Background: Strengthening of core muscles has a key role in the physical therapy management of mechanical back pain and current study was designed to compare two types of core muscles strengthening exercises, including forced closure and core stability.
Objective: The objective of the study is to compare the effectiveness of forced closure and core stability exercises for the strengthening of core muscles in patient with mechanical back pain.
Methodology: This Randomized control trial (RCT) was conducted in department Rehabilitation Fauji foundation hospital, Rawalpindi from July 2014 to January 2015. A total 30 patients with mechanical low back pain were selected and placed into two groups i.e. group A and B. Group A were treated with forced closure exercises, while group B with core stability exercises for 6 weeks at 5 days per week. Visual analogue scale (VAS) and function on Oswestry Disability questionnaire (ODQ) were used as assessment toll and measured at baseline and at completion of 6 weeks intervention.
Results: Results showed that clinically both exercise regimes improve pain and function, but the patient in group A improve pain (mean VAS score from 3.73 to 1.47) and function (mean ODQ score from 48% to 22%) more than patients in group B with (mean VAS score from 3.67 to 2.73 and mean ODQ score from 43% to 36%). Statistically result of patients treated with force closure exercises were more significant (p value for pain and ODQ score =0.000, and p-value for ODQ 0.000) than group of patient treated with core stability exercises (p value for pain= 0.002, and p-value for ODQ score 0.003).
Conclusion: It is concluded that the forced closure exercises improves pain and function more than core stability exercises along with routine physical therapy management in patient with mechanical low back pain.
Abdominal Strengthening Exercises, Core Stability Exercise, Forced Closure Stability Exercises, Low Back Pain