Sains Malaysiana 49(10)(2020): 2527-2537

http://dx.doi.org/10.17576/jsm-2020-4910-18

The Short-Term Effects of Progressive vs Conventional Core Stability Exercise in Rehabilitation of Nonspecific Chronic Low Back Pain

(Kesan Jangka Pendek Senaman Kestabilan Teras Progresif berbanding Konvensional dalam Rehabilitasi Sakit Belakang Kronik yang Tidak Khusus)

EBBY WAQQASH MOHAMAD CHAN¹, ALI MD NADZALAN², ZAINAL OTHMAN³, ELIZA HAFIZ¹ & MOHAMAD SHARIFF A. HAMID⁴*

¹Centre of Sports & Exercise Sciences, University of Malaya, 50603 Kuala Lumpur, Federal Territory, Malaysia

²Faculty of Sports Science and Coaching, Universiti Pendidikan Sultan Idris, 35900 Tanjong Malim, Perak Darul Ridzuan, Malaysia

³Rehabilitation Department, Tuanku Mizan Military Hospital, 53300 Kuala Lumpur, Federal Territory, Malaysia

⁴Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, Federal Territory, Malaysia

Received: 16 February 2020/Accepted: 3 May 2020

ABSTRACT

Core stability exercise programs are considered as a fundamental physical therapy treatment for chronic low back pain (LBP). However, it is still unclear which core stability program (progressive vs. conventional) is the most effective. A randomized controlled trial (RCT) was conducted to compare two core stability strategy strategies; progressive dynamic muscular stabilization technique (DMST) and conventional McGill Big 3 (MB3) in the rehabilitation of nonspecific chronic LBP. Thirty males diagnosed with nonspecific chronic LBP patients aged 33.57 ± 5.28 years were recruited and randomly assigned to; DMST and MGB3. All patients received additional conventional pain management treatment. The outcome measures were pain severity (motion, standing, sitting), functional disability, trunk endurance, lumbopelvic control, and body balance. All patients were assessed at baseline, 3rd week, and 6th week. A mixed design ANOVA showed both DMST and MGB3 improves all outcomes (p ≤ 0.05) specifically the pain severity and functional disability (p < 0.001, ηp2 = 0.81), trunk endurance (p < 0.001, ηp2 = 0.30), lumbopelvic control (p < 0.001, ηp2 = 0.242), and body balance (p = 0.003, ηp2 = 0.46) compared to baseline. However, no significant difference was found in all of the outcomes when comparing DMST and MBG3 (p > 0.05). In conclusion, both progressive DMST and conventional MGB3 core stability exercise programs are effective for nonspecific chronic LBP rehabilitation.

Keywords: Core stability; exercise therapy; low back pain; rehabilitation

ABSTRAK

Program senaman kestabilan teras dianggap sebagai rawatan terapi fizikal asas untuk sakit belakang (LBP) kronik. Walau bagaimanapun, masih belum jelas program kestabilan teras (progresif berbanding konvensional) adalah yang terbaik. Percubaan terkawal rawak (RCT) telah dijalankan untuk membandingkan dua strategi kestabilan teras; teknik penstabilan otot dinamik (DMST) progresif dan McGill Big 3 (MGB3) konvensional dalam pemulihan LBP kronik yang tidak khusus. Tiga puluh lelaki yang didiagnosis dengan LBP kronik yang tidak khusus berusia 33.57 ± 5.28 tahun telah direkrut dan secara rawak dibahagikan kepada DMST dan MGB3. Semua pesakit menerima rawatan tambahan pengurusan sakit konvensional. Keputusan ujian adalah keamatan kesakitan (bergerak, berdiri, duduk), ketidakupayaan berfungsi, ketahanan teras, kawalan ‘lumbopelvic’ dan keseimbangan badan. Semua pesakit dinilai pada peringkat awal, minggu ke-3 dan minggu ke-6. Dibandingkan pada peringkat awal, kedua-dua kumpulan DMST dan MGB3 bertambah baik dalam semua keputusan ujian (p ≤ 0.05) khususnya keamatan kesakitan (bergerak, berdiri, duduk) dan ketidakupayaan berfungsi, (P < 0.001, ηp2 = 0.81), ketahanan teras (p < 0.001, ηp2 = 0.30), kawalan ‘lumbopelvic’ (p < 0.001) ηp2 = 0.242) dan keseimbangan badan (p = 0.003, ηp2 = 0.46). Walau bagaimanapun, tiada perbezaan yang signifikan dalam semua keputusan ujian apabila dibandingkan antara DMST dan MGB3 (p > 0.05). Sebagai kesimpulan, kedua-dua program latihan kestabilan DMST progresif dan MGB3 konvensional berkesan untuk rehabilitasi LBP kronik yang tidak khusus.

Kata kunci: Kestabilan teras; rehabilitasi; sakit belakang bahagian rendah; terapi senaman

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*Corresponding author; email: ayip@um.edu.my