Article
Clinical and Physiological Outcomes Improvement Following Core Stabilization Exercise on Patients with Clinical Lumbar Instability: Two Case Studies
Search Medline for
Authors
-
Pattanasin Areeudomwong
- Graduate School and Back, Neck and Other Joint Pain Research Group, Khon Kaen University, Khon Kaen, Thailand
-
Rungthip Puntumetakul
- Back, Neck and Other Joint Pain Research Group, Khon Kaen University, Khon Kaen, Thailand
-
Kitti Jirarattanaphochai
- Department of Orthopaedics, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
-
Sawitri Wanpen
- Back, Neck and Other Joint Pain Research Group, Khon Kaen University, Khon Kaen, Thailand
-
Uraiwon Chatchawan
- Back, Neck and Other Joint Pain Research Group, Khon Kaen University, Khon Kaen, Thailand
-
Rotsalai Kanlayanaphotporn
- Department of Physical Therapy, Faculty of Allied Health Sciences, Chulalongkorn University, Bangkok, Thailand
-
Jaturat Kanpittaya
- Department of Radiology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
| Published: | October 24, 2011 |
|---|
Outline
Text
Objective: Clinical lumbar instability is one of causes of mechanical low back pain [1]. It is defined as a loss of spine ability to maintain its pattern of displacement under physiologic load so there is no initial or additional neurologic deficit, major deformity and incapacitating pain [2]. Clinical lumbar instability results from dysfunction of one or more subsystems of spinal stabilizing system including active stabilizing, passive stabilizing and neural control subsystems. A core stabilization exercise is empirically used for clinical lumbar instability; however, no previous study had reported the realistically beneficial effect of core stabilization exercise on patients with clinical lumbar instability.
The objective of the study was to describe clinical and physiological outcomes improvement following core stabilization exercise on two patients with clinical lumbar instability.
Material/Methods: Two patients with clinical lumbar instability (1 male and 1 female), aged of 28 and 29 years respectively, participated in this study. The patients were assigned with the core stabilization exercise for 20 minutes session, two sessions per week over 10 weeks. Clinical outcome measure was the Roland-Morris Disability Questionnaire (RMDQ) and physiological outcome measure was a ratio activity of transversus abdominis/internal oblique (TrA/IO) and rectus abdominis (RA) muscles using surface electromyography. The RMDQ and ratio activity of TrA/IO and RA muscles were measured at pre-intervention period as baseline and 10 weeks of treatment session.
Results: Two patients exhibited improvement in functional disability and increasing of ratio activity of TrA/IO and RA muscles at 10 weeks of treatment session when compared to baseline.
Conclusion: Core stabilization exercise can provide the short term effect to improve functional ability and increase ratio activity of abdominal muscles in patients with clinical lumbar instability.
