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The Effects of Core Stabilization Exercise with the Abdominal Drawing-in Maneuver Technique versus General Strengthening Exercise on Lumbar Segmental Motion in Patients with Clinical Lumbar Instability: A Randomized Controlled Trial with 12-Month Follow-Up

Author

Listed:
  • Rungthip Puntumetakul

    (Research Center of Back, Neck, Other Joint Pain and Human Performance (BNOJPH), Khon Kaen University, Khon Kaen 40002, Thailand
    Department of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen 40002, Thailand)

  • Pongsatorn Saiklang

    (Faculty of Physical Therapy, Srinakharinwirot University, Nakhon Nayok 26120, Thailand)

  • Weerasak Tapanya

    (Department of Physical Therapy, School of Allied Health Sciences, University of Phayao, Phayao 56000, Thailand)

  • Thiwaphon Chatprem

    (Research Center of Back, Neck, Other Joint Pain and Human Performance (BNOJPH), Khon Kaen University, Khon Kaen 40002, Thailand)

  • Jaturat Kanpittaya

    (Department of Radiology, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand)

  • Preeda Arayawichanon

    (Department of Rehabilitation Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand)

  • Rose Boucaut

    (iCAHE (International Centre for Allied Health Evidence), School of Health Sciences (Physiotherapy), University of South Australia, Adelaide, SA 5001, Australia)

Abstract

Trunk stability exercises that focus on either deep or superficial muscles might produce different effects on lumbar segmental motion. This study compared outcomes in 34 lumbar instability patients in two exercises at 10 weeks and 12 months follow up. Participants were divided into either Core stabilization (deep) exercise, incorporating abdominal drawing-in maneuver technique (CSE with ADIM), or General strengthening (superficial) exercise (STE). Outcome measures were pain, muscle activation, and lumbar segmental motion. Participants in CSE with ADIM had significantly less pain than those in STE at 10 weeks. They showed significantly more improvement of abdominal muscle activity ratio than participants in STE at 10 weeks and 12 months follow-up. Participants in CSE with ADIM had significantly reduced sagittal translation at L4-L5 and L5-S1 compared with STE at 10 weeks. Participants in CSE with ADIM had significantly reduced sagittal translations at L4-L5 and L5-S1 compared with participants in STE at 10 weeks, whereas STE demonstrated significantly increased sagittal rotation at L4-L5. However, at 12 months follow-up, levels of lumbar sagittal translation were increased in both groups. CSE with ADIM which focuses on increasing deep trunk muscle activity can reduce lumbar segmental translation and should be recommended for lumbar instability.

Suggested Citation

  • Rungthip Puntumetakul & Pongsatorn Saiklang & Weerasak Tapanya & Thiwaphon Chatprem & Jaturat Kanpittaya & Preeda Arayawichanon & Rose Boucaut, 2021. "The Effects of Core Stabilization Exercise with the Abdominal Drawing-in Maneuver Technique versus General Strengthening Exercise on Lumbar Segmental Motion in Patients with Clinical Lumbar Instabilit," IJERPH, MDPI, vol. 18(15), pages 1-17, July.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:15:p:7811-:d:599830
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    Citations

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    Cited by:

    1. Pongsatorn Saiklang & Rungthip Puntumetakul & Thiwaphon Chatprem, 2022. "The Effect of Core Stabilization Exercise with the Abdominal Drawing-in Maneuver Technique on Stature Change during Prolonged Sitting in Sedentary Workers with Chronic Low Back Pain," IJERPH, MDPI, vol. 19(3), pages 1-15, February.
    2. Arisa Leungbootnak & Rungthip Puntumetakul & Jaturat Kanpittaya & Thiwaphon Chatprem & Rose Boucaut, 2021. "Validity of a Screening Tool for Patients with a Sub-Threshold Level of Lumbar Instability: A Cross-Sectional Study," IJERPH, MDPI, vol. 18(22), pages 1-10, November.
    3. Tomasz Kuligowski, 2022. "Prevalence of Lumbar Segmental Instability in Young Individuals with the Different Types of Lumbar Disc Herniation—Preliminary Report," IJERPH, MDPI, vol. 19(15), pages 1-9, July.

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