Evidence map›Paper›PMID 21120303›Full record

Trial reportClinics (Sao Paulo, Brazil)2010

Segmental stabilization and muscular strengthening in chronic low back pain: a comparative study.

Fábio Renovato França, Thomaz Nogueira Burke, Erica Sato Hanada, Amélia Pasqual Marques

3 registry-linked trialsAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Clinics (Sao Paulo, Brazil), 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 63 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 7 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02853357 nacompletednot on this mapstarted 2016, after this paper: background citation

Short-term Effects of Thoracic Spine Thrust Manipulation for Individuals With Low Back Pain: A Randomized Control Trial

TypeinterventionalSponsorUniversity of MichiganRan2016 to 2018Enrolled101ConditionsLow Back PainArmsManipulation, Sham Manipulation, Core Strengthening Exercises
NCT04156776 nacompletednot on this mapstarted 2018, after this paper: background citation

Comparison Of Muscle Energy Technique And Active Isolated Stretching On Erector Spinae Muscle In The Management Of Mechanical Low Back Pain

TypeinterventionalSponsorRiphah International UniversityRan2018 to 2019Enrolled57ConditionsMechanical Low Back PainArmsMuscle Energy Technique, Active Isolated Stretching, Conventional Treatment
NCT07760103 narecruitingnot on this mapstarted 2026, after this paper: background citation

Comparison of the Effects of Core Endurance Exercises and Segmental Stabilization Exercises on Low Back Pain and Core Endurance in Recreational Athletes With Non-Specific Low Back Pain: A Randomized Trial

TypeinterventionalSponsorUskudar UniversityRan2026 to 2026Enrolled60ConditionsLow Back Pain, Athletic InjuriesArmsCore endurance exercise program, Segmental stabilization exercise program
3 · Its place in the literature

Who cites it

63 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Pooled it
  2. Exercise therapy for chronic low back pain.The Cochrane database of systematic reviews · 2021
    Pooled it
  3. Motor control exercise for acute non-specific low back pain.The Cochrane database of systematic reviews · 2016
    Pooled it
  4. Motor control exercise for chronic non-specific low-back pain.The Cochrane database of systematic reviews · 2016
    Pooled it
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  17. Spine stabilisation exercises in the treatment of chronic low back pain: a good clinical outcome is not associated with improved abdominal muscle function.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2012
    Trial
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3 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Fábio Renovato FrançaDepartment of Physical Therapy, Communication Science & Disorders, Occupational Therapy, Faculdade de Medicina, Universidade de São Paulo. fabiojrf@usp.br
Thomaz Nogueira Burke
Erica Sato Hanada
Amélia Pasqual Marques

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo contrast the efficacy of two exercise programs, segmental stabilization and strengthening of abdominal and trunk muscles, on pain, functional disability, and activation of the transversus abdominis muscle (TrA), in individuals with chronic low back pain.

designOur sample consisted of 30 individuals, randomly assigned to one of two treatment groups: segmental stabilization, where exercises focused on the TrA and lumbar multifidus muscles, and superficial strengthening, where exercises focused on the rectus abdominis, abdominus obliquus internus, abdominus obliquus externus, and erector spinae. Groups were examined to discovere whether the exercises created contrasts regarding pain (visual analogical scale and McGill pain questionnaire), functional disability (Oswestry disability questionnaire), and TrA muscle activation capacity (Pressure Biofeedback Unit = PBU). The program lasted 6 weeks, and 30-minute sessions occurred twice a week. Analysis of variance was used for inter- and intra-group comparisons. The significance level was established at 5%.

resultsAs compared to baseline, both treatments were effective in relieving pain and improving disability (p < 0.001). Those in the segmental stabilization group had significant gains for all variables when compared to the ST group (p < 0.001), including TrA activation, where relative gains were 48.3% and -5.1%, respectively.

conclusionBoth techniques lessened pain and reduced disability. Segmental stabilization is superior to superficial strengthening for all variables. Superficial strengthening does not improve TrA activation capacity.

Indexed as

Activities of Daily LivingAbdominal MusclesAdultAnalysis of VarianceExercise TherapyFemaleHumansLow Back PainMaleManipulation, SpinalMuscle StrengthPain Measurement

Identifiers

PMID21120303
PMCPMC2972594

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.