination angle, and lumbar range of motion (ROM) in adults with asymptomatic hyperlordosis. Materials and methods. Sixty subjects with documented lumbar hyper-lordosis, aged 18-30, had a lumbar lordosis angle > 58.5 ° with a body mass index of ˂ 29.9 kg/m2, were assigned randomly into three groups. Group (A) underwent muscle energy technique in addition to postural correction exercises, group (B) received core stability exercises along with postural correction exercises, while group (C) got a postural correction exercise only. The intervention was administered for 12 weeks, three days a week. Plain X-ray and double inclinometers were used respectively for the assessment of lumbar lordosis and pelvic inclination angles and lumbar flexion and extension ROM. Results. All groups reported a substantial decrement in both lumbar lordotic and pelvic inclination angles as well as a marked increment in lumbar flexion and extension ROM following intervention relative to baseline. Differences between groups were noteworthy with respect to lumbar lordotic angle, pelvic angle of inclination and lumbar flexion ROM with significant enhancements in favor of group A and B compared to group C, however, there was no difference between groups regarding lumbar extension ROM. Conclusions. Both muscle energy technique and core stability exercises are equally effective in correcting hyperlordosis and pelvic tilting, as well as in increasing lumbar flexion and extension ROM through improving lumbopelvic stability and pelvic symmetry in adults with asymptomatic hyperlordosis.

Key words:
Muscle energy technique, core stability exercises, hyperlordosis

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Effect of Core Stability Exercises on the Acromiohumeral Distance in patients with Shoulder Impingement Syndrome: A Randomized Controlled Trial

Amany M Abbas, Salwa A Fadel, Hamed M El khozamy, Waleed Ewais, Manal Hamisa

Amany M Abbas, Salwa A Fadel, Hamed M El khozamy, Waleed Ewais, Manal Hamisa – Effect of Core Stability Exercises on the Acromiohumeral Distance in patients with Shoulder Impingement Syndrome: A Randomized Controlled Trial. Fizjoterapia Polska 2020; 20(2); 178-185

Abstract
Purpose. The aim of this study was to investigate the effect of adding the core stability exercises program to the conventional physical therapy program on the acromiohumeral distance in patients with SIS. Material and methods. Thirty male and female patients were diagnosed as SIS, their age ranged between 25-50 years were participated in this study. They would be randomly distributed into two equal experimental groups. Patients in the group (A): Received conventional physical therapy program. (B): Received the core stability exercises combined with conventional physical therapy program. Patients were received 12 sessions over four weeks, three sessions per week. The acromiohumeral distance was measured with 0 degree, 45 degrees’ abduction. Results. Statistical analysis revealed that there was significant increase the acromiohumeral distance at rest with (0° shoulder abduction) in favor of group (B) in compared to group (A). In spite of there was no statistical significant difference in the acromiohumeral distance at rest with (45° shoulder abduction) between group, there was clinical difference and high percent of improvement in favor to group B. Conclusion: Core stability exercises combined with conventional physical therapy program yield improvement in the AHD distance at rest with (zero shoulder abduction) than conventional physical therapy program.

Key words:
Shoulder impingement syndrome, Core stability exercises, The acromiohumeral distance

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