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. 2020 Oct 9;10:16921. doi: 10.1038/s41598-020-73954-9

Table 4.

Individual studies’ training specifications.

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).