Effects of core stability exercise combined with virtual reality in collegiate athletes with nonspecific low back pain: a randomized clinical trial

Abstract Background Nonspecific low back pain (LBP) in collegiate athletes is shown to be accompanied by poor core endurance. Consequently, trunk muscle stabilization exercises for lumbar instability are widely used. Virtual reality (VR) training can activate the cerebral cortex and enhance the cort...

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Main Authors: Osama Ragaa Abdelraouf, Amr Almaz Abdel-aziem, Ali Osman Selim, Olfat Ibrahim Ali
Format: Article
Language:English
Published: SpringerOpen 2020-07-01
Series:Bulletin of Faculty of Physical Therapy
Subjects:
Online Access:https://doi.org/10.1186/s43161-020-00003-x
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spelling doaj-6ab441194c794adeac7267c4076117d22021-07-11T11:04:56ZengSpringerOpenBulletin of Faculty of Physical Therapy2536-96602020-07-012511710.1186/s43161-020-00003-xEffects of core stability exercise combined with virtual reality in collegiate athletes with nonspecific low back pain: a randomized clinical trialOsama Ragaa Abdelraouf0Amr Almaz Abdel-aziem1Ali Osman Selim2Olfat Ibrahim Ali3Department of Biomechanics, Faculty of Physical Therapy, Cairo UniversityDepartment of Biomechanics, Faculty of Physical Therapy, Cairo UniversityDepartment of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo UniversityDepartment of Basic Science for Physical Therapy, Faculty of Physical Therapy, Cairo UniversityAbstract Background Nonspecific low back pain (LBP) in collegiate athletes is shown to be accompanied by poor core endurance. Consequently, trunk muscle stabilization exercises for lumbar instability are widely used. Virtual reality (VR) training can activate the cerebral cortex and enhance the cortex to control balance and improve motion function. The purpose of the study was to assess the effect of combined core stability exercises (CSE) and VR training in improving body balance and function in collegiate male athletes with nonspecific low back pain (LBP). Results The post-values of the experimental group were significantly higher than that of the control group for the dynamic balance in anterior (p = 0.031), posterolateral (p = 0.034), and posteromedial (p = 0.037) directions. Moreover, there was a significant difference in the post-values of both groups regarding reducing the Micheli Functional Scale in favor of the experimental group (p = 0.012). Conclusions CSE training plus virtual reality is more effective than CSE training alone in improving total body balance and dysfunction level in collegiate male athletes with nonspecific LBP. It is recommended that clinicians consider CSE combined with VR to maximize the improvement in overall body balance when developing rehabilitation programs for collegiate athletes with nonspecific low back pain. Trial registration Pan African Clinical Trial Registry, PACTR201907749053096 . Retrospectively registered on 15 April 2019. https://pactr.samrc.ac.za/Researcher/ManageTrials.aspxhttps://doi.org/10.1186/s43161-020-00003-xBalanceCollegiate athletesCore stability exerciseLow back painVirtual reality
collection DOAJ
language English
format Article
sources DOAJ
author Osama Ragaa Abdelraouf
Amr Almaz Abdel-aziem
Ali Osman Selim
Olfat Ibrahim Ali
spellingShingle Osama Ragaa Abdelraouf
Amr Almaz Abdel-aziem
Ali Osman Selim
Olfat Ibrahim Ali
Effects of core stability exercise combined with virtual reality in collegiate athletes with nonspecific low back pain: a randomized clinical trial
Bulletin of Faculty of Physical Therapy
Balance
Collegiate athletes
Core stability exercise
Low back pain
Virtual reality
author_facet Osama Ragaa Abdelraouf
Amr Almaz Abdel-aziem
Ali Osman Selim
Olfat Ibrahim Ali
author_sort Osama Ragaa Abdelraouf
title Effects of core stability exercise combined with virtual reality in collegiate athletes with nonspecific low back pain: a randomized clinical trial
title_short Effects of core stability exercise combined with virtual reality in collegiate athletes with nonspecific low back pain: a randomized clinical trial
title_full Effects of core stability exercise combined with virtual reality in collegiate athletes with nonspecific low back pain: a randomized clinical trial
title_fullStr Effects of core stability exercise combined with virtual reality in collegiate athletes with nonspecific low back pain: a randomized clinical trial
title_full_unstemmed Effects of core stability exercise combined with virtual reality in collegiate athletes with nonspecific low back pain: a randomized clinical trial
title_sort effects of core stability exercise combined with virtual reality in collegiate athletes with nonspecific low back pain: a randomized clinical trial
publisher SpringerOpen
series Bulletin of Faculty of Physical Therapy
issn 2536-9660
publishDate 2020-07-01
description Abstract Background Nonspecific low back pain (LBP) in collegiate athletes is shown to be accompanied by poor core endurance. Consequently, trunk muscle stabilization exercises for lumbar instability are widely used. Virtual reality (VR) training can activate the cerebral cortex and enhance the cortex to control balance and improve motion function. The purpose of the study was to assess the effect of combined core stability exercises (CSE) and VR training in improving body balance and function in collegiate male athletes with nonspecific low back pain (LBP). Results The post-values of the experimental group were significantly higher than that of the control group for the dynamic balance in anterior (p = 0.031), posterolateral (p = 0.034), and posteromedial (p = 0.037) directions. Moreover, there was a significant difference in the post-values of both groups regarding reducing the Micheli Functional Scale in favor of the experimental group (p = 0.012). Conclusions CSE training plus virtual reality is more effective than CSE training alone in improving total body balance and dysfunction level in collegiate male athletes with nonspecific LBP. It is recommended that clinicians consider CSE combined with VR to maximize the improvement in overall body balance when developing rehabilitation programs for collegiate athletes with nonspecific low back pain. Trial registration Pan African Clinical Trial Registry, PACTR201907749053096 . Retrospectively registered on 15 April 2019. https://pactr.samrc.ac.za/Researcher/ManageTrials.aspx
topic Balance
Collegiate athletes
Core stability exercise
Low back pain
Virtual reality
url https://doi.org/10.1186/s43161-020-00003-x
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