[Comparison between the effect of medical training therapy and stability exercises on functional lumbar instability]

ABSTRACT

Functional instability of the lumbar spine is one of the most common disorders that occurs as a consequence of the weakness of lumbar paravertebral muscles. This type of instability can progressively produce low back pain and inability in daily living activities. To treat this type of low back pain, different methods of treatment and therapeutic exercises have been proposed, including stability exercises and medical training therapy [MTT]. The aim of this study was to compare the two above-mentioned treatment methods on reducing clinical signs and symptoms of lumbar instability. In this survey, fifty patients with chronic lumbar instability and pain were selected and treated with either medical training or stability exercises. Thirty patients had stability exercises in their daily activities and twenty patients were treated using MTT protocol. Clinical signs and symptoms were evaluated before and after treatment sessions. This study showed that there was no significant difference between our two experimental groups before and after treatment sessions in all evaluated parameters [p<0.05]. In addition a significant improvement in evaluated signs and symptoms was observed in both experimental groups. The results of this study suggest that stability exercise and MTT can reduce pain and other symptoms with a similar effect in patients suffering from functional lumbar instability