چهارشنبه 2 مهر 1404
چکیده: (23 مشاهده)
Objectives: The study aimed to assess the efficacy of core stability exercises versus conventional therapy in patients with non-specific chronic low back pain (CNLBP) for the management of pain, disability, and fear avoidance beliefs.
Methods: A randomized single-blind controlled trial (RCT) was conducted from April to September 2024 at Celina Care Clinic and Al Shifa' Specialized Complex in Bethlehem to compare the effects of core stability exercises (CSE) combined with conventional treatment therapy (CTT) versus (CTT) alone in adults with chronic non-specific low back pain (CNLBP). Sixty eligible patients were randomly assigned using computer-generated probability sampling by an independent researcher, with the allocation concealed in sealed envelopes. The intervention lasted four weeks, with three sessions per week for each group. Group A received (CSE) in addition to CTT (hot packs, transcutaneous electrical nerve stimulation, and therapeutic massage), while Group B received only (CTT). Outcome measures, including the Visual Analog Scale (VAS), Oswestry Disability Index (ODI), and Fear-Avoidance Belief Questionnaire (FABQ), were assessed at baseline and post-intervention.
Result: The study demonstrated that combining core stability exercise (CSE) with conventional treatment therapy (CTT) significantly improved outcomes compared to CTT alone in patients with chronic non-specific low back pain (CNLBP). The CSE plus CTT group showed greater reductions in pain levels (VAS: -4.70 vs. -2.36, effect size 1.51, p < 0.001), fear-avoidance belief related to work (FABQW: -13.3 vs. -3.76, effect size 2.58, p < 0.001) and physical activity (FABQPA: -7.93 vs. -2.26, effect size 2.77, p < 0.001), as well as disability (ODI: -14.53% vs. -5.13%, effect size 2.03, p < 0.001). These findings highlight the superior efficacy of incorporating (CSE) into standard treatment for (CNLBP).
Discussion: This study examined the effects of adding stability exercises to traditional therapy on fear-avoidance belief. Although therapeutic exercises are well studied, this research is novel in using a scale to measure fear avoidance belief to evaluate the added benefit of stability exercises, emphasizing their role in addressing psychological aspects of rehabilitation. While limited by a small sample size, short follow-up, and recruitment from two centers, the findings suggest that integrating stability exercises into conventional care may improve psychological outcomes in patients with chronic non-specific low back pain.
Methods: A randomized single-blind controlled trial (RCT) was conducted from April to September 2024 at Celina Care Clinic and Al Shifa' Specialized Complex in Bethlehem to compare the effects of core stability exercises (CSE) combined with conventional treatment therapy (CTT) versus (CTT) alone in adults with chronic non-specific low back pain (CNLBP). Sixty eligible patients were randomly assigned using computer-generated probability sampling by an independent researcher, with the allocation concealed in sealed envelopes. The intervention lasted four weeks, with three sessions per week for each group. Group A received (CSE) in addition to CTT (hot packs, transcutaneous electrical nerve stimulation, and therapeutic massage), while Group B received only (CTT). Outcome measures, including the Visual Analog Scale (VAS), Oswestry Disability Index (ODI), and Fear-Avoidance Belief Questionnaire (FABQ), were assessed at baseline and post-intervention.
Result: The study demonstrated that combining core stability exercise (CSE) with conventional treatment therapy (CTT) significantly improved outcomes compared to CTT alone in patients with chronic non-specific low back pain (CNLBP). The CSE plus CTT group showed greater reductions in pain levels (VAS: -4.70 vs. -2.36, effect size 1.51, p < 0.001), fear-avoidance belief related to work (FABQW: -13.3 vs. -3.76, effect size 2.58, p < 0.001) and physical activity (FABQPA: -7.93 vs. -2.26, effect size 2.77, p < 0.001), as well as disability (ODI: -14.53% vs. -5.13%, effect size 2.03, p < 0.001). These findings highlight the superior efficacy of incorporating (CSE) into standard treatment for (CNLBP).
Discussion: This study examined the effects of adding stability exercises to traditional therapy on fear-avoidance belief. Although therapeutic exercises are well studied, this research is novel in using a scale to measure fear avoidance belief to evaluate the added benefit of stability exercises, emphasizing their role in addressing psychological aspects of rehabilitation. While limited by a small sample size, short follow-up, and recruitment from two centers, the findings suggest that integrating stability exercises into conventional care may improve psychological outcomes in patients with chronic non-specific low back pain.
| بازنشر اطلاعات | |
 |
این مقاله تحت شرایط Creative Commons Attribution-NonCommercial 4.0 International License قابل بازنشر است. |
