Context: A simulated horseback riding (SHR) exercise is effective for improvement of pain and functional disability, but its comparative effectiveness with the other is unknown. Objective: The authors aimed to demonstrate the effect of a SHR exercise in people with chronic low back pain. Design: A randomized controlled trial. Settings: Community and university campus. Participants: A total of 48 participants with chronic low back pain were divided into 2 groups, and SHR exercises (n = 24) or stabilization (STB) exercises (n = 24) were performed. Interventions: The exercises were performed for 30 minutes, 2 days per week for 8 weeks. Main Outcome Measures: Numeric rating scale, functional disabilities (Oswestry disability index and Roland–Morris disability), and fear-avoidance beliefs questionnaire (FABQ) scores were measured at baseline and at 4 weeks, 8 weeks, and 6 months. Results: A 2-way repeated analysis of variance identified that between-group comparisons showed significant differences in the FABQ related to work scale (F = 21.422; P = .01). There were no significant differences in the numeric rating scale (F = 1.696; P = .21), Oswestry disability index (F = 1.848; P = .20), Roland–Morris disability (F = 0.069; P = .80), and FABQ related to physical scale (F = 1.579; P = .24). In within-group comparisons, both groups presented significant differences in numeric rating scale (both SHR and STB after 4 wk), Oswestry disability index (both SHR and STB after 6 mo), and Roland–Morris disability (SHR after 6 mo and STB after 8 wk) compared with baseline values. In FABQ-related physical (SHR after 4 wk) and work scales (SHR after 6 mo), there were only significant differences in the SHR compared with baseline values. Conclusions: SHR exercise for 8 weeks had a greater effect than STB exercise for reducing work-related FABQ. The SHR exercise performed in a seated position could substantially decrease pain-related fear disability in young adults with chronic low back pain.
TaeYeong Kim, JaeHyuk Lee, SeJun Oh, Seungmin Kim and BumChul Yoon
Cristiane B.B. Antonelli, Charlini S. Hartz, Sileno da Silva Santos and Marlene A. Moreno
core muscle fatigue during high-intensity running exercise and its limitation to performance: the role of respiratory work . J Sports Sci Med . 2014 ; 13 : 244 – 251 . PubMed ID: 24790475 24790475 26. Brilla LR , Kauffman TH . Effect of inspiratory muscle training and core exercise training on
Andrea Biscarini, Samuele Contemori and Giuditta Grolla
anthropometric value of the mean distance between the hip joints in men of 185-cm height. The WWB has also been designed to allow easy replacement of crescent-shaped blocks with different radius of curvature r , enