Cited by 433Musculoskeletal pain and rehabilitationSpine and Intervertebral Disc PathologyPregnancy-related medical research

The DOI matches its Crossref record; 80 of the 80 references it cites were found in a registry or an index.

Trunk Muscle Stabilization Training Plus General Exercise Versus General Exercise Only: Randomized Controlled Trial of Patients With Recurrent Low Back Pain

Koumantakis, George A, Watson, Paul J, Oldham, Jacqueline A·2005·Physical Therapy

DOI 10.1093/ptj/85.3.209

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Abstract

Background and Purpose. The purpose of this randomized controlled trial was to examine the usefulness of the addition of specific stabilization exercises to a general back and abdominal muscle exercise approach for patients with subacute or chronic nonspecific back pain by comparing a specific muscle stabilization–enhanced general exercise approach with a general exercise–only approach. Subjects. Fifty-five patients with recurrent, nonspecific back pain (stabilization–enhanced exercise group: n=29, general exercise–only group: n=26) and no clinical signs suggesting spinal instability were recruited. Methods. Both groups received an 8-week exercise intervention and written advice (The Back Book). Outcome was based on self-reported pain (Short-Form McGill Pain Questionnaire), disability (Roland-Morris Disability Questionnaire), and cognitive status (Pain Self-Efficacy Questionnaire, Tampa Scale of Kinesiophobia, Pain Locus of Control Scale) measured immediately before and after intervention and 3 months after the end of the intervention period. Results. Outcome measures for both groups improved. Furthermore, self-reported disability improved more in the general exercise–only group immediately after intervention but not at the 3-month follow-up. There were generally no differences between the 2 exercise approaches for any of the other outcomes. Discussion and Conclusion. A general exercise program reduced disability in the short term to a greater extent than a stabilization-enhanced exercise approach in patients with recurrent nonspecific low back pain. Stabilization exercises do not appear to provide additional benefit to patients with subacute or chronic low back pain who have no clinical signs suggesting the presence of spinal instability.

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Authors: Koumantakis, G. A., Watson, P. J., & Oldham, J. A.
Affiliations: GA Koumantakis, PT, PhD, MCSP, is Lecturer, School of Physical Therapy, Athens, Greece, and Private Practitioner, Drosopoulou 6, Kypseli, Athens, 112 57, Greece
University of Leicester (GB)
University of Manchester (GB)
ORCID: Watson, Paul J
Venue: Physical Therapy
Publisher: Oxford University Press (OUP)
Published: 2005-03-01
Volume: 85
Issue: 3
Pages: 209-225
ISSN: 0031-9023 (ISSN-L)
1538-6724
DOI: 10.1093/ptj/85.3.209
OpenAlex: W2107081062
Cited by: 433
References: 79
Citations by year: 2026: 6 · 2025: 13 · 2024: 15 · 2023: 12 · 2022: 12 · 2021: 20 · 2020: 21 · 2019: 17 · 2018: 22 · 2017: 30 · 2016: 30 · 2015: 27 · 2014: 25 · 2013: 29 · 2012: 29
FWCI: 11.91
Type: journal article
Language: en
Open access: closed
Locations: Physical Therapy (publishedVersion)
PubMed (publishedVersion)
Research Explorer (The University of Manchester) (submittedVersion)
Topics: Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Orthopedics and Sports Medicine › Spine and Intervertebral Disc Pathology
Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy-related medical research
Keywords: non-specific low back pain, chronic low back pain, subacute low back pain, general exercise, abdominal muscle exercise, disability, pain self-efficacy, kinesiophobia, exercise intervention
MeSH terms: Abdominal Muscles, Adult, Analysis of Variance, Chronic Disease, Exercise Therapy, Humans, Lumbosacral Region, Middle Aged, Muscle Contraction, Pain Measurement, Pamphlets, Patient Compliance, Patient Education as Topic, Recurrence, Treatment Outcome, Low Back Pain, Muscle, Skeletal, Self Efficacy, Physical Therapy Modalities

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Trunk Muscle Stabilization Training Plus General Exercise Versus General Exercise Only: Randomized Controlled Trial of Patients With Recurrent Low Back Pain

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