A Comparative Study On Effectiveness Of Core Muscle Strengthening Exercises Vs Pelvic Floor Muscle Strengthening Exercises For Lower Back Pain Patient

Authors

  • Khadija Budhawala
  • Renuka Pal
  • Jafar Khan
  • Usman Khan
  • Deepak Lohar
  • Farukh Mohammad Pinjara
  • Abid R Quereshi
  • Preksha Jain
  • Hasnen Sheikh
  • Dilawar Khan

Keywords:

N\A

Abstract

Background: Low back pain (LBP) is a public and occupational health issue.i.e A huge professional, financial, and social burden. Exercise is frequently used in treatment of chronic low back pain, especially the core stabilizing muscles training including pelvic floor muscle. This study will provide insights into the potential benefit of incorporating core and pelvic floor muscle group strengthening exercises into rehabilitation programme . [Aim] To compare the effectiveness of pelvic floor muscles with core muscles in lower back pain patients. [After approval of the Institutional Ethics Committee. (I.E.C)]

Method: Patients between the age group of 20-35 years having non-specific low back pain were selected based on inclusion and exclusion criteria. Two outcome measures were taken, VAS for pain assessment and ODI for functional disabilities in daily routine activities. The study was done over a sample size of 30 patients which included both male and female patients among the age group of 20 – 35 years suffering from non-specific low back pain. They were divided in two groups where Group A(n-15) received PFSE and Group B (n-15) received CSE. Random sampling method used for selection of patients. Duration of study was 15 weeks.

 Results: The result proved significant enhancement in both the groups but Group B who received CSE had a higher effectiveness as well as efficiency with VAS (P<0.001) AND ODI (p<0.001) as compared to Group A in terms of pain and functional disability. In this individual, CSE considerably decreases the severity of back pain.

Conclusion: although there is significant difference in intensity of low back pain in both the groups but CSE shows more remarkable and effective results compared to PFMSE and improves functional disabilities and quality of life of individual.

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References

Tyler Farley,Jesse Stokke,Kush Goyal andRussell DeMicco;Chronic Low Back Pain: History, Symptoms, Pain Mechanisms, and Treatment,Life 2024, 14(7), 812; https://doi.org/10.3390/life14070812

Vanina Nicol, Claire Verdaguer, Camille Daste, Hélène Bisseriex, Éric Lapeyre, Marie-Martine Lefèvre-Colau , François Rannou, Alexandra Rören, Julia Facione , Christelle Nguyen;Chronic Low Back Pain: J Clin Med.2023 Feb 20;12(4):1685.

Sam Verhelpen;Non Specific Low Back Pain .

Burton AK. European guidelines for prevention in low back pain

Smrcina.Z , Sarah Woelfel , Christopher Burcal the Effectiveness of Core Stability Exercises in Patients with Non-Specific Low Back Pain Int J Sports Phys Ther 2022 Aug 1;17(5):766-774.

Tarun Kumar, Suraj Kumar, Md Nezamuddin , V P Sharma Efficacy of core muscle strengthening exercise in chronic low back pain patients.J Back Musculoskelet Rehabil.2015

Robinault, Imran Khan Niazi, Nitika Kumari,Imran Amjad,Vincent Menard,Heidi Haavik;Non-Specific Low Back Pain: An Inductive Exploratory Analysis through Factor Analysis and Deep Learning for Better ClusteringLucien.

Akuthota V, Ferreiro A, Moore T, Fredericson M. Core stability exercise principles. Current sports medicine reports. 2008 Jan 1;7(1):39-44

Fauve simoens Low Back Pain

Dougherty, John J. (November–December 2011). "The anatomical 'core': a definition and functional classification". Osteopathic Family Physician 3.6: 239-245

Grewar H, McLean L. The integrated continence system: a manual therapy approach to the treatment of stress urinary incontinence. Manual Therapy. October 2008;13(5):375-386.

Stéphanie Bernard, Evelyne Gentilcore-Saulnier, Hugo Massé-Alarie , Hélène Moffet;Is adding pelvic floor muscle training to an exercise intervention more effective at improving pain in patients with non-specific low back pain? A systematic review of randomized controlled trials

Abdel-Aziem AA, Abdelraouf OR, El-Basatiny HMY, Draz AH. The Effects of Stabilization Exercises Combined With Pelvic Floor Exercise in Women With Nonspecific Low Back Pain: A Randomized Clinical Study. J Chiropr Med. 2021 Dec;20(4):229-238. doi: 10.1016/j.jcm.2021.12.008. Epub 2022 Apr 6. PMID: 35496721; PMCID: PMC9051137

Su Su Hlaing 1,2, Rungthip Puntumetakul 2,3,✉, Ei Ei Khine 4, Rose Boucaut Effects of core stabilization exercise and strengthening exercise on proprioception, balance, muscle thickness and pain related outcomes in patients with subacute nonspecific low back pain: a randomized controlled trial BMC Musculoskelet Disord. 2021 Nov 30;22:998. doi: 10.1186/s12891-021-04858-6

Akhtar Muhammad Waseem, Karimi Hossein, Gillani Syed Amir. Pakistan Journal of Medical Sciences. 4. Vol. 33. Pakistan Journal of Medical Sciences; Effectiveness of core stabilization exercises and routine exercise therapy in management of pain in chronic nonspecific low back pain: A randomized controlled clinical trial; pp. 1002–1006

Vleeming A, Schuenke MD, Danneels L, Willard FH. The functional coupling of the deep abdominal and paraspinal muscles: the effects of simulated paraspinal muscle contraction on force transfer to the middle and posterior layer of the thoracolumbar fascia. J Anat. 2014;225(4):447–462. doi: 10.1111/joa.12227

Talasz H, Kofler M, Kalchschmid E, et al. Breathing with the pelvic floor? Correlation of pelvic floor muscle function and expiratory flows in healthy young nulliparous women[J]. Int Urogynecol J. 2010;21(4):475–81

Cavaggioni L, Ongaro L, Zannin E, et al. Effects of different core exercises on respiratory parameters and abdominal strength [J]. J Phys Ther Sci. 2015;27(10):3249–53

Sapsford RR, Hodges PW. Contraction of the pelvic floor muscles during abdominal maneuvers[J]. Arch Phys Med Rehabil. 2001;82(8):1081–8

Hoy D, Bain C, Williams G, et al. A systematic review of the global prevalence of low back pain.

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Published

2025-08-25

How to Cite

1.
Budhawala K, Pal R, Khan J, Khan U, Lohar D, Pinjara FM, Quereshi AR, Jain P, Sheikh H, Khan D. A Comparative Study On Effectiveness Of Core Muscle Strengthening Exercises Vs Pelvic Floor Muscle Strengthening Exercises For Lower Back Pain Patient. J Neonatal Surg [Internet]. 2025Aug.25 [cited 2025Oct.1];14(2S):679-84. Available from: https://www.jneonatalsurg.com/index.php/jns/article/view/8965

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