Developing a Protocol for Core Stabilisation Exercises on Spine Kinematics in Patients with Non-Specific Chronic Low Back Pain

Research Paper Title

A protocol for clinical trial study of the effect of core stabilisation exercises on spine kinematics during gait with and without load in patients with non-specific chronic low back pain.

Background

Non-specific chronic low back pain (NCLBP) is a major public health and global socioeconomic burden with a variety of symptoms such as gait abnormality. Trunk stiffness and deep trunk muscles dysfunction known as guarding mechanism in gait are factors leading to abnormal movement pattern of the spine. Anterior load carriage task during gait is also challenged the trunk stability and its movement pattern. It will be therefore of interest to examine the effect of a Core Stabilisation Training Programme (CSTP) on the trunk and pelvis kinematics including variability and peak displacement during gait with and without load in NCLBP patients.

Methods

Patients with NCLBP will participate in a program containing 16 sessions of CSTP and perceived pain, disability and kinematic will be evaluated with 100 mm visual analogue scale (VAS), Oswestry Disability Index (ODI) and motion analysing system respectively before and after the intervention. Participants will be asked to walk with self-selected comfortable speed for 3 times without load and 3 times with caring a load with hands.

Discussion

The researchers will quantify the effectiveness of CSTP on the kinematic of trunk, lumbar and pelvis during gait. Comparing the kinematic pattern and movement variability using CVo and CVp can contribute to better understand the motor control strategy and movement pattern of the spine during an anterior load carriage task between patients with NCLBP and healthy.

Reference

Bagheri, R., Takamjani, I.E., Dadgoo, M., Sarrafzadeh, J., Ahmadi, A., Pourahmadi, M.R. & Jafarpisheh, A.S. (2017) A protocol for clinical trial study of the effect of core stabilization exercises on spine kinematics during gait with and without load in patients with non-specific chronic low back pain. Chiropractic and Manual Therapies. 25:31. doi: 10.1186/s12998-017-0162-y. eCollection 2017.

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