Effectiveness of an exercise intervention based on preactivation of the abdominal transverse muscle in patients with chronic nonspecific low back pain in primary care: a randomized control trial

Background Low back pain is one of the most common disabling pathologies in humanity worldwide. Physical exercises have been used in recent decades to reduce the pain, improve the functionality of the lumbar spine and avoid relapses. The purpose of the study is to analyze the effect of a program bas...

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Autores: Rubí Carnacea, Francesc, Masbernat-Almenara, Maria, Climent Sanz, Carolina, Soler González, Jorge, García Escudero, María, Martínez-Navarro, Oriol, Valenzuela Pascual, Francesc
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:España
Institución:Universitat de Lleida (UdL)
Repositorio:Repositori Obert UdL
OAI Identifier:oai:repositori.udl.cat:10459.1/464211
Acceso en línea:https://doi.org/10.1186/s12875-023-02140-3
https://hdl.handle.net/10459.1/464211
Access Level:acceso abierto
Palabra clave:Chronic nonspecific low back pain
Lumbopelvic stability
Motor control
Exercise
Transverse abdominal
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spelling Effectiveness of an exercise intervention based on preactivation of the abdominal transverse muscle in patients with chronic nonspecific low back pain in primary care: a randomized control trialRubí Carnacea, FrancescMasbernat-Almenara, MariaCliment Sanz, CarolinaSoler González, JorgeGarcía Escudero, MaríaMartínez-Navarro, OriolValenzuela Pascual, FrancescChronic nonspecific low back painLumbopelvic stabilityMotor controlExerciseTransverse abdominalBackground Low back pain is one of the most common disabling pathologies in humanity worldwide. Physical exercises have been used in recent decades to reduce the pain, improve the functionality of the lumbar spine and avoid relapses. The purpose of the study is to analyze the effect of a program based on re-education exercises involving preactivation of the abdominal transverse muscle compared to conventional treatment in adults with chronic nonspecific low back pain. Methods A two-arm, single-blind randomized control trial with 35 primary care patients with chronic nonspecific low back pain. Both groups received a 4-week intervention. Data were collected at baseline and at the end of the intervention. Sixteen patients participated in the intervention group, and 19 patients in the control group. Results For the experimental group, the outcomes of disability and activation of the abdominal transverse muscle decreased significantly (MD -2.9; CI 95% -5.6 to -0.35; η2 = 0.14; p = 0.028) and (MD 2.3; CI 95% 0.91 to 3.67; η2 = 0.25; p = 0.002) respectively, with a large effect size, compared to the control group. There were no differences between the groups in pain intensity, thickness, and resistance of the transverse abdominal muscle. Conclusion A 4-week specific program based on re-education exercises of the preactivation of the abdominal transverse muscle is more effective than conventional treatment for reducing disability and increasing the activation of the abdominal transverse muscle measured by VAS scale and PBU.BMC2023info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://doi.org/10.1186/s12875-023-02140-3https://hdl.handle.net/10459.1/464211reponame:Repositori Obert UdL instname:Universitat de Lleida (UdL)InglésReproducció del document publicat a https://doi.org/10.1186/s12875-023-02140-3BMC Primary Care, 2023, vol. 24, 180cc-by (c) Francesc Rubí-Carnacea et a., 2023Attribution 4.0 Internationalinfo:eu-repo/semantics/openAccesshttp://creativecommons.org/licenses/by/4.0/oai:repositori.udl.cat:10459.1/4642112026-06-24T12:42:17Z
dc.title.none.fl_str_mv Effectiveness of an exercise intervention based on preactivation of the abdominal transverse muscle in patients with chronic nonspecific low back pain in primary care: a randomized control trial
title Effectiveness of an exercise intervention based on preactivation of the abdominal transverse muscle in patients with chronic nonspecific low back pain in primary care: a randomized control trial
spellingShingle Effectiveness of an exercise intervention based on preactivation of the abdominal transverse muscle in patients with chronic nonspecific low back pain in primary care: a randomized control trial
Rubí Carnacea, Francesc
Chronic nonspecific low back pain
Lumbopelvic stability
Motor control
