Κατεύθυνση Οργάνωση & Διαχείριση ανακουφιστικής & υποστηρικτικής φροντίδας χρονίως πασχόντωνLibrary of the School of Health Sciences
Κακλαμάνος Ιωάννης, Αναπληρωτής Καθηγητής, Νοσηλευτική Σχολή, ΕΚΠΑ
Μυστακίδου Κυριακή, Καθηγήτρια Ανακουφιστικής Αγωγής, Αρεταίειο Νοσοκομείο, Ιατρική Σχολή, ΕΚΠΑ
Πατηράκη Ελισάβετ, Καθηγήτρια, Νοσηλευτική Σχολή, ΕΚΠΑ
Η αποτελεσματικότητα των θεραπευτικών ασκήσεων σταθεροποίησης του κορμού στην ένταση του πόνου, τη λειτουργικότητα και την ποιότητα ζωής σε ασθενείς με χρόνια οσφυαλγία.
The efficacy of therapeutic core stability exercises on pain intensity, functional capacity and quality of life of patients with chronic low back pain.
Study design: prospective longitudinal comparative study
Introduction: Core stability exercises, focusing on restoring lumbopelvic stability are a common treatment option for chronic low back pain. The aim of the current study was to assess whether a core stability exercise program can improve the pain intensity, functional capacity and quality of life of patients with chronic LBP, compared with patients performing strengthening and flexibility exercises.
Material - Method: Forty seven patients (n=47) were randomly allocated to 2 different groups. The experimental group consisted of 23 patients (n=23) which performed core stability exercises along with medical treatment. The control group consisted of 24 patients (n=24) and performed strengthening in addition to flexibility exercises along with medical treatment. Both groups completed exercises for 2 months at the following program: 2 times per week for the first 4 weeks, and once per week for the last 4 weeks. The outcome measures were pain intensity (Greek Brief Pain Inventory- G-BPI), disability (Roland-Morris Disability Questionnaire), and quality of life (12-Item Short-Form Health Survey), scales Mental (MCS) and Physical (PCS).
Results: The experimental group showed a statistically significant difference in scores on the Roland-Morris Questionnaire after 2 months re-assessment (p=0,001) compared with the control group. The PCS of the 12-Item Short-Form Health Survey were found in favour of the experimental group the 1st month ((p=0,012) and the 2nd month (p=0,022). The total score of G-BPI concerning pain intensity showed no statistically differences between groups. Additionally, both groups improved in all the outcome measures and decreased the use of medication.
Conclusions: Core stability exercises combined with opioid and anti-epileptic drugs were found to be more effective than a combination of strength and flexibility exercises in reducing disability and improving the physical component of quality of life in patients with chronic low back pain. Further research is needed to evaluate the persistency of all improvements through time.
Key words: chronic low back pain, core stability, exercise, opioids
Main subject category:
Chronic low back pain, Core stability, Exercise, Opioids
Number of references:
Angeliki Davrou MSc.pdf
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