Table 4.
First author, year | Citation number | Type intervention (MCE, Core) | Exercises (No; Name): (Description/Name of exercises) | Type comparator(s) | Training period (weeks) | Training frequency (sessions per week) scheduled, real | Training duration (minutes per session) | Sets (number per exercise) | Repetitions (per set per exercise) | Rest (between sets per exercise; between exercises in seconds) |
---|---|---|---|---|---|---|---|---|---|---|
Alp, 2014 | 56 | Lumbar core stabilization exercise (SE) | N.A | Conventional home-based exercise (HE) | 6 | SE: 3 | 45–60 (30 MCE) |
SE: N.A HE: 1 |
SE: N.A HE: 20 |
N.A., N.A |
Alrwaily, 2019 | 28 | Stabilization exercise | 5; Abdominal bracing (supine), Abdominal bracing (supine) with heel slide, Abdominal bracing (supine) with leg lifts, Abdominal bracing (supine) with bridging, Bracing with single leg bridging | Stability exercise combined with neuromuscular electrical stimulation | 6 | 2 | 20 | N.A | N.A | N.A.; N.A |
Andrusaitis, 2011 | 60 | Stabilization | 2: dorsal decubitus, ventral decubitus | Strengthening | 7 | 3 | 40 | 1 | 6—10 | N.A.; 30 sec |
Arampatzis, 2017 | 29 | Perturbation-based core training | 15–18: 3 different perturbation exercises in half-seated position, classical core stability exercises on unstable surfaces | No specific training, normal routine | 13 | 2 | 90 | 3 | 60 sec |
180—300; 120 |
Areeudomwong, 2019 | 30 | Core stabilisation exercise |
N.A.: Practiced recruitment of deep trunk muscles, particularly transversus abdominis (TrA) and lumbar multifidus (LM) muscles, together with the diaphragm and pelvic floor muscles, reducing superficial trunk muscle activity in order to improve function of deep trunk muscles and control inter-segmental lumbar spine movement during activities Exercise difficulty was increased by integrating deep muscle cocontraction with controlling movement of extremities and heavier loading positions, such as bridging, bird-dog position and single knee to chest |
Proprioceptive Neuromuscular Facilitation Training; Inactive control group |
4 | 3 | 30 | N.A | N.A | N.A.; 60 |
Bae, 2018 | 31 | Core stability exercises | 6: Abdominal drawing-in in 4-point kneeling and supine position, Opposite upper and lower extremity lift in quadruped position, Straight leg raise exercise in prone position, Supine lower extremity extender in supine position, Straight leg raise exercise in supine position, Horizontal side-support exercise in side lying position | Assisted sit-up exercise (SUE) | 4 | 3 | 30 | N.A | N.A | N.A.; N.A |
Bauer, 2019 | 22 | Neuromuscular exercise | 9; Modified curl up, Bird dog, Side bridge/Mermaid, Single leg stretch, Shoulder bridge, Weight transfer side lunge and one leg stand, “Tai chi warrior”, Lifting up an imaginary Ball, To achieve normal range of motion in thoracic region, and hip and ankle joints, | Inactive control group | 24 | 2 | 60 | N.A | N.A | N.A.; N.A |
Brooks, 2012 | 32 | Specific trunk exercise group (SEG) | N.A: Included skilled cognitive activation of the trunk muscles in addition to a number of other best practice exercises: Skilled abdominal contractions and postural training, Side lying trunk exercises (mat-based), Prone lying trunk exercises (mat-based; Hip-specific exercises, Upper and lower limb–focused exercises, Full-body exercises (reformer-based) | Seated cycling | 8 | 3 | 50–60 | N.A | N.A | N.A.; N.A |
Chung*, 2018 | 61 | Core stability exercises with flexi bar | 4: Abdominal drawing-in maneuver in standing, hook-lying, quadruped, and prone positions by maintaining each motion for 10 s. It was used both hands holding the FB | No further, both groups SE | 6 | 3 | 30 | 3 | 10 | 180; N.A: |
Core stability exercises | 4: Abdominal drawing-in maneuver in standing, hook-lying, quadruped, and prone positions by maintaining each motion for 10 s | No further, both groups SE | 6 | 3 | 30 | 3 | 10 | 180; N.A: | ||
