ACTA FAC MED NAISS 2008; 25 (3): 165-170 |
Review article
SPINAL SEGMENTAL STABILIZATION EXERCISES COMBINED WITH TRADITIONAL STRENGTHENING EXERCISE PROGRAM IN PATIENTS WITH CHRONIC LOW BACK PAIN
Anita Stankovic
Milica Lazovic
Mirjana Kocic
Dragan Zlatanovic
Clinic of Physical Medicine and Rehabilitation with Prosthetics, Clinical
Centre Nis
SUMMARY
Low back pain which lasts for more than 12 weeks
is considered chronic lumbar pain. It is the most common diagnosis in physiatry.
Numerous highly controlled randomized studies have proved a beneficial effect of
the exercises on all symptoms of chronic low back pain. Classic kinesytherapy
program does not include strengthening of the deep layer of abdominal and
paravertebral musculature which is a part of the so-called inner unit. The
strengthening of the stabilizer muscles provides stability of the lumbar region
of the spine through coordinated activities of its dynamic segments. The
effectiveness of the spinal segmental stabilization exercises was being proved
for years in numerous studies, which gained significance and objectivity by
introducing contemporary diagnostic methods.
This study aims at pointing out the positive effects of the stabilization
exercises which were added to traditional program of building the strength and
mobility of the spinal column. It also wants to emphasize the need for
introducing the spinal segmental stabilization program into everyday clinical
practice.
Key words: stabilization exercises, chronic low back pain