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Specific stabilisation exercise for spinal and pelvic pain: a systematic review.
Paulo H Ferreira1, Manuela L Ferreira, Christopher G Maher
1School of Physiotherapy, University of Sydney, NSW, Australia.
The Australian Journal of Physiotherapy
|June 13, 2006
Summary
Specific stabilisation exercise effectively reduces pain and disability for chronic low back pain. It also aids in treating cervicogenic headache, pelvic pain, and preventing low back pain recurrence, but not acute low back pain.
Area of Science:
- Physical Therapy
- Rehabilitation Medicine
- Spinal Health
Background:
- Spinal and pelvic pain are common conditions impacting quality of life.
- Specific stabilisation exercise is a targeted approach to managing these conditions.
- Evidence for its efficacy across different pain types requires systematic evaluation.
Purpose of the Study:
- To systematically review the efficacy of specific stabilisation exercise for spinal and pelvic pain.
- To evaluate outcomes including pain, disability, and quality of life.
- To synthesize evidence from randomized clinical trials.
Main Methods:
- Systematic review of randomized clinical trials.
- Identification and retrieval of relevant studies.
- Analysis of outcomes such as pain, disability, return to work, and quality of life.
Main Results:
- Specific stabilisation exercise showed effectiveness for chronic low back pain, cervicogenic headache, pelvic pain, and prevention of low back pain recurrence.
- It was not found to be more effective than spinal manipulative therapy for cervicogenic headache or chronic low back pain.
- No additional benefit was observed when added to conventional physiotherapy for chronic low back pain.
Conclusions:
- Specific stabilisation exercise is effective for chronic low back pain, cervicogenic headache, pelvic pain, and preventing low back pain recurrence.
- Evidence does not support its use for acute low back pain or as superior to manipulative therapy.
- Further research may clarify its role alongside other treatments.