Academic Journal

Effectiveness of an exercise intervention based on preactivation of the abdominal transverse muscle in patients with chronic nonspecific low back pain in primary care: a randomized control trial

Bibliographic Details
Title: Effectiveness of an exercise intervention based on preactivation of the abdominal transverse muscle in patients with chronic nonspecific low back pain in primary care: a randomized control trial
Authors: Francesc Rubí-Carnacea, Maria Masbernat-Almenara, Carolina Climent-Sanz, Jorge Soler-González, María García-Escudero, Oriol Martínez-Navarro, Fran Valenzuela-Pascual
Source: BMC Primary Care, Vol 24, Iss 1, Pp 1-10 (2023)
Publisher Information: BMC, 2023.
Publication Year: 2023
Collection: LCC:Medicine (General)
Subject Terms: Chronic nonspecific low back pain, Lumbopelvic stability, Motor control, Exercise, Transverse abdominal muscle, Medicine (General), R5-920
Description: Abstract Background Low back pain is one of the most common disabling pathologies in humanity worldwide. Physical exercises have been used in recent decades to reduce the pain, improve the functionality of the lumbar spine and avoid relapses. The purpose of the study is to analyze the effect of a program based on re-education exercises involving preactivation of the abdominal transverse muscle compared to conventional treatment in adults with chronic nonspecific low back pain. Methods A two-arm, single-blind randomized control trial with 35 primary care patients with chronic nonspecific low back pain. Both groups received a 4-week intervention. Data were collected at baseline and at the end of the intervention. Sixteen patients participated in the intervention group, and 19 patients in the control group. Results For the experimental group, the outcomes of disability and activation of the abdominal transverse muscle decreased significantly (MD -2.9; CI 95% -5.6 to -0.35; η2 = 0.14; p = 0.028) and (MD 2.3; CI 95% 0.91 to 3.67; η2 = 0.25; p = 0.002) respectively, with a large effect size, compared to the control group. There were no differences between the groups in pain intensity, thickness, and resistance of the transverse abdominal muscle. Conclusion A 4-week specific program based on re-education exercises of the preactivation of the abdominal transverse muscle is more effective than conventional treatment for reducing disability and increasing the activation of the abdominal transverse muscle measured by VAS scale and PBU. Trial registration Clinicaltrials.gov identifier: NCT03097497. Date of registration: 31/03/2017.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2731-4553
Relation: https://doaj.org/toc/2731-4553
DOI: 10.1186/s12875-023-02140-3
Access URL: https://doaj.org/article/f6ec1b6e28ef4e1e853c9f47ada78c90
Accession Number: edsdoj.f6ec1b6e28ef4e1e853c9f47ada78c90
Database: Directory of Open Access Journals
Description
ISSN:27314553
DOI:10.1186/s12875-023-02140-3