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Related Experiment Video

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Stabilization Exercises Versus Flexion Exercises in Degenerative Spondylolisthesis: A Randomized Controlled Trial.

Tania Inés Nava-Bringas1, Lizbeth Olivia Romero-Fierro2, Yessica Patricia Trani-Chagoya3

  • 1Department of Orthopedic Rehabilitation, Instituto Nacional de Rehabilitation "Luis Guillermo Ibarra", México City, Mexico.

Physical Therapy
|April 1, 2021
PubMed
Summary

For chronic low back pain with degenerative spondylolisthesis, flexion exercises offer similar pain relief and disability improvement as lumbar stabilization exercises. Both exercise types are effective, with no significant difference found between them.

Keywords:
Chronic Low Back PainConservative TreatmentDegenerative SpondylolisthesisExercisePhysical TherapySpondylolisthesis

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Area of Science:

  • Orthopedics
  • Physical Therapy
  • Rehabilitation Medicine

Background:

  • Exercise is a primary treatment for low back pain and degenerative spondylolisthesis (DS).
  • Optimal exercise selection for chronic low back pain (CLBP) with DS remains unclear.
  • A comparison between lumbar stabilization and flexion exercises is needed.

Purpose of the Study:

  • To compare the effectiveness of lumbar stabilization exercises versus flexion exercises.
  • To evaluate pain control and disability improvement in individuals with CLBP and DS.

Main Methods:

  • A randomized controlled trial involving 92 participants over 50 years old with CLBP and DS.
  • Participants were randomized to either lumbar stabilization or flexion exercises.
  • A 6-month intervention with 6 physical therapy sessions and daily home exercises, with outcomes measured at baseline and 1, 3, and 6 months.

Main Results:

  • No significant differences were found between the groups for lumbar pain, radicular pain, Oswestry Disability Index, or Roland-Morris Disability Questionnaire scores.
  • Mean differences between groups were not statistically significant for primary and secondary pain and disability outcomes.

Conclusions:

  • Flexion exercises are not inferior to lumbar stabilization exercises for managing pain and disability in individuals with CLBP and DS.
  • Both exercise approaches yield similar positive outcomes for this patient population.