Background: Non-specific low back pain affects people of all ages and is a leading contributor to disease burden worldwide. Estimates from the Australian Bureau of Statistics 2017–18 National Health estimate about 4.0 million Australians have back problems. The management of NSLBP has proven very challenging, as evidenced by its mounting socioeconomic burden. Core stability treatment procedures aim to improve pain and disability by increasing spinal stability in the lumbar spine. The purpose of this review is to examine the effect enhancing core stability through targeted core stabilisation exercises has on reducing the symptoms of NSLBP in combination with or independent of general exercise programs and/or conservative treatments.
Methods: A structured search of relevant articles was performed using the PubMed, Elsevier, and Cochrane databases. The search provided a total of 608 articles. Twenty-two articles met the inclusion criteria, and 586 articles were excluded.
Results: Core stability provides excellent therapeutic effects in NSLBP patients by reducing pain intensity and functional disability. Evidence suggests that core stability is more effective than rest or no/minimal intervention and, when used in combination with other types of exercise for NSLBP, can have even greater efficacy.
Conclusion: Core stability exercises should be used as part of a comprehensive treatment approach for non-specific low back pain (NSLBP), combined with other modalities such as therapeutic exercise and allied health conservative treatment plans. When used in conjunction with other modalities in a multidisciplinary approach, these treatments have demonstrated significant improvements in both pain levels and functional status, as compared to a placebo.
Authors retain copyright and grant the journal right of first publication and allow others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
This journal provides immediate open access to its content on the principle that making research freely available to the public supports a greater global exchange of knowledge.