Exercise
Transverse abdominal
title_short Effectiveness of an exercise intervention based on preactivation of the abdominal transverse muscle in patients with chronic nonspecific low back pain in primary care: a randomized control trial
title_full Effectiveness of an exercise intervention based on preactivation of the abdominal transverse muscle in patients with chronic nonspecific low back pain in primary care: a randomized control trial
title_fullStr Effectiveness of an exercise intervention based on preactivation of the abdominal transverse muscle in patients with chronic nonspecific low back pain in primary care: a randomized control trial
title_full_unstemmed Effectiveness of an exercise intervention based on preactivation of the abdominal transverse muscle in patients with chronic nonspecific low back pain in primary care: a randomized control trial
title_sort Effectiveness of an exercise intervention based on preactivation of the abdominal transverse muscle in patients with chronic nonspecific low back pain in primary care: a randomized control trial
dc.creator.none.fl_str_mv Rubí Carnacea, Francesc
Masbernat-Almenara, Maria
Climent Sanz, Carolina
Soler González, Jorge
García Escudero, María
Martínez-Navarro, Oriol
Valenzuela Pascual, Francesc
author Rubí Carnacea, Francesc
author_facet Rubí Carnacea, Francesc
Masbernat-Almenara, Maria
Climent Sanz, Carolina
Soler González, Jorge
García Escudero, María
Martínez-Navarro, Oriol
Valenzuela Pascual, Francesc
author_role author
author2 Masbernat-Almenara, Maria
Climent Sanz, Carolina
Soler González, Jorge
García Escudero, María
Martínez-Navarro, Oriol
Valenzuela Pascual, Francesc
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv Chronic nonspecific low back pain
Lumbopelvic stability
Motor control
Exercise
Transverse abdominal
topic Chronic nonspecific low back pain
Lumbopelvic stability
Motor control
Exercise
Transverse abdominal
description Background Low back pain is one of the most common disabling pathologies in humanity worldwide. Physical exercises have been used in recent decades to reduce the pain, improve the functionality of the lumbar spine and avoid relapses. The purpose of the study is to analyze the effect of a program based on re-education exercises involving preactivation of the abdominal transverse muscle compared to conventional treatment in adults with chronic nonspecific low back pain. Methods A two-arm, single-blind randomized control trial with 35 primary care patients with chronic nonspecific low back pain. Both groups received a 4-week intervention. Data were collected at baseline and at the end of the intervention. Sixteen patients participated in the intervention group, and 19 patients in the control group. Results For the experimental group, the outcomes of disability and activation of the abdominal transverse muscle decreased significantly (MD -2.9; CI 95% -5.6 to -0.35; η2 = 0.14; p = 0.028) and (MD 2.3; CI 95% 0.91 to 3.67; η2 = 0.25; p = 0.002) respectively, with a large effect size, compared to the control group. There were no differences between the groups in pain intensity, thickness, and resistance of the transverse abdominal muscle. Conclusion A 4-week specific program based on re-education exercises of the preactivation of the abdominal transverse muscle is more effective than conventional treatment for reducing disability and increasing the activation of the abdominal transverse muscle measured by VAS scale and PBU.
publishDate 2023
dc.date.none.fl_str_mv 2023
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://doi.org/10.1186/s12875-023-02140-3
https://hdl.handle.net/10459.1/464211
url https://doi.org/10.1186/s12875-023-02140-3
https://hdl.handle.net/10459.1/464211
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a https://doi.org/10.1186/s12875-023-02140-3
BMC Primary Care, 2023, vol. 24, 180
dc.rights.none.fl_str_mv cc-by (c) Francesc Rubí-Carnacea et a., 2023
Attribution 4.0 International
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/4.0/
rights_invalid_str_mv cc-by (c) Francesc Rubí-Carnacea et a., 2023
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv BMC
publisher.none.fl_str_mv BMC
dc.source.none.fl_str_mv reponame:Repositori Obert UdL
instname:Universitat de Lleida (UdL)
instname_str Universitat de Lleida (UdL)
reponame_str Repositori Obert UdL
collection Repositori Obert UdL
repository.name.fl_str_mv
repository.mail.fl_str_mv
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