Effect of core stabilization training in improving the quality of health-related life in lumbar surgery patients
Corresponding Author(s) : Dr. M. K. Kishore
malepatikishorekumar@gmail.com
International Journal of Allied Medical Sciences and Clinical Research,
Vol. 8 No. 2 (2020): 2020 Volume 8- Issue -2
Abstract
Lumbar Spinal Surgery is one of the most common types of surgeries performed in the United States with over 500,000 surgeries performed for lumbar herniated disks and lumbar spinal stenosis in 2004. Numerous studies have reported the clinical outcomes of spinal surgery. All the subjects will complete a detailed assessment. Subjects, who will fulfil the selection criteria, will be informed about the study and requested to sign consent forms. Subjects’ referred will be divided into 2 Groups by asking them to pick up chits from a box which is written as Group A or Group B. Each Group will consist of 15 patients. Group A control 1 group did myofascial release and Group B experimental. Descriptive statistics were used for outcome variable, SF 36 Questionnaire, MMT and VAS which was not statistically significant (p>.567) outcome variables measurement group. Both Group A and Group B significantly improved in all outcomes. But when compared both Group A and Group B result did not show any significant results. Both are same effective. Core stabilization training will improve the quality of health and reduce pain and improve strength in low back surgery patients.
Keywords
Core stability exercises
VAS
Numeric pain rating scale
Manual muscle testing
SF 36 Quality of health-related life scale
1.
Dr. M. K. Kishore. Effect of core stabilization training in improving the quality of health-related life in lumbar surgery patients. Int. J. of Allied Med. Sci. and Clin. Res. [Internet]. 2020 Aug. 15 [cited 2025 Jul. 12];8(2):205-14. Available from: https://ijamscr.com/ijamscr/article/view/851
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References
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Arja Ha”kkinen, Jari Ylinen, Hannu Kautiainen , Olavi Airaksinen, Arto Herno, Ulla Tarvainen and Ilka Kiviranta pain, trunk muscle strength, spine mobility and disability following lumabr disc surgery J Rehabil Med 35, 2003, 236-240
[2]. Chatterjee S, Foy P, Findlay GF. Report of a controlled clinical trial comparing automated percutaneous lumbar discectomy and micro discectomy in the treatment of contained lumbar disc protrusion. Spine 20, 1995, 734–8.
[3]. Danielsen. Jan M. Johnson, Roar Kibsgaard, Svend K. Hellevik, Eivind early Aggressive Exercise for Postoperative Rehabilitation after Discectomy. Spine. 25(8), 2000, 1015-1020.
[4]. Donceel P, Du Bois M. Fitness for work after surgery for lumbar disc herniation: A retrospective study. Eur Spine J 7, 1998, 29–35.
[5]. Eyal Lederman The myth of core stability journal of bodywork& Movement Therapies 14, 2010, 84-98
[6]. Figen Yilmaz, Adem Yilmaz, Funda Merdol, Demet Parlar, Fu”Sun Sahin and Banu Kuran Efficacy of dynamic lumbar stabilization exercise in lumbar micro discectomy J Rehabil Med 35, 2003, 163-167
[7]. Frost H, Klaber Moffett JA, Moser JS, Fairbank JCT. Randomised controlled trial for evaluation of fitness programme for patients with chronic low back pain. BMJ 310, 1995, 151.
[8]. Hestbaek L, Leboeuf-Yde C, Manniche C: Is low back pain part of a general health pattern or is it a separate and distinctive entity? A critical literature review of com orbidity with low back pain. Journal of Manipulative & Physiological Therapeutics 26, 2003, 243-252.
[9]. Hirabayashi S, Kumano K, Ogawa Y, et al. Micro discectomy and 2nd operation for lumbar disc herniation. Spine 18, 1993, 2206–11.
[10]. Hurme M, Alaranta H. Factors predicting the result of surgery for lumbar intervertebral discherniation. Spine 9, 1986, 933–8.