Critchley, 2007 | 33 | Spinal stabilization (SS) | 5: individual transversus abdominis and lumbar multifidus muscle training followed by group exercises that challenged spinal stability | Physio Pain Management | 8 | 8 | 90 | Individual | Individual | individual |
Da Luz, 2019 | 62 | Core stability exercise |
4; prone bridge, supine bridge, side bridge, bird dog with lower limb elevation As the participants progressed throughout the program, the degree of difficulty of the exercises increased |
Core stability exercise combined with neuromuscular electrical stimulation; neuromuscular electrical stimulation only |
4 | 3 | N.A | 10 | N.A | N.A., 60 |
Demirel, 2019 | 34 | Stabilization exercise |
4–5; The TA and multifidus muscles were contracted together with diaphragm respiration appropriately in basic positions (supine, prone, standing, sitting and crawling positions) Progress over the six weeks included different positions, use of resistance bands |
Yoga exercises | 6 | 3 | 60 | N.A | N.A | N.A.; N.A |
Ferreira, 2007 | 35 | Motor control exercise | N.A.: Improving function of specific trunk muscles thought to control inter-segmental movement of the spine, including transversus abdominis, mul- tifidus, the diaphragm and pelvic floor muscles | General exercise Spinal manipulation therapy | 8 | 12 | N.A | N.A | N.A | N.A.; N.A |
Franca, 2012 | 36 | Segmental stabilization exercises (SSEs) | 4: exercises for the TrA in 4 point kneeling, exercises for the TrA in dorsal decubitus with flexed knees, exercises for the LM in ventral decubitus, Cocontraction of the TrA and LM in the upright position | Stretching (ST)—focused on stretching the erector spinae, hamstrings, and triceps surae | 6 | 2 | 30 | 3 | 15 | N.A.; N.A |
Ghorbanpour, 2018 | 57 | McGill stabilization exercises group | 3: Curl up, Side Bridge, Bird Dog with one hand or one foot and one hand and the opposite leg | Conventional physio (strengthening, stretching, flexibility) | 6 | 3 | 30 | 3 | 10 | N.A.; 120 |
Hosseinifar, 2013 | 37 | Spinal stabalization seercise | N.A | McKenzie Method | 6 | 3 | 60 | 10 | N.A | N.A.; N.A |
Hwang, 2013 | 71 | Sensorimotor training | 6: Hollowing exercise, Single leg raising in the quadruped position, contralateral arm and leg raising in the quadruped position, abdominal bracing Holding a bridging position, single leg raising in the bridging position | 2 Group: 1 healthy controls ©, 1 lbp physical therapy (C LBP) | 4 | 5 | 40 | N.A | N.A | N.A.; N.A |
Ibrahim, 2018 | 38 | Motor control exercise | 4–12; Abdominal drawing in in supine, in quadruped, in sitting, in standing, in supine with heel slide, in supine with leg lift (each leg), in supine with bridging, in supine with single-leg bridge, with curl-up, horizontal side support with knees bent, in quadruped with leg raise, etc | Motor control exercise plus patient education; Patient Education only | 6 | 2 | 30 | N.A | 10 | N.A.; N.A |
Inani, 2013 | 63 | Core stability exercies | 4: Slow curl ups, sit ups, oblique plank/side bridge, bird dog | Conventional Exercise | 12 | N.A | N.A | N.A | N.A | N.A.; N.A |
Khodadad, 2019 | 39 | Lumbar Stabilization | 5; Elbow-Toe, Back Bridge, Hand-Knee, Side Bridge, Curl up |
Cognitive functional treatment; Inactive control group |
8 | 3 | 60 | N.A | N.A | N.A.; N.A |
Kim, 2018* | 40 | McGill’s exercise; Sahrmann 0–5 level Exercise | N.A.; curl up, side bridge, and bird dog | No further, both groups SE | 8 | 3 | 30 | N.A | N.A | N.A.; N.A |
Stabilization exercise | N.A.; Pro balance trainer and dynamic air cushion training | No further, both groups SE | 8 | 3 | 30 | N.A | N.A | N.A.; N.A | ||
Kim, 2019 | 41 | Stabilization exercise | 4: supine pelvic lift, supine and prone bridging exercise, and side-lying hip abduction | Simulated horseback riding | 8 | 2 | 30 | N.A | N.A | N.A.; N.A |
Ko, 2018 | 64 | Lumbar stabilization (LS) | 8: sit up, superman, quadruped arm & leg raise, squat, lower body fixation plank, upper body fixation plank, side plank, hip bridge | 2 Groups: Sling, Control | 12 | 3 | 60 min (40 min MCE) | 3 | 10 | 60; 60 |
Kofotolis, 2016 | 42 | Pilates | 16: Roll down, mermaid, spine stretching, pelvic curl, criss-cross, double leg stretch, hundreds, double knee folds, table top, swimming, swan, catstretch, child’s pose, hips stretch | General strengtheing/stabilisation exercise, control | 8 | 3 | 60 | Progressive: 2 (until week 4), then 3 | Progressive: 15 (week 1–2), 20 (w 3–4), 15 (5–6), 20 (7–8) | 120; 30 |
Lee, 2014 | 65 | Ball exercise group | 10: exercises on swiss ball from sitting to bridging | PNF pattern group | 6 | 4 | N.A | 2 | 20 | 15; N.A |
Lee, 2011 | 25 | Core stability exercises | 5: upper body extension in prone position, alternate arm and leg lift in quadruped position, alternate arm and leg lift in prone position, diagonal curl-up and straight curl- up in supine position, quadruped exercises, performed from an all-fours position with the arms and legs extending | Control | 4 | 4 | 20 | N.A | N.A | N.A.; N.A |
Letafatkar, 2017 | 66 | SMT-Perturbation with HUBER machine | 10: upright stance, push and pull with oscillatory perturbative movements of variable amplitude and speed | Control | 5 | 2 | 30–45 | 2–4 | 2–6 | N.A.; 300 |
Liu, 2019 | 43 | Core Stabilization Exercise on Swiss ball | 6: Glute Bridge Pose, Single Leg Bridge, Bridge and Double Knee Flex, Single Leg Bridge and Double Knee Flex, Reverse Bridge, Reverse Bridge and Hip and Knee Flex | Chen-Style Tai Chi | 12 | 3 | 60 | N.A | N.A | N.A.; N.A |
Lomond, 2015 | 58 | Trunk stabilization | N.A.: 3 components of spinal stability | Movement System Impairment (MSI) | 6 | 1 | 45–60 | N.A | N.A | N.A.; N.A |
Macedo, 2012 | 44 | MCE | N.A | Graded activity | 8 | 2 (4 weeks), 1 (4 weeks) | 60 | 1 | 10 | N.A.; N.A |
Marshall, 2013 | 45 | MCE, Pilates | 8: Whole body stretching, Skilled abdominal contractions and postural training, side lying trunk, prone lying trunk, hip specific exercises, upper and lower limb, full body exercises, whole body stretching | Stretching and cycling | 8 | 3 | 55 | N.A | N.A | N.A.; N.A |
Miller, 2013 | 24 | Stabilzing MCE | 10: Phase one: Prone, Supine, Quadruped; Phase two: Supine leg machine, Quadruped -Alternate arm lifts, Alternate leg lifts, standing; Phase three: Quadruped-Alternate arm and leg lifts, Standing with rotation, Bridging | McKenzie | 6 | N.A | 10–15 | 1 | 10–50 | N.A.; N.A |
Moon*, 2013 | 46 | Lumbar stabilization exercises, | 16: aimed to strengthen the deep lumbar stabilizing muscles: the transversus abdominis, lumbar multifidi, and internal obliques | No further, both groups SE | 8 | 2 | 60 (35 min LSE) | 1 | 10 | N.A.; 60 |
Lumbar dynamic strengthening exercises | 14: activated the extensor (erector spinae) and flexor (rectus abdominis) muscle groups | No further, both groups SE | 8 | 2 | 60 (35 min LDSE) | 1 | 10 | N.A.; 60 | ||
Noormohammadpour, 2018 | 47 | Multi-step core stability exercise | 4: 2 on floor; 2 on swiss ball | Waiting list | 8 | 3 | 3 | 10 | N.A.; N.A | |
Rabin, 2014 | 67 | Lumbar stabilization exercise | 4: Quadruped, sidelying, supine, and standing positions | Manual therapy | 8 | Supervised: 2 × first 4 weeks; 1 × week 5–8; | N.A | N.A | N.A | N.A.; N.A |
Rasmussen-Barr, 2003 | 23 | Stabilizing training | 6–8: motor control, supine crooked-lying, four-point kneeling, prone, sitting and standing | Manual therapy | 6 |
1 supervised, 1 homebased |
45 supervised, 10–15 unsupervised | 3 | 15 | N.A.; N.A |
Rasmussen-Barr, 2009 | 26 | Graded stabilizing exercise | 7: supine crooked-lying, four-point kneeling, prone, sitting, standing |
30-min walk every day |
8 |
1 supervised, 1 homebased |
45 supervised, 10–15 unsupervised | 3 | 15 | N.A.; N.A |
Rhee, 2012 | 68 | Specific localized exercises aimed at restoring the stabilizing protective function of the spinal muscles around the spinal joint | 5: Upper-body extension, alternate arm and leg lift, alternate arm and leg extension on all fours, diagonal curl-up, curl-up |
Advice regarding bed rest, absence from work, prescription medications, and resuming normal activity as tolerated |
4 | 5 | N.A | N.A | N.A | N.A.; N.A |
Salamat*, 2017 | 48 | Movement control | N.A.: The aim of the intervention was to normalize the abnormal movement patterns and postures and to relax trunk muscles. Exercises involved training to modify pain provocative postures and movement patterns in order to decrease pain while performing the task | No further, both groups SE | 4 | 2 | 45 | 3 | 15–30 | 60 – 120; 300 |
Stabilization exercise | N.A.: Exercises involved coordinated training and independent activity of deep trunk muscles including transversus abdominis and multifidus in pain-free positions and movements | No further, both groups SE | 4 | 2 | 45 | 3 | 15–30 | 60 – 120; 300 | ||
Seo, 2019 | 49 | Trunk stability exercise | 16: nine movements of mat-based trunk stability exercises and seven movements of Swiss ball trunk stability exercises | Gyrotonic exercise | 4 | 3 | N.A: | N.A | N.A | N.A.; N.A |
Shamsi*, 2017 | 50 | MCE | N.A.: Progressive classic stabilization | No further, both groups SE | 6 | 3 | 20 | N.A | 10 | N.A.; N.A |
Core |
N.A.: Exercises were performed in a lying position starting with simple movements and advancing to more difficult exercises (e.g. on a Swiss ball) |
No further, both groups SE | 6 | 3 | 20 | N.A | 10 | N.A.; N.A | ||
Shaughnessy, 2004 | 51 | Core | 3: Prone lying, kneeling, supine | Standard physiotherapy | 10 |
2 (week 1–2), 1 (week 3–10) |
60 week 1, else 30 | N.A | Max. 10 | N.A.; N.A |
Soundararajan, 2016 | 59 | Multifidus muscle retraining | 8: Bridging, lying prone, quadruple, prone lying, leg extension, sitting, standing, shoulder flexion | Traditional back exercises (strength and stretching) | 6 | 3 | 20 | 1 | 20 | N.A.; 120–240 |
Sung, 2013 | 27 | Core | 5: Knee to chest for each leg in supine position, double leg knee to chest in supine position, prayer stretch on all fours, leaning forward position while sitting, lateral side stretch in standing position | Flexibility | 4 |
1 supervised, 6 homebased |
20 | 2 | 15 | N.A.; N.A |
Ulger, 2017 | 52 | Stabilization | N.A: Increasing intensity and changing exercises once/week | Manipulation | 6 | 3 | 60 | 3 | 10 | N.A.; N.A |
Unsgaard-Tondel, 2010 | 53 | Sling | N.A: Sling | Low-load MCE (feedback) and General exercise | 8 | 1 | 40 | N.A | N.A | N.A.; N.A |
Vikranth, 2015 | 69 | Core stabilization | 8: Week 1: Transversus abdominus activation, transversus abdominus marching, pelvic tilt, segmental bridge; Week 2: Fall out, modified crunch, cat stretch, back extension | MCE (passive) | 2 | 5 | 35 | Week 1: 8; week 2: 15 | 120; N.A | |
Waseem, 2018 | 54 | Core stabilization | 7: Pressure feedback core exercise, multifidus exercise, frontal and side plank exercise, pelvic floor exercises, diaphragmatic strengthening, single leg standing on foam, tandem standing with perturbation | Routine exercise | 6 |
1 supervised, 2 homebased |
N.A | N.A | N.A | N.A.; N.A |
Woo*, 2016 | 55 | Lumbar stabilization exercise | 6: Lower extremity lifting in a bridge posture, lower extremity lift in a prone position on a ball, upper extremity lift in a prone position on a ball, moving the body forward grasping a sling in a kneeling position, lifting the buttocks with the lower extremity hooked on a sling in a supine position; | No further, both groups SE | 4 | N.A | 40 (30 min MCE) |
Group A: 4 Group B: 2 |
10–12 | N.A.; N.A |
Lumbar stabilization exercise with thoracic extension exercise | 10: Lower extremity lifting in a bridge posture, lower extremity lift in a prone position on a ball, upper extremity lift in a prone position on a ball, moving the body forward grasping a sling in a kneeling position, lifting the buttocks with the lower extremity hooked on a sling in a supine position; plus thoracic extension exercise | No further, both groups SE | 4 | N.A | 40 (30 min MCE) |
Group A: 4 Group B: 2 |
10–12 | N.A.; N.A | ||
Young, 2015 | 70 | Swiss ball stabilization | N.A | PNF | 6 | 3 | 50 | N.A | N.A | N.A.; N.A |
All interventions and the respective comparators are described. exercises, stabilisation exercise; N.A., not applicable.
*Both groups were included into quantitative analysis (meta-regression).