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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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Crossref · 10.1093/ptj/85.3.209

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Citations

Cites

Show all 79 references

Research works printed but not linked: 10

  1. 1994, Back Pain: Report of a CSAG Committee on Back Pain
  2. 1999, Evidence-based practice: musculoskeletal disorders—spinal, Physiotherapy Effectiveness Bulletin, 1, 1
  3. Cholewicki, 1996, in vivo, 11, 1
  4. Richardson, 1999, Local muscle dysfunction in low back pain, 61
  5. Norris, 2000, Back Stability
  6. Evans, 1996, Low Back Pain: An Evaluation of Therapeutic Interventions
  7. Nicholas, 1988, An Evaluation of Cognitive, Behavioural and Relaxation Treatments for Chronic Low Back Pain [doctoral thesis]
  8. Tabachnick, 1996, Cleaning up your act: screening data prior to analysis, 57
  9. Richardson, 1999, Overview of the principles of clinical management of the deep muscle system for segmental stabilisation, 93
  10. Buswell, 1982, Low back pain: a comparison of two treatment programmes, New Zealand Journal of Physiotherapy, 10, 13

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Metadata

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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