Research Article
Volume 13 Issue 3 - 2022
Effectiveness of Stabilization Exercises Versus Strengthening Exercises in Chronic Low Back Pain: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Jechrun Ikizakubuntu1,2,3, Ildephonse Nduwimana4, Jean Claude Nduwayezu5 and Wang Yong Hui1*
1Department of Rehabilitation Medicine and Physical Therapy, Qilu Hospital of Shandong University, Jinan, China
2National Center for Physical Therapy and Rehabilitation (CNRKR), Bujumbura, Burundi
3National Institute of Public Health, Centre of excellence in East African Community in Public Health Training, Bujumbura, Burundi
4PhD Researcher, Institute of Neuroscience, Université Catholique de Louvain, Brussels, Belgium
5Department of radiology, Zhujiang Hospital of Southern Medical University, Guangzhou, China
*Corresponding Author: Wang Yong Hui, Department of Rehabilitation Medicine and Physical Therapy, Qilu Hospital of Shandong University, Jinan, China.
Received: January 21, 2022; Published: February 22, 2022




Abstract

Background: In current guidelines, studies demonstrated that in order to decrease pain and improve function for patients with chronic low back pain (CLBP), the exercise therapy seems to be efficient. Stabilization exercise and strengthening exercise are becoming increasingly popular for the treatment of patients with CLBP. Then, our study was aimed to compare the most effective technique between stabilization exercises and strengthening exercise in patients with CLBP.

Objective: To review and compare the effects of stabilization exercise and strengthening exercise for patients with CLBP.

Methods: Published articles from inception to October 2020 were identified using electronic database searches (PubMed, Cochrane Library, Scopus, and ScienceDirect database). In our meta-analysis, we were two reviewers who really did the selection and extraction of data from the randomized controlled trials (RCTs) in order to compare the stabilization exercise versus strengthening exercise for seeing which technique that should be the better treatment of patients with CLBP.

Results: Six trials including 267 participants were involved in this review and meta-analysis. The pooling revealed that stabilization exercise was better than strengthening exercise for reducing pain at post-treatment (SMD =-1.33; 95% CI, - 2.45 to - 0.21; P = 0.02) and disability (SMD =-1.28; 95% CI, - 2.53 to - 1.74; P = 0.05). At 3 months follow-up, the overall analysis revealed that stabilization exercise was better than strengthening exercise for increasing functional capacity (SMD = -8.42; 95% CI, -9.93 to -6.91; P < 0.00001). However, in reducing pain at 3 months follow-up, our study found that there was no significant differences between stabilization exercise and strengthening exercise (SMD = -1.34; 95% CI, -2.98 to 0.29; P = 0.11).

Conclusion: Compared to strengthening exercise, stabilization exercise seems to be more effective than strengthening exercise in the improvement of the pain and disability for the patients with CLBP.

Keywords: Chronic Low Back Pain; Stabilization Exercise; Strengthening Exercise; Systematic Review; Meta-Analysis

References

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Citation: : Jechrun Ikizakubuntu., et al. “Effectiveness of Stabilization Exercises Versus Strengthening Exercises in Chronic Low Back Pain: A Systematic Review and Meta-Analysis of Randomized Controlled Trials”. EC Orthopaedics 13.3 (2022): 19-27.

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