An experimental study assessing core stability using Mackenzie’s exercise and endurance test comparing core stability in patients suffering from chronic non-specific low back pain, and healthy individuals; is there a difference?

Item

Title
An experimental study assessing core stability using Mackenzie’s exercise and endurance test comparing core stability in patients suffering from chronic non-specific low back pain, and healthy individuals; is there a difference?
Author(s)
Serres, A
Abstract
Introduction: Low back pain is a major problem in the western world, and more and more people are seeking for care. One of the treatment/management theory was based on reinforcing the core stability, which would provide more stability to a mobile lumbar spine thanks to muscles attached to the lumbar spine and !inked to the thoracolumbar fascia complex. Lately, literature has been more and more interested on this concept, and has been proving both the efficacy and the inefficiency of this concept. The idea of this experiment came up after many treatments for low back pain, and advice from Simon Tolson always specifying that we should give core strengthening exercise to OLJr patients. Aims: The present researcher was trying to demonstrate whether or not there was a link between core muscles and low back pain; is a patient with poor core stability more likely to suffer from low back pain or not? The second aim was to validate the Mackenzie's Exercise as an official way to measure core stability. Methodology: A sample of 63 participants ran through four sets of exercises (Blaring Sorensen, Sit up, Side plank and Mackenzie) aiming at measuring their level of core stability. Five participants could not carry on due to fulfilling exclusion criteria’s, 30 where suffering from low back pain and 28 where healthy individuals. Each exercise was hold for as long as possible but not more than 4 minutes if the participant had not given up before that specific time. The analysis of data was done via SPSS, using parametric and non parametric tests. Results After having demonstrated that both groups were equivalent in term of: gender, BMI and age, the present researcher looked for statistical difference between the two groups in the holding time of the four tests. No statistical differences were observed. Then the author looked at reliability and validity of the Mackenzie's test. A very high Cronbach's alpha value was observed: 0.616, but unfortunately to be considered as reliable the researcher would have expected a coefficient superior at 0.7. On the other hand a statistically significant correlation was found between the endurance tests and Mackenzie' s p values always inferior at 0.01. Conclusion: This experiment comes to the main conclusion that there is no statistical difference in the core stability between healthy and chronic low back pain patients. To the researcher, according to the experiment, core strengthening cannot be advised as the only treatment for chronic non specific low back pain. This conclusion goes hand in hand with other researches, and disagree with some that are less objective in their judgement being paid by Pilates companies or sponsored by exercise material companies. On the other hand, this research correlates with other research saying that the Biering Sorensen Test is the most reliable test to test core stability, and that Makenzie's test remains a good way to quickly measure the core stability of patient.
presented at
European School of Osteopathy
Date Accepted
2013
Date Submitted
20.1.2015 16:42:59
Type
osteo_thesis
Language
English
Submitted by:
62
Pub-Identifier
15472
Inst-Identifier
1229
Keywords
Core stability.
Recommended
0
Item sets
Thesis

Serres, A, “An experimental study assessing core stability using Mackenzie’s exercise and endurance test comparing core stability in patients suffering from chronic non-specific low back pain, and healthy individuals; is there a difference?”, Osteopathic Research Web, accessed May 6, 2024, https://www.osteopathic-research.com/s/orw/item/692