Pelvic Control Training Using Pressure Biofeedback Versus Core Stability Training in Non-Specific Low Back Pain

Официальное название

Effect of Pelvic Control Training Using Pressure Biofeedback Versus Core Stability Training on Pain, Range of Motion, Muscle Strength, and Functional Disability in Patients With Non-Specific Low Back Pain

Обзор

To compare the effects of pelvic control training using pressure biofeedback with core stability training on pain, range of motion, muscle strength, and functional disability in patients with non specific low back pain

Подробное описание

A randomized controlled trial compared core stabilization exercises with routine exercise therapy in patients with chronic nonspecific low back pain. Participants were randomly allocated into two groups, with both groups receiving conventional hot pack therapy three times per week for four weeks. Pain and functional disability were assessed using the Visual Analogue Scale (VAS) and Oswestry Disability Index (ODI). Both interventions significantly improved outcomes; however, core stabilization exercises produced greater reductions in pain and disability than routine exercise therapy.

Another randomized controlled trial investigated the effects of core stability training (CST) alone versus combined core and pelvic floor muscle (PFM) training in sedentary women with low back pain. Participants were allocated into a control group, a CST group, and a combined training group, with supervised sessions conducted three times weekly for four weeks. Although both exercise interventions significantly improved trunk muscle endurance and reduced pain, CST alone demonstrated greater improvements in lumbar function than the combined intervention.

A randomized controlled trial compared traditional lumbar dynamic strength training with stabilization exercises using pressure biofeedback in patients with chronic low back pain. Outcomes included pain intensity, disability, lumbar mobility, transversus abdominis strength, quality of life, and fear-avoidance beliefs. Both interventions significantly improved all measured outcomes, with no statistically significant differences between groups, indicating comparable effectiveness.

A comparative study evaluated Maitland mobilization and core stability exercises in adults with chronic nonspecific low back pain. Pain and disability were measured using the VAS and ODI before and after treatment. Both interventions significantly reduced pain and improved functional disability, with no clear superiority of either treatment approach.

A randomized study compared pelvic floor muscle training (PFMT) with conventional physiotherapy treatment. Participants received routine physiotherapy alone, PFMT, or PFMT combined with transversus abdominis co-activation. Functional disability and pain were assessed using the ODI and Numeric Pain Rating Scale (NPRS). PFMT, particularly when combined with transversus abdominis activation, resulted in greater improvements in pain and disability, supporting its role as an adjunct to conservative management.

Another study evaluated the effectiveness of a core stability training program in women with chronic nonspecific low back pain. Participants who completed the structured exercise program demonstrated significant reductions in pain intensity and improvements in functional performance compared with the control group, supporting the therapeutic benefits of core stabilization exercises.

A randomized trial compared stabilization exercises alone with stabilization exercises combined with pelvic floor muscle training and physical therapy in women with nonspecific low back pain. The combined intervention produced greater improvements in pain, functional ability, and static and dynamic trunk muscle endurance than stabilization exercises alone.

A clinical study examined the effects of performing proprioceptive neuromuscular facilitation (PNF) lower extremity patterns with and without a pressure biofeedback unit (PBU) in individuals with chronic low back pain. The use of the PBU significantly increased abdominal muscle activation and reduced lumbopelvic rotation, indicating enhanced lumbopelvic stability and motor control during exercise.

Вмешательства

• Другое Pelvic Control Training intervention with a Pressure Biofeedback Unit (PBU)
  Participants in the core stability exercise group completed a 6-week program performed 3-5 sessions per week, with each session lasting 25 minutes. The program progressed from core activation exercises (abdominal drawing-in, pelvic tilts, heel slides, and supine marching) to low- and moderate-load stabilization exercises, including dead bugs, glute bridges, bird-dogs, and modified side planks. Exercise intensity and complexity were gradually increased by adding full planks, unstable limb movemen
• Другое Core stability training
  Participants in the core stability exercise group completed a 6-week program consisting of 3-5 sessions per week, with each session lasting 25 minutes. Training progressed from core muscle activation exercises (abdominal drawing-in, pelvic tilts, heel slides, and supine marching) to low- and moderate-load stabilization exercises, including dead bugs, glute bridges, bird-dogs, and modified side planks. Exercise intensity and complexity were gradually increased by adding full planks, unstable limb

Первичные конечные точки

• Oswestry Disability Index (ODI) [Срок оценки: 6 weeks]
• Numeric Pain Rating Scale (NPRS) [Срок оценки: 6 weeks]
• Bubble Inclinometer [Срок оценки: 6 weeks]
• Pressure Biofeedback Unit (PBU) [Срок оценки: 6 weeks]

Критерии участия

Критерии включения

• Children aged 18-30 years.
• The body mass index within the typical range of 18.5 to 24.9 kg/m².
• No history of musculoskeletal, neurological, or vestibular disorders.
• Physically active individuals not engaged in regular core or balance training programs in the last 3 months.
• Willing to provide informed consent and comply with the study protocol.

Критерии исключения

• History of lower extremity, spinal, or pelvic injuries in the past 6 months.
• Current pain, dizziness, or balance impairments.
• Known postural deformities (e.g., scoliosis, hyper lordosis).
• Neurological, cardiovascular, or systemic conditions affecting balance or motor performance.
• Pregnancy or recent childbirth (<6 months)
• Participation in any other interventional study during the study period.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Лечение

Центры проведения

Пакистан · 1 центр

• Nishter Hospital Multan, CMH Multan — Lahore

Публикации

• 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
• Alarab A, Salhab I, Darawy D, Aker M, Naji R, Hroub N. Maitland Mobilization versus Core Stability Exercises in Management Chronic Nonspecific LBP. Biomedical and Pharmacology Journal. 2024;17:1115-24.
• Ozturk U, Corekci AA, Alaca N, Subasi F. Comparison of Pressure Feedback Biofeedback Training with Conventional Lumbar Dynamic Strength Exercises for Chronic Low Back Pain: A Prospective Randomized Trial. Altern Ther Health Med. 2024 Dec;30(12):6-12. PMID 39565706
• Si X, Zhang L, Li F, Liang H. The effectiveness of pelvic floor muscle training on lumbar function and muscle performance in sedentary women with lower back pain: a randomized controlled trial. BMC Womens Health. 2025 Mar 19;25(1):125. doi: 10.1186/s12905-025-03644-z. PMID 40108595
• Akhtar MW, Karimi H, Gilani SA. Effectiveness of core stabilization exercises and routine exercise therapy in management of pain in chronic non-specific low back pain: A randomized controlled clinical trial. Pak J Med Sci. 2017 Jul-Aug;33(4):1002-1006. doi: 10.12669/pjms.334.12664. PMID 29067082
• Ko MJ, Koo MS, Jung EJ, Jeong WJ, Oh JS. Effect of Pelvic Floor Muscle Training Using Pressure Biofeedback on Pelvic Floor Muscle Contraction and Trunk Muscle Activity in Sitting in Healthy Women. Healthcare (Basel). 2022 Mar 18;10(3):570. doi: 10.3390/healthcare10030570. PMID 35327048
• Karang N. Effectiveness of Pressure Biofeedback in Core Stabilization for Low Back Pain: A Literature Review. Majalah Ilmiah Fisioterapi Indonesia. 2025;13:552-6.
• Lee K. Effects of Core Stability Training on Deep Stabilizing Muscle Function and Neuromuscular Control. Medicina (Kaunas). 2025 Feb 20;61(3):364. doi: 10.3390/medicina61030364. PMID 40142175

Идентификаторы

NCT: NCT07726797 · REC/RCR & AHS/25/043

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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