A Study to Assess the Effectiveness of Core Muscle Stabilization Regimen in Patients with Mechanical Low Back Ache

Abstract

Background:  Low back pain (LBP) is one of the most frequent causes for medical consultation and absenteeism from work. In developed nations, over 70% of persons will encounter LBP sometime in their lives, with 85-95% of those cases being categorized as "non-specific low back ache" (NSLBP). Weakness of delayed activation or motor control of deep muscles (transversus (TrA) and multifidus abdominis (MF)), abdominal muscles, and superficial trunk muscles are the major causes of LBP. Muscle tension in the lower back region causes the pain that patients with normal back pain experience between the lower corner and the lumbosacral of the costa region. Core stability exercises (CSE) are one intervention that could be used to help individuals with LBP feel less discomfort. Individuals with common back pain have pain between the lumbosacral and the lower corner of the costa arch, which is influenced by muscle tension in the lower back region. One strategy that can assist every patient with LBP feel less uncomfortable is CSEs. To compare and assess the efficacy of a core muscle stabilization program in individuals with mechanical LBP, a quasi-experimental study was carried out.

Methodology:  The study involved 80 patients with mechanical LBP, who were split equally into two groups of forty patients each: the experimental group (EG) and the control group (CG). Since randomization was not used, the study is quasi-experimental. The CG was subjected to extension maneuvers, whereas the EG received back care and a core muscle stability routine. Prior to beginning the intervention, measures of pain and impairment were taken. Patients in each group began with a 10-minute static cycling warm-up, followed by an exercise regimen and back care. Every week of the therapy programme, the disability and pain scores were evaluated.

Results:  The Friedmann ANOVA, Mann-Whitney U-test, and t-test have been utilized for statistical analysis of the data. The findings showed that in participants with mechanical LBP, a core muscle stabilization program combined with back care and ergonomic guidance is more successful than spinal extension maneuvers alone at improving lumbar spine function and reducing pain.

Conclusion: Exercises for CSE can improve quality of life and lessen pain.