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7th EFSMA – European Congress of Sports Medicine, 3rd Central European Congress of Physical Medicine and Rehabilitation, Annual Assembly of the German and the Austrian Society of Physical Medicine and Rehabilitation

Austrian Society of Physical Medicine and Rehabilitation

26.-29.10.2011, Salzburg, Austria

Clinical and Physiological Outcomes Improvement Following Core Stabilization Exercise on Patients with Clinical Lumbar Instability: Two Case Studies

Meeting Abstract

  • corresponding author presenting/speaker Pattanasin Areeudomwong - Graduate School and Back, Neck and Other Joint Pain Research Group, Khon Kaen University, Khon Kaen, Thailand
  • author Rungthip Puntumetakul - Back, Neck and Other Joint Pain Research Group, Khon Kaen University, Khon Kaen, Thailand
  • author Kitti Jirarattanaphochai - Department of Orthopaedics, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
  • author Sawitri Wanpen - Back, Neck and Other Joint Pain Research Group, Khon Kaen University, Khon Kaen, Thailand
  • author Uraiwon Chatchawan - Back, Neck and Other Joint Pain Research Group, Khon Kaen University, Khon Kaen, Thailand
  • author Rotsalai Kanlayanaphotporn - Department of Physical Therapy, Faculty of Allied Health Sciences, Chulalongkorn University, Bangkok, Thailand
  • author Jaturat Kanpittaya - Department of Radiology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand

7th EFSMA – European Congress of Sports Medicine, 3rd Central European Congress of Physical Medicine and Rehabilitation. Salzburg, 26.-29.10.2011. Düsseldorf: German Medical Science GMS Publishing House; 2011. Doc11esm035

DOI: 10.3205/11esm035, URN: urn:nbn:de:0183-11esm0354

Published: October 24, 2011

© 2011 Areeudomwong et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.


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.


References

1.
Biely S, Smith SS, Silfies SP. Clinical instability of the lumbar spine: diagnosis and intervention. Orthop Phys Ther Pract. 2006;18(3):11-8.
2.
White AA, Panjabi MM. Clinical biomechanics of the spine. 2nd ed. Philadelphia: JB Lippincott; 1990.