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Title: | The effect of Core Stability Exercises (CSE) on trunk sagittal acceleration |
Authors: | Aluko, Augustine |
Advisors: | De Souza, LH Peacock, J |
Keywords: | Acute low back pain;Core stability exercises;Trunk kinematics;Biomechanics;Lumber motion monitor |
Issue Date: | 2012 |
Publisher: | Brunel University School of Health Sciences and Social Care PhD Theses |
Abstract: | Aims: The aim of this study was to investigate Core Stability Exercise (CSE) induced changes in trunk sagittal acceleration as a measure of performance in participants following an acute onset of non-specific low back pain (LBP). Methodology: A Lumbar Motion Monitor (LMM) was used to measure trunk sagittal acceleration. The LMM was demonstrated to be reliable [Intra-Class Correlation (ICC) for average sagittal acceleration (0.96, 95% CI 0.90-0.98) and peak sagittal acceleration (0.89, 95% CI 0.75-0.96) with a 95% limit of agreement for the repeated measure of between -100.64 and +59.84 Deg/s2 ]. Pain was measured using the Visual Analogue Scale (VAS) and disability was measured with the Roland Morris Disability Questionnaire (RMDQ). Results: Differences in mean trunk sagittal acceleration between control and experimental groups at time points were assessed using a regression analysis (ratio of geometric means [95%CI]) and demonstrated to be not statistically significant (3 weeks (20%) 1.2 [0.9 to 1.6], p=0.2; 6 weeks (10%) 1.1 [0.8 to 1.5], p=0.7; 3 months (20%) 1.2 [0.8 to 1.9], p=0.9). Similarly, differences in mean pain score (3 weeks (30%) 1.3 [0.8-2.2], p= 0.3); 6 weeks (20%) 1.2 [0.7-2.0], p=0.6; 3 months (0%) 1.0 [0.5-1.9], p=1.0) and difference in mean disability score (6 weeks (0%) 1.0 [0.7-1.5], p= 1.0, 3 months (30%) 1.3 [0.8-1.9], p= 0.3) between groups were also not statistically significant. Conclusions: This work does not infer that CSE are definitively effective in reducing pain, improving subjective disability and improving trunk performance after an onset acute of non-specific LBP. However, there is a suggestion of clinical importance and a possible mechanism by which they may work. Further investigation into this mechanism may provide future effective management strategies for intervention of acute non-specific low back pain with optimistic cost implications for healthcare delivery in general and Physiotherapy in particular. |
Description: | This thesis was submitted for the degree of Doctor of Philosophy and awarded by Brunel University. |
URI: | http://bura.brunel.ac.uk/handle/2438/6545 |
Appears in Collections: | Community Health and Public Health Dept of Health Sciences Theses |
Files in This Item:
File | Description | Size | Format | |
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FulltextThesis.pdf | Thesis | 6.82 MB | Adobe PDF | View/Open |
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