Amaç: Bu çalışmada, kronik nonspesifik bel ağrısı (KBA) olan hastalarda lomber stabilizasyon egzersizlerinin hastaların fonksiyonel durumu, bel ağrısı, kalça çevresi kas gücü ve kor enduransı üzerine etkinliğinin araştırılması amaçlanmıştır. Gereç ve Yöntemler: Çalışmamıza nonspesifik KBA’sı olan 26 hasta dâhil edildi. Hastalara 3 hafta fizyoterapist eşliğinde sonrasında 5 hafta ev programı şeklinde toplam 8 hafta boyunca lomber stabilizasyon egzersizi uygulandı. Hastalar başlangıçta, 3 hafta sonra ve 8 hafta sonra değerlendirildi. Ağrı için görsel analog skala [visual analog scale (VAS)], engellilik için Roland Morris Yetersizlik Anketi (RM) ve Oswestry Yetersizlik Anketi [Oswestry Disability Index (ODI)] kullanıldı. Transversus abdominis (TA) aktivasyonunu değerlendirmek için yüzüstü TA testi, kor kas gücünü değerlendirmek için bacak indirme testi uygulandı. Kor enduransı, fleksör dayanıklılık testi, lateral musküler test, supin bridge test ve prone bridge test ile değerlendirildi. Kalça çevresi kas gücü, MicroFET3 manuel kas dinamometresi ile değerlendirildi. Bulgular: Tedavi sonrası VAS hareket ve VAS istirahat skorları başlangıca göre anlamlı düzeyde azaldı. Oswestry Yetersizlik Anketi ve Roland Morris Yetersizlik Anketinde 8. haftadaki iyileşme başlangıca göre anlamlı bulundu. TA aktivasyonunda, leg lowering testinde ve kor dayanıklılık testi sürelerinde 8. hafta sonunda başlangıca göre anlamlı artış saptandı. Sol kalça dış rotator ve sağ kalça iç rotator kas gücü hariç kalça çevresi kas gücü değerleri; 8. hafta skorlarında başlangıca göre anlamlı artış saptandı. Sonuç: Lomber stabilizasyon egzersizlerinin kronik nonspesifik bel ağrısında ağrı ve fonksiyonellik üzerine etkili bir tedavi yöntemi olduğu akılda tutulmalıdır. Ayrıca kor dayanıklılığında iyileşme ve kalça çevresi kas gücünde de artış sağlamaktadır.

Objective: In this study, we aimed to investigate the efficacy of core stabilization exercises on functional disability, pain, hip muscle strength, and core stability in patients with chronic nonspecific low back pain (LBP). Material and Methods: A total of 26 individuals with chronic nonspecific LBP were enrolled in this study. The patients performed lumbar stabilization exercises for three weeks with a physiotherapist and five weeks as a home program. Assessments were made at pre-treatment, at week 3, and at week 8. Outcome measures were functional status [Roland Morris Disability Questionnaire (RM) and Oswestry Disability Index (ODI)], pain visual analog scale (VAS), transversus abdominis (TA) activation (prone TA test), core muscle strength and endurance (leg lowering test, prone bridge test, and supine bridge test, lateral muscular test and flexor endurance test), hip muscle strength (MicroFET3 manual dynamometer). Results: Following treatment, there was a significant improvement in VAS movement, VAS resting, ODI and RM scores, TA activation, leg lowering test, and core endurance test times compared to baseline. Hip muscle strength improved in all directions except left external and right internal rotation. Conclusion: It should be noted that lumbar stabilization exercises are effective treatment methods for patients with chronic nonspecific LBP. These exercises improve functionality, core endurance, and increase hip muscles strength.

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