[11]. Hansen FR, Bendix T, Skov P, et al. Intensive, dynamic back-muscle exercises, conventional physiotherapy, or placebo-control treatment of low back pain. Spine 18, 1993, 98–107.
[12]. Kotilainen E. Micro invasive lumbar disc surgery: A study on patients treated with micro discectomy or percutaneous nucleotomy for disc herniation. Ann Chir Gynaecol 83(209), 1994, 9–50.33. Main CJ. The modified somatic perception questionnaire (MSPQ).J
[13]. Karen L Saban, Sue M Penckofer, Ida Androwich and Fred B Bryant Health-related quality of life of patients following selected types of lumbar spinal surgery. A pilot study Health and Quality of Life Outcomes 5, 2007, 71
[14]. Kankaanp M, Taimela S, Airaksinen O, Hanninen O. The efficacy of active rehabilitation in chronic low back pain. Spine 24, 1999, 1034–42.
[15]. Majeed AW, Troy G, Nicholl JP, Smythe A, Reed MW, Stoddard CJ, Peacock J, Johnson AG: Randomised, prospective, single-blind comparison of laparoscopic versus small-incision cholecystectomy. Lancet 347, 1996, 989-994.
Kishore M K et al / Int. J. of Allied Med. Sci. and Clin. Research Vol-8(2) 2020 [205-214]
214
[16]. Manniche C, Lundberg E, Christensen I, Bentzen L, Hesselsoe G. Intensive dynamic back exercises for chronic low back pain: A clinical trial. Pain 47, 1991, 53.63.
[17]. Raymond W. J. G. Ostelo to evaluate the effects of active rehabilitation for adults after first-time lumbar disc surgery. 2009
[18]. Spratt KF, Weinstein JN, Lehmann TR, Woody J, Sayre H. Efficacy of flexion and extension treatments incorporating braces for low-back pain patients with retro-displacements, spondylolisthesis, or normal sagittal translation. Spine 18, 1993, 183949.
[19]. Saal JA, Saal JS. Postoperative rehabilitation and training. Subacutespinal disorders. In: Mayer TG, Mooney V, Gatchel RF, eds. Contemporary conservative care for painful spinal disorder. Philadelphia: Lea and Febiger; 29, 1991, 318–327.
[20]. Taylor VM, Deyo RA, Ciol M, Farrar EL, Lawrence MS, Shonnard NH, Leek KM, McNeney B, Goldberg HI: Patient-oriented outcomes from low back surgery: a community-based study. Spine 25, 2000, 2445-2452.
References
Arja Ha”kkinen, Jari Ylinen, Hannu Kautiainen , Olavi Airaksinen, Arto Herno, Ulla Tarvainen and Ilka Kiviranta pain, trunk muscle strength, spine mobility and disability following lumabr disc surgery J Rehabil Med 35, 2003, 236-240
[2]. Chatterjee S, Foy P, Findlay GF. Report of a controlled clinical trial comparing automated percutaneous lumbar discectomy and micro discectomy in the treatment of contained lumbar disc protrusion. Spine 20, 1995, 734–8.
[3]. Danielsen. Jan M. Johnson, Roar Kibsgaard, Svend K. Hellevik, Eivind early Aggressive Exercise for Postoperative Rehabilitation after Discectomy. Spine. 25(8), 2000, 1015-1020.
[4]. Donceel P, Du Bois M. Fitness for work after surgery for lumbar disc herniation: A retrospective study. Eur Spine J 7, 1998, 29–35.
[5]. Eyal Lederman The myth of core stability journal of bodywork& Movement Therapies 14, 2010, 84-98
[6]. Figen Yilmaz, Adem Yilmaz, Funda Merdol, Demet Parlar, Fu”Sun Sahin and Banu Kuran Efficacy of dynamic lumbar stabilization exercise in lumbar micro discectomy J Rehabil Med 35, 2003, 163-167
[7]. Frost H, Klaber Moffett JA, Moser JS, Fairbank JCT. Randomised controlled trial for evaluation of fitness programme for patients with chronic low back pain. BMJ 310, 1995, 151.
[8]. Hestbaek L, Leboeuf-Yde C, Manniche C: Is low back pain part of a general health pattern or is it a separate and distinctive entity? A critical literature review of com orbidity with low back pain. Journal of Manipulative & Physiological Therapeutics 26, 2003, 243-252.
[9]. Hirabayashi S, Kumano K, Ogawa Y, et al. Micro discectomy and 2nd operation for lumbar disc herniation. Spine 18, 1993, 2206–11.
[10]. Hurme M, Alaranta H. Factors predicting the result of surgery for lumbar intervertebral discherniation. Spine 9, 1986, 933–8.
[11]. Hansen FR, Bendix T, Skov P, et al. Intensive, dynamic back-muscle exercises, conventional physiotherapy, or placebo-control treatment of low back pain. Spine 18, 1993, 98–107.
[12]. Kotilainen E. Micro invasive lumbar disc surgery: A study on patients treated with micro discectomy or percutaneous nucleotomy for disc herniation. Ann Chir Gynaecol 83(209), 1994, 9–50.33. Main CJ. The modified somatic perception questionnaire (MSPQ).J
[13]. Karen L Saban, Sue M Penckofer, Ida Androwich and Fred B Bryant Health-related quality of life of patients following selected types of lumbar spinal surgery. A pilot study Health and Quality of Life Outcomes 5, 2007, 71
[14]. Kankaanp M, Taimela S, Airaksinen O, Hanninen O. The efficacy of active rehabilitation in chronic low back pain. Spine 24, 1999, 1034–42.
[15]. Majeed AW, Troy G, Nicholl JP, Smythe A, Reed MW, Stoddard CJ, Peacock J, Johnson AG: Randomised, prospective, single-blind comparison of laparoscopic versus small-incision cholecystectomy. Lancet 347, 1996, 989-994.
Kishore M K et al / Int. J. of Allied Med. Sci. and Clin. Research Vol-8(2) 2020 [205-214]
214
[16]. Manniche C, Lundberg E, Christensen I, Bentzen L, Hesselsoe G. Intensive dynamic back exercises for chronic low back pain: A clinical trial. Pain 47, 1991, 53.63.
[17]. Raymond W. J. G. Ostelo to evaluate the effects of active rehabilitation for adults after first-time lumbar disc surgery. 2009
[18]. Spratt KF, Weinstein JN, Lehmann TR, Woody J, Sayre H. Efficacy of flexion and extension treatments incorporating braces for low-back pain patients with retro-displacements, spondylolisthesis, or normal sagittal translation. Spine 18, 1993, 183949.
[19]. Saal JA, Saal JS. Postoperative rehabilitation and training. Subacutespinal disorders. In: Mayer TG, Mooney V, Gatchel RF, eds. Contemporary conservative care for painful spinal disorder. Philadelphia: Lea and Febiger; 29, 1991, 318–327.
[20]. Taylor VM, Deyo RA, Ciol M, Farrar EL, Lawrence MS, Shonnard NH, Leek KM, McNeney B, Goldberg HI: Patient-oriented outcomes from low back surgery: a community-based study. Spine 25, 2000, 2445-2452.
[2]. Chatterjee S, Foy P, Findlay GF. Report of a controlled clinical trial comparing automated percutaneous lumbar discectomy and micro discectomy in the treatment of contained lumbar disc protrusion. Spine 20, 1995, 734–8.
[3]. Danielsen. Jan M. Johnson, Roar Kibsgaard, Svend K. Hellevik, Eivind early Aggressive Exercise for Postoperative Rehabilitation after Discectomy. Spine. 25(8), 2000, 1015-1020.
[4]. Donceel P, Du Bois M. Fitness for work after surgery for lumbar disc herniation: A retrospective study. Eur Spine J 7, 1998, 29–35.
[5]. Eyal Lederman The myth of core stability journal of bodywork& Movement Therapies 14, 2010, 84-98
[6]. Figen Yilmaz, Adem Yilmaz, Funda Merdol, Demet Parlar, Fu”Sun Sahin and Banu Kuran Efficacy of dynamic lumbar stabilization exercise in lumbar micro discectomy J Rehabil Med 35, 2003, 163-167
[7]. Frost H, Klaber Moffett JA, Moser JS, Fairbank JCT. Randomised controlled trial for evaluation of fitness programme for patients with chronic low back pain. BMJ 310, 1995, 151.
[8]. Hestbaek L, Leboeuf-Yde C, Manniche C: Is low back pain part of a general health pattern or is it a separate and distinctive entity? A critical literature review of com orbidity with low back pain. Journal of Manipulative & Physiological Therapeutics 26, 2003, 243-252.
[9]. Hirabayashi S, Kumano K, Ogawa Y, et al. Micro discectomy and 2nd operation for lumbar disc herniation. Spine 18, 1993, 2206–11.
[10]. Hurme M, Alaranta H. Factors predicting the result of surgery for lumbar intervertebral discherniation. Spine 9, 1986, 933–8.
[11]. Hansen FR, Bendix T, Skov P, et al. Intensive, dynamic back-muscle exercises, conventional physiotherapy, or placebo-control treatment of low back pain. Spine 18, 1993, 98–107.
[12]. Kotilainen E. Micro invasive lumbar disc surgery: A study on patients treated with micro discectomy or percutaneous nucleotomy for disc herniation. Ann Chir Gynaecol 83(209), 1994, 9–50.33. Main CJ. The modified somatic perception questionnaire (MSPQ).J
[13]. Karen L Saban, Sue M Penckofer, Ida Androwich and Fred B Bryant Health-related quality of life of patients following selected types of lumbar spinal surgery. A pilot study Health and Quality of Life Outcomes 5, 2007, 71
[14]. Kankaanp M, Taimela S, Airaksinen O, Hanninen O. The efficacy of active rehabilitation in chronic low back pain. Spine 24, 1999, 1034–42.
[15]. Majeed AW, Troy G, Nicholl JP, Smythe A, Reed MW, Stoddard CJ, Peacock J, Johnson AG: Randomised, prospective, single-blind comparison of laparoscopic versus small-incision cholecystectomy. Lancet 347, 1996, 989-994.
Kishore M K et al / Int. J. of Allied Med. Sci. and Clin. Research Vol-8(2) 2020 [205-214]
214
[16]. Manniche C, Lundberg E, Christensen I, Bentzen L, Hesselsoe G. Intensive dynamic back exercises for chronic low back pain: A clinical trial. Pain 47, 1991, 53.63.
[17]. Raymond W. J. G. Ostelo to evaluate the effects of active rehabilitation for adults after first-time lumbar disc surgery. 2009
[18]. Spratt KF, Weinstein JN, Lehmann TR, Woody J, Sayre H. Efficacy of flexion and extension treatments incorporating braces for low-back pain patients with retro-displacements, spondylolisthesis, or normal sagittal translation. Spine 18, 1993, 183949.
[19]. Saal JA, Saal JS. Postoperative rehabilitation and training. Subacutespinal disorders. In: Mayer TG, Mooney V, Gatchel RF, eds. Contemporary conservative care for painful spinal disorder. Philadelphia: Lea and Febiger; 29, 1991, 318–327.
[20]. Taylor VM, Deyo RA, Ciol M, Farrar EL, Lawrence MS, Shonnard NH, Leek KM, McNeney B, Goldberg HI: Patient-oriented outcomes from low back surgery: a community-based study. Spine 25, 2000, 2445-2452.