Research Article
Volume 11 Issue 5 - 2020
The Effectiveness of Segmental Stabilization Exercise with Conventional Therapy and Only Conventional Therapy for Chronic Low Back Pain Patients
Minara Akter1, Mohammad Anwar Hossain2, Ratan Kumar Das1 and Mst Rabea Begum3*
1Consultant of Physiotherapy, Physiotherapy Department, Bangladesh Public Administration Training Centre (BPTAC), Savar, Dhaka, Bangladesh
2Associate Professor and Head, Physiotherapy Department, Centre for the Rehabilitation of the Paralysed (CRP), Savar, Dhaka, Bangladesh
3Incharge of Physiotherapy Services, Physiotherapy Department (Paediatrics), Centre for the Rehabilitation of the Paralysed (CRP), Savar, Dhaka, Bangladeshh
*Corresponding Author: Mst Rabea Begum, Incharge of Physiotherapy Services, Physiotherapy Department (Paediatrics), Centre for the Rehabilitation of the Paralysed (CRP), Savar, Dhaka, Bangladesh.
Received: March 26, 2020; Published: April 20, 2020


Aim: To identify whether segmental stabilization exercise with conventional therapy program or only conventional therapy program is more effective for the treatment of chronic low back pain patients.

Methodology: It was Randomized control Trial (RCT). 30 patients with chronic low back pain were randomly assigned into two groups from outdoor musculo-skeletal unit, CRP. Among them 15 patients were assigned into experimental group received segmental stabilization exercises with conventional therapy and another 15 into control group received only conventional therapy. Total treatment sessions were twelve comprising of 3 sessions per week for 4 weeks. Double blinding procedure was used during data collection.

Results: The main findings of this study are in case of pain intensity in different functional position in experimental group all variables come highly significant but in control group all the variables come significant except hurt when walking and change work place come non-significant. So, we concluded that segmental stabilization exercise with conventional therapy is effective reducing pain in different functional position. In case of muscle strength group comparison of flexor and extensor muscle strength come significant improvement in both experimental and control group but in experimental group come highly significant changes. In case of ODI, both experimental and control group come significant improvement but in experimental group come highly significant. The result of the study found that segmental stabilization exercise with conventional therapy is more effective than only conventional therapy.

Conclusion: This research showed that segmental stabilization exercises combined with conventional therapy was more effective than only conventional therapy for patients with chronic low back pain. 

Keywords: Chronic Low Back Pain; Segmental Stabilization Exercise; Conventional Therapy


  1. Sparkes V. “Treatment of low back pain: monitoring clinical practice through audit”. Physiotherapy3 (2005): 171-177.
  2. Suka M and Yoshida K. “Low back pain deprives the Japanese adult population of their quality of life: a questionnaire survey at five healthcare facilities in Japan”. Environmental Health and Preventive Medicine2 (2008): 109-115.
  3. Van Tulder M., et al. “European guidelines for the management of acute nonspecific low back pain in primary care”. European Spine Journal2 (2006): s169-s191.
  4. Liddle SD., et al. “Physiotherapists' use of advice and exercise for the management of chronic low back pain: a national survey”. Manual Therapy2 (2009): 189-196.
  5. Standaert CJ., et al. “Evidence-informed management of chronic low back pain with lumbar stabilization exercises”. The Spine Journal 1 (2008): 114-120.
  6. Smith BE., et al. “An update of stabilisation exercises for low back pain: a systematic review with meta-analysis”. BMC Musculoskeletal Disorders1 (2014): 416.
  7. Kapetanovic A., et al. “Effect of core stabilization exercises on functional disability in patients with chronic low back pain”. Journal of Health Sciences1 (2016): 59-66.
  8. França FR., et al. “Effects of muscular stretching and segmental stabilization on functional disability and pain in patients with chronic low back pain: a randomized, controlled trial”. Journal of Manipulative and Physiological Therapeutics 4 (2012): 279-285.
  9. Hosseinifar M., et al. “The effects of stabilization and McKenzie exercises on transverse abdominis and multifidus muscle thickness, pain, and disability: a randomized controlled trial in nonspecific chronic low back pain”. Journal of Physical Therapy Science12 (2013): 1541-1545.
  10. Akhtar MW., et al. “Effectiveness of core stabilization exercises and routine exercise therapy in management of pain in chronic non-specific low back pain: A randomized controlled clinical trial”. Pakistan Journal of Medical Sciences4 (2017): 1002-1006.
  11. Lee W., et al. “The effect of lumbar strengthening exercise on pain and the cross-sectional area change of lumbar muscles”. Journal of Physical Therapy Science2 (2011): 209-212.
  12. Jung DE., et al. “Comparison of muscle activities using a pressure biofeedback unit during abdominal muscle training performed by normal adults in the standing and supine positions”. Journal of Physical Therapy Science2 (2014): 191-193.
  13. Gatti R., et al. “Efficacy of trunk balance exercises for individuals with chronic low back pain: a randomized clinical trial”. Journal of Orthopaedic and Sports Physical Therapy8 (2011): 542-552.
  14. Akodu AK., et al. “Effect of stabilization exercise on pain and quality of life of patients with non-specific chronic low back pain”. African Journal of Physiotherapy and Rehabilitation Sciences1-2 (2015): 7-11.
  15. Smith BE., et al. “An update of stabilisation exercises for low back pain: a systematic review with meta-analysis”. BMC Musculoskeletal Disorders1 (2014): 416.
Citation: Mst Rabea Begum., et al. “The Effectiveness of Segmental Stabilization Exercise with Conventional Therapy and Only Conventional Therapy for Chronic Low Back Pain Patients”. EC Orthopaedics 11.5 (2020): 42-49.

PubMed Indexed Article

EC Pharmacology and Toxicology
LC-UV-MS and MS/MS Characterize Glutathione Reactivity with Different Isomers (2,2' and 2,4' vs. 4,4') of Methylene Diphenyl-Diisocyanate.

PMID: 31143884 [PubMed]

PMCID: PMC6536005

EC Pharmacology and Toxicology
Alzheimer's Pathogenesis, Metal-Mediated Redox Stress, and Potential Nanotheranostics.

PMID: 31565701 [PubMed]

PMCID: PMC6764777

EC Neurology
Differences in Rate of Cognitive Decline and Caregiver Burden between Alzheimer's Disease and Vascular Dementia: a Retrospective Study.

PMID: 27747317 [PubMed]

PMCID: PMC5065347

EC Pharmacology and Toxicology
Will Blockchain Technology Transform Healthcare and Biomedical Sciences?

PMID: 31460519 [PubMed]

PMCID: PMC6711478

EC Pharmacology and Toxicology
Is it a Prime Time for AI-powered Virtual Drug Screening?

PMID: 30215059 [PubMed]

PMCID: PMC6133253

EC Psychology and Psychiatry
Analysis of Evidence for the Combination of Pro-dopamine Regulator (KB220PAM) and Naltrexone to Prevent Opioid Use Disorder Relapse.

PMID: 30417173 [PubMed]

PMCID: PMC6226033

EC Anaesthesia
Arrest Under Anesthesia - What was the Culprit? A Case Report.

PMID: 30264037 [PubMed]

PMCID: PMC6155992

EC Orthopaedics
Distraction Implantation. A New Technique in Total Joint Arthroplasty and Direct Skeletal Attachment.

PMID: 30198026 [PubMed]

PMCID: PMC6124505

EC Pulmonology and Respiratory Medicine
Prevalence and factors associated with self-reported chronic obstructive pulmonary disease among adults aged 40-79: the National Health and Nutrition Examination Survey (NHANES) 2007-2012.

PMID: 30294723 [PubMed]

PMCID: PMC6169793

EC Dental Science
Important Dental Fiber-Reinforced Composite Molding Compound Breakthroughs

PMID: 29285526 [PubMed]

PMCID: PMC5743211

EC Microbiology
Prevalence of Intestinal Parasites Among HIV Infected and HIV Uninfected Patients Treated at the 1o De Maio Health Centre in Maputo, Mozambique

PMID: 29911204 [PubMed]

PMCID: PMC5999047

EC Microbiology
Macrophages and the Viral Dissemination Super Highway

PMID: 26949751 [PubMed]

PMCID: PMC4774560

EC Microbiology
The Microbiome, Antibiotics, and Health of the Pediatric Population.

PMID: 27390782 [PubMed]

PMCID: PMC4933318

EC Microbiology
Reactive Oxygen Species in HIV Infection

PMID: 28580453 [PubMed]

PMCID: PMC5450819

EC Microbiology
A Review of the CD4 T Cell Contribution to Lung Infection, Inflammation and Repair with a Focus on Wheeze and Asthma in the Pediatric Population

PMID: 26280024 [PubMed]

PMCID: PMC4533840

EC Neurology
Identifying Key Symptoms Differentiating Myalgic Encephalomyelitis and Chronic Fatigue Syndrome from Multiple Sclerosis

PMID: 28066845 [PubMed]

PMCID: PMC5214344

EC Pharmacology and Toxicology
Paradigm Shift is the Normal State of Pharmacology

PMID: 28936490 [PubMed]

PMCID: PMC5604476

EC Neurology
Examining those Meeting IOM Criteria Versus IOM Plus Fibromyalgia

PMID: 28713879 [PubMed]

PMCID: PMC5510658

EC Neurology
Unilateral Frontosphenoid Craniosynostosis: Case Report and a Review of the Literature

PMID: 28133641 [PubMed]

PMCID: PMC5267489

EC Ophthalmology
OCT-Angiography for Non-Invasive Monitoring of Neuronal and Vascular Structure in Mouse Retina: Implication for Characterization of Retinal Neurovascular Coupling

PMID: 29333536 [PubMed]

PMCID: PMC5766278

EC Neurology
Longer Duration of Downslope Treadmill Walking Induces Depression of H-Reflexes Measured during Standing and Walking.

PMID: 31032493 [PubMed]

PMCID: PMC6483108

EC Microbiology
Onchocerciasis in Mozambique: An Unknown Condition for Health Professionals.

PMID: 30957099 [PubMed]

PMCID: PMC6448571

EC Nutrition
Food Insecurity among Households with and without Podoconiosis in East and West Gojjam, Ethiopia.

PMID: 30101228 [PubMed]

PMCID: PMC6086333

EC Ophthalmology
REVIEW. +2 to +3 D. Reading Glasses to Prevent Myopia.

PMID: 31080964 [PubMed]

PMCID: PMC6508883

EC Gynaecology
Biomechanical Mapping of the Female Pelvic Floor: Uterine Prolapse Versus Normal Conditions.

PMID: 31093608 [PubMed]

PMCID: PMC6513001

EC Dental Science
Fiber-Reinforced Composites: A Breakthrough in Practical Clinical Applications with Advanced Wear Resistance for Dental Materials.

PMID: 31552397 [PubMed]

PMCID: PMC6758937

EC Microbiology
Neurocysticercosis in Child Bearing Women: An Overlooked Condition in Mozambique and a Potentially Missed Diagnosis in Women Presenting with Eclampsia.

PMID: 31681909 [PubMed]

PMCID: PMC6824723

EC Microbiology
Molecular Detection of Leptospira spp. in Rodents Trapped in the Mozambique Island City, Nampula Province, Mozambique.

PMID: 31681910 [PubMed]

PMCID: PMC6824726

EC Neurology
Endoplasmic Reticulum-Mitochondrial Cross-Talk in Neurodegenerative and Eye Diseases.

PMID: 31528859 [PubMed]

PMCID: PMC6746603

EC Psychology and Psychiatry
Can Chronic Consumption of Caffeine by Increasing D2/D3 Receptors Offer Benefit to Carriers of the DRD2 A1 Allele in Cocaine Abuse?

PMID: 31276119 [PubMed]

PMCID: PMC6604646

EC Anaesthesia
Real Time Locating Systems and sustainability of Perioperative Efficiency of Anesthesiologists.

PMID: 31406965 [PubMed]

PMCID: PMC6690616

EC Pharmacology and Toxicology
A Pilot STEM Curriculum Designed to Teach High School Students Concepts in Biochemical Engineering and Pharmacology.

PMID: 31517314 [PubMed]

PMCID: PMC6741290

EC Pharmacology and Toxicology
Toxic Mechanisms Underlying Motor Activity Changes Induced by a Mixture of Lead, Arsenic and Manganese.

PMID: 31633124 [PubMed]

PMCID: PMC6800226

EC Neurology
Research Volunteers' Attitudes Toward Chronic Fatigue Syndrome and Myalgic Encephalomyelitis.

PMID: 29662969 [PubMed]

PMCID: PMC5898812

EC Pharmacology and Toxicology
Hyperbaric Oxygen Therapy for Alzheimer's Disease.

PMID: 30215058 [PubMed]

PMCID: PMC6133268

News and Events

November Issue Release

We always feel pleasure to share our updates with you all. Here, notifying you that we have successfully released the November issue of respective journals and the latest articles can be viewed on the current issue pages.

Submission Deadline for Upcoming Issue

ECronicon delightfully welcomes all the authors around the globe for effective collaboration with an article submission for the upcoming issue of respective journals. Submissions are accepted on/before December 15, 2022.

Certificate of Publication

ECronicon honors with a "Publication Certificate" to the corresponding author by including the names of co-authors as a token of appreciation for publishing the work with our respective journals.

Best Article of the Issue

Editors of respective journals will always be very much interested in electing one Best Article after each issue release. The authors of the selected article will be honored with a "Best Article of the Issue" certificate.

Certifying for Review

ECronicon certifies the Editors for their first review done towards the assigned article of the respective journals.

Latest Articles

The latest articles will be updated immediately on the articles in press page of the respective journals.