Effect of Core Stability Exercises on Pain and Quality of Life in Non Specific Low Back Pain

Most publications state that core stability exercises (transverse abdominis and multifidus training) can relieve chronic low back pain with or without radiculopathy and improve function, although only temporarily, and may have the same impact as active general exercise so The goal of this study is to detect the effect of retraining the deep core muscles, on pain, disability, and quality of life in patients with chronic Non specific low back pain.

The goal of this study is to detect the effect of retraining the deep core muscles, on pain, disability, and quality of life in patients with chronic Non specific low back pain This study is delimited to the following aspects: Fifty, patients of only females with chronic non specific low back pain more than 3 months. The age will range from 22 to 45 years. The treatment will conduct to three session per week for four weeks . The selected patients will assigned randomly to two equal groups: 1- Group1 (intervention), will do the selected treatment that include electrical stimulation in addition to Core stability exercises program. 2- Group2(control), will do the conventional treatment only.

The treatment group will engage in transcutaneous electrical stimulation (TENS) and core stability exercises for three sessions each week for four weeks.

The transcutaneous electrical stimulation nerve stimulation will be administered to the control group just for three sessions each week for four weeks.

core stability exercises and transcutaneous electrical nerve stimulation for four week three session per week

We will use the Arabic version of world health organization's quality of life (Arabic_WHOQOL-BREF) questionnaire and higher score means better outcome

Inclusion Criteria: gender is women age ranges from 22 to45 years old chronic non specific low back pain for at least 3 month pain score will between 3 to 6 on visual analogue scale Exclusion Criteria: Any deformity of the spine Red flags including serious pathology Systemic or inflammatory disease sever osteoporosis history of tumor or cancer spine infection history of spine or pelvis surgery or fracture cauda equina syndrome progressive neurological deficit severe instability sever cardio vascular or metabolic disease history of psychological disease anatomical and congenital disturbance continuous pain more than 8 on (visual analogue scale)