Spinal Instability in Myogenic Low Back Pain : Stabilization Exercise Approach
Main Article Content
Spinal instability can be caused by various conditions including an illness, trauma, and degenerative processes affecting one or more of the three spinal subsystems. These three subsystems are the spine and ligaments, back muscles, and the nervous system work synergistically to maintain spinal stability. Until now it is still difficult to identify spinal instability. Low back pain (LBP) affects 60-80% of the world's population and in the United States causes losses of around $15-50 billion each year. For several decades, a muscle training program has been the main program that recommended to solve LBP, based on the premise that the muscle subsystem is a subsystem that can be repaired and improved, a muscle training program is developed and applied in the management of NPB. This literature review focuses on aspects of stabilization exercises in the management of low back pain with and without spinal instability.
Keywords:
Exercise
Low back pain
Spinal instability
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2. Panjabi MM. Clinical spinal instability and low back pain. J Journal of Electromyography and Kinesiology. 2003;13(4):371–9.
3. Zaina F, Tomkins-Lane C, Carragee E, Negrini S. Surgical versus non-surgical treatment for lumbar spinal stenosis. Cochrane database Syst Rev. 2016 Jan;2016(1):CD010264.
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5. Izzo R, Guarnieri G, Guglielmi G, Muto M. Biomechanics of the spine. Part II: spinal instability. European Journal of Radiology. 2013;82(1):127–38.
6. Tadano S, Itoh M, Ishikawa H, Kaneda K. A Biomechanical Evaluation of Spinal Instability. Transactions of the Japan Society of Mechanical Engineers Series A. 1992;58(551):1073–9.
7. Cahya SA, Santoso WM, Husna M, Munir B, Kurniawan SN. Low back pain. Journal of Pain, Headache Vertigo. 2021;2:13–7.
8. Wanti Hasmar, Faridah. E-Book Core Stability Exercise on Myogenic Low Back Pain. Indonesian Journal of Sport Management and Physical Educcation. 2022;1:1–10.
9. Salzberg L. The physiology of low back pain. Prim Care. 2012 Sep;39(3):487–98.
10. Sinaki M, Mokri B. Low back pain and disorders of the lumbar spine. In: Braddom R. L, editor. Physical medicine and rehabilitation. Philadelphia: Elsevier/Saunders; 1996. p. 813–50.
11. Cailliet R. Low back pain syndrome. 3 th ed. Philadelphia: FA Davis Company; 1981. 53-68,107-143 p.
12. David JM, Zachazewski JE. Scientifc foundations and principles of practice in musculoskeletal rehabilitation. 1st ed. Elsevier; 2007.
13. Singh SK, Khan N, Agarwal R. Effect of Rhythmic Stabilization Exercise v/s Conventional Physiotherapy on Pain and Disability with Patients of Chronic Mechanical Low Back Pain. Indian Journal of Physiotherapy and Occupational Therapy - An International Journal. 2019;13(4)
14. Akhtar MW, Karimi H, Gilani SA. 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 Med Sci. 2017;33(4):1002–6.
15. Rainville J, Hartigan C, Martinez E, Limke J, Jouve C, Finno M. Exercise as a treatment for chronic low back pain. Spine Journal. 2004;4(1):106–15.
16. Biely S, Smith SS, Silfies SP. Clinical instability of the lumbar spine: diagnosis and intervention. Orthopaedic Practice. 2015;18(3):11–8.
17. Bruno P. The use of “stabilization exercises” to affect neuromuscular control in the lumbopelvic region: a narrative review. Journal of the Canadian Chiropractic Association. 2014;58(2):119–30.
18. Akuthota V, Ferreiro A, Moore T, Fredericson M. Core stability exercise principles. Curr Sports Med Rep. 2008;7(1):39–44.
19. Richardson C, Hodges PW, Hides J. Therapeutic Exercise for Lumbopelvic Stabilization: A Motor Control Approach for the Treatment and Prevention of Low Back Pain. Edinburgh: Churchill Livingstone; 2004.
20. Afriannisyah E, Herawati L, Widyawati MN. Core Stability Exercise For Low Back Pain : A Literature Review. Strada Jurnal Ilmu Kesehatan. 2020;9(2):1718–23.
21. Hlaing SS, Puntumetakul R, Khine EE, Boucaut R. Effects of core stabilization exercise and strengthening exercise on proprioception, balance, muscle thickness and pain related outcomes in patients with subacute nonspecific low back pain: a randomized controlled trial. BMC Musculoskeletal Disorder. 2021;22(1):998.
22. Kisner C, Colby LA, Borstad J. Therapeutic Exercise: Foundations and Techniques. F.A. Davis Company; 2017.
23. Lestari VD, Gde Purwa Samatra DP, Lesmana SI, Tianing NW, Ayu Dewi NN, Munawarah M. Intervensi rhytmic stabilization exercise lebih baik daripada intervensi post isometric relaxation (PIR) dalam meningkatkan kemampuan fungsional pada kondisi non specific low back pain. Sport And Fitness Journal. 2018;6(1).
24. Areeudomwong P, Buttagat V. Proprioceptive neuromuscular facilitation training improves pain-related and balance outcomes in working-age patients with chronic low back pain: a randomized controlled trial. Brazilian Journal Phys Ther. 2019;23(5):428–36.
2. Panjabi MM. Clinical spinal instability and low back pain. J Journal of Electromyography and Kinesiology. 2003;13(4):371–9.
3. Zaina F, Tomkins-Lane C, Carragee E, Negrini S. Surgical versus non-surgical treatment for lumbar spinal stenosis. Cochrane database Syst Rev. 2016 Jan;2016(1):CD010264.
4. Frontera WRD. DeLisa’s Physical medicine & rehabilitation : principles and practice. 5th ed NV. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins Health; 2012.
5. Izzo R, Guarnieri G, Guglielmi G, Muto M. Biomechanics of the spine. Part II: spinal instability. European Journal of Radiology. 2013;82(1):127–38.
6. Tadano S, Itoh M, Ishikawa H, Kaneda K. A Biomechanical Evaluation of Spinal Instability. Transactions of the Japan Society of Mechanical Engineers Series A. 1992;58(551):1073–9.
7. Cahya SA, Santoso WM, Husna M, Munir B, Kurniawan SN. Low back pain. Journal of Pain, Headache Vertigo. 2021;2:13–7.
8. Wanti Hasmar, Faridah. E-Book Core Stability Exercise on Myogenic Low Back Pain. Indonesian Journal of Sport Management and Physical Educcation. 2022;1:1–10.
9. Salzberg L. The physiology of low back pain. Prim Care. 2012 Sep;39(3):487–98.
10. Sinaki M, Mokri B. Low back pain and disorders of the lumbar spine. In: Braddom R. L, editor. Physical medicine and rehabilitation. Philadelphia: Elsevier/Saunders; 1996. p. 813–50.
11. Cailliet R. Low back pain syndrome. 3 th ed. Philadelphia: FA Davis Company; 1981. 53-68,107-143 p.
12. David JM, Zachazewski JE. Scientifc foundations and principles of practice in musculoskeletal rehabilitation. 1st ed. Elsevier; 2007.
13. Singh SK, Khan N, Agarwal R. Effect of Rhythmic Stabilization Exercise v/s Conventional Physiotherapy on Pain and Disability with Patients of Chronic Mechanical Low Back Pain. Indian Journal of Physiotherapy and Occupational Therapy - An International Journal. 2019;13(4)
14. Akhtar MW, Karimi H, Gilani SA. 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 Med Sci. 2017;33(4):1002–6.
15. Rainville J, Hartigan C, Martinez E, Limke J, Jouve C, Finno M. Exercise as a treatment for chronic low back pain. Spine Journal. 2004;4(1):106–15.
16. Biely S, Smith SS, Silfies SP. Clinical instability of the lumbar spine: diagnosis and intervention. Orthopaedic Practice. 2015;18(3):11–8.
17. Bruno P. The use of “stabilization exercises” to affect neuromuscular control in the lumbopelvic region: a narrative review. Journal of the Canadian Chiropractic Association. 2014;58(2):119–30.
18. Akuthota V, Ferreiro A, Moore T, Fredericson M. Core stability exercise principles. Curr Sports Med Rep. 2008;7(1):39–44.
19. Richardson C, Hodges PW, Hides J. Therapeutic Exercise for Lumbopelvic Stabilization: A Motor Control Approach for the Treatment and Prevention of Low Back Pain. Edinburgh: Churchill Livingstone; 2004.
20. Afriannisyah E, Herawati L, Widyawati MN. Core Stability Exercise For Low Back Pain : A Literature Review. Strada Jurnal Ilmu Kesehatan. 2020;9(2):1718–23.
21. Hlaing SS, Puntumetakul R, Khine EE, Boucaut R. Effects of core stabilization exercise and strengthening exercise on proprioception, balance, muscle thickness and pain related outcomes in patients with subacute nonspecific low back pain: a randomized controlled trial. BMC Musculoskeletal Disorder. 2021;22(1):998.
22. Kisner C, Colby LA, Borstad J. Therapeutic Exercise: Foundations and Techniques. F.A. Davis Company; 2017.
23. Lestari VD, Gde Purwa Samatra DP, Lesmana SI, Tianing NW, Ayu Dewi NN, Munawarah M. Intervensi rhytmic stabilization exercise lebih baik daripada intervensi post isometric relaxation (PIR) dalam meningkatkan kemampuan fungsional pada kondisi non specific low back pain. Sport And Fitness Journal. 2018;6(1).
24. Areeudomwong P, Buttagat V. Proprioceptive neuromuscular facilitation training improves pain-related and balance outcomes in working-age patients with chronic low back pain: a randomized controlled trial. Brazilian Journal Phys Ther. 2019;23(5):428–36.
