The efficacy of core stability exercises versus conventional physiotherapy in lower back pain

Abstract

Context: Practice guidelines recommend various types of general exercise and core stability exercises with electrotherapeutic modalities for chronic back pain but it remains the primary cause of absenteeism and disability. Chronic low back pain causes activity limitation in persons younger than 45 years. Core stability exercise is becoming increasingly popular for low back pain. Aims: To find out the effectiveness of core stability exercises on Pain and Disability in patients with chronic low back pain Settings and Design: A comparative study was done in the Physiotherapy OPD of Mahatma Gandhi Medical College & Hospital Jaipur. Methods and Material: 40 subjects suffering from low back pain as per the inclusion and exclusion criteria were enrolled. The subjects were divided into two Group A (core stability) and Group B (General exercises). Before the treatment session, the pain and disability of the patients in each group were assessed with the help of the VAS scale and ODI scale respectively. After 15 days they were again assessed and the improvement levels were calculated. Statistical analysis used: Paired t-test was used to analyze significant changes between pre-test & post-test measurements. Results: Statistical analysis made with the quantitative data revealed a statistically significant difference between the Core stability group & General exercises group on pain & disability level. Group A (core stability) improved in VAS and ODI compared to Group B (General exercises) with P values of 0.018 and 0.021 respectively. Conclusions: The findings reveal that core stability exercises are more effective than General exercises in chronic low back pain patients.