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Maria Moussouli, Symeon P. Vlachopoulos, Nikolaos D. Kofotolis, Yannis Theodorakis, Paraskevi Malliou and Eleftherios Kellis


The study examined the effects of a 4-week intensive isometric and isotonic stabilization exercise program on dimensions of health-related quality of life (HRQL) in women with chronic low back pain (CLBP).


A total of 39 women (27–72 years old) provided data in an experimental study with a 9-month follow-up. Random allocation was undertaken for the two treatment groups out of the 3 groups: isometric stabilization (n = 13), isotonic stabilization (n = 13), and a control group (n = 13) that did not participate in any form of exercise. Health-related quality of life measures using the Short-Form 36 Health Survey were assessed before program initiation, immediately after program termination, and 4 times postintervention for a period of 9 months.


The isometric stabilization group displayed large improvements in bodily pain and vitality for women with CLBP attending a 4-week intensive isometric stabilization exercise program. The effects were retained for a period of 9 months after program termination.


Isometric stabilization exercises reduce pain and enhance vitality as dimensions of HRQL among women with chronic low back pain with such effects lasting for at least 9 months.

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Yuko Hashimoto, Ko Matsudaira, Susumu S. Sawada, Yuko Gando, Ryoko Kawakami, Chihiro Kinugawa, Takashi Okamoto, Koji Tsukamoto, Motohiko Miyachi, Hisashi Naito and Steven N. Blair

the present study, Ryan et al 14 reported that individuals with chronic low back pain walked fewer steps per day and walked for shorter periods of time than individuals without chronic low back pain. A systematic review by Lin et al 9 also revealed that patients with chronic low back pain with a

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of Stabilization Exercises on Health-Related Quality of Life in Women With Chronic Low Back Pain Maria Moussouli * Symeon P. Vlachopoulos * Nikolaos D. Kofotolis * Yannis Theodorakis * Paraskevi Malliou * Eleftherios Kellis * 9 2014 11 11 7 7 1295 1295 1303 1303 10.1123/jpah.2012

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Melissa E. Hay and Denise M. Connelly

et al., 2019 ; Iversen, Fossel, & Katz, 2003 ). A review by Rainville et al. ( 2004 ) reported reduced pain intensity; improved attitudes, beliefs, and affect; and enhanced flexibility, strength, and endurance with exercise in older adults with chronic low back pain. However, daily exercise has been

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Hosam Alzahrani, Sonia W.M. Cheng, Debra Shirley, Martin Mackey and Emmanuel Stamatakis

, Marinovic A , Hortense P . Chronic low back pain: pain intensity, disability and quality of life . Acta Paulista de Enfermagem . 2013 ; 26 ( 1 ): 14 – 20 . doi:10.1590/S0103-21002013000100004 10.1590/S0103-21002013000100004 11. Centers for Disease Control Prevention . Measuring Healthy Days

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Ítalo Ribeiro Lemes, Xuemei Sui, Stacy L. Fritz, Paul F. Beattie, Carl J. Lavie, Bruna Camilo Turi-Lynch and Steven N. Blair

: 23155222 doi:10.1136/annrheumdis-2012-202075 23155222 10.1136/annrheumdis-2012-202075 20. Duque IL , Parra JH , Duvallet A . Aerobic fitness and limiting factors of maximal performance in chronic low back pain patients . J Back Musculoskelet Rehabil . 2009 ; 22 ( 2 ): 113 – 119 . PubMed ID

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Robert J. Kowalsky, Sophy J. Perdomo, John M. Taormina, Christopher E. Kline, Andrea L. Hergenroeder, Jeffrey R. Balzer, John M. Jakicic and Bethany Barone Gibbs

-stand workstation on chronic low back pain: results of a randomized trial . J Occup Environ Med . 2016 ; 58 ( 3 ): 287 – 293 . doi:10.1097/JOM.0000000000000615 26735316 10.1097/JOM.0000000000000615 19. Shen J , Barbera J , Shapiro CM . Distinguishing sleepiness and fatigue: focus on definition and

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Aurora de Fátima G.C. Mafra Cabral, Marcelo Medeiros Pinheiro, Charlles H.M. Castro, Marco Túlio De Mello, Sérgio Tufik and Vera Lúcia Szejnfeld

.G. , Vollenbroek-Hutten , M.M. , & Hermens , H.J. ( 2011 ). The relationship between objectively and subjectively measured activity levels in people with chronic low back pain . Clinical Rehabilitation, 25 ( 3 ), 256 – 263 . PubMed doi:10.1177/0269215510380828 10.1177/0269215510380828 Warren , J

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Megan Colletto and Nancy Rodriguez

program on pain, functional disability and spinal flexibility in chronic low back pain: A randomized control study . Journal of Alternative and Complementary Medicine , 14 ( 6 ), 637 – 644 . PubMed doi:10.1089/acm.2007.0815 10.1089/acm.2007.0815 Timmerman , K.L. , Dhanani , S. , Glynn , E

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Ece Acar, Tamer Çankaya and Serkan Öner

.245 Wallwork , T.L. , Stanton , W.R. , Freke , M. , & Hides , J.A. ( 2009 ). The effect of chronic low back pain on size and contraction of the lumbar multifidus muscle . Manual Therapy, 14 ( 5 ), 496 – 500 . PubMed ID: 19027343 doi:10.1016/j.math.2008.09.006 10.1016/j.math.2008.09.006 Watanabe