Comparison of the effect of core exercises and the combination of them with exercises in water on dynamic balance, lumbopelvic proprioception, and pain in women with non-specific chronic low back pain

Poster Presentation
Paper ID : 1694-SSRC
Authors
1Assistant Professor, Department of Physical Education Teachers Education, Pardis of Shahid Chamran, Farhangian University, Tehran, Iran.
2Assistant Professor, Department of Physical Education Teachers Education, Pardis of Nasibeh, Farhangian University, Tehran, Iran.
3MSc, Department of Sports Injuries and Corrective Exercises, Asrar Institute of Higher Education, Mashhad, Iran.
Abstract
Background: Low back pain (LBP) is a costly health issue with both social and economic consequences. Current guidelines have recommended non-pharmacological intervention, as one of the main options for managing chronic LBP (CLBP). This study aimed to compare the effectiveness of 6-week of core exercises and a combination of them with exercises in water on dynamic balance, lumbopelvic proprioception, and pain in women with non-specific CLBP (NSCLBP).
Methodology: 45 women (40-48 years old) with NSCLBP were randomly and equally divided into two training groups and one control group. In the initial 3-week, both training groups utilized techniques for core control and core muscle activation (CCMA). During the subsequent 3-week, one training group performed stabilizing core exercises (SCE), while the other training group implemented exercises in water (EW). Intervention programs were conducted in 3-session a week. At the beginning and end of the training period, we measured dynamic balance using the Berg Balance Scale, lumbopelvic proprioception using a goniometer, and pain intensity using a visual analog scale. We used the paired t-test to determine intra-group differences and the one-way analysis of variance test to determine differences between average groups in the research variables. If there was a difference in the mean of the groups, we used the Tukey post hoc test to locate the differences. Statistical analysis was performed using SPSS software (p<0.05). This research has been approved by the research ethics committee with code (…).
Results: The paired t-test showed a significant difference between the pre-test and post-test stages only in training groups (P<0.05). The one-way analysis of variance test confirmed that in the post-test stage, there was a significant difference between the groups in the research variables (P<0.05). The Tukey test showed that the difference between the groups' post-test mean was significant between the CCMA-EW training group and the other two groups (CCMA-SCE and control) (P<0.05). In addition, there was a significant difference between the CCMA-SCE and control (P<0.05).
Conclusion: It seems that a 6-week combined CCMA-EW training program is the most effective intervention for pain rehabilitation, and improves dynamic balance and lumbopelvic proprioception in women with NSCLBP.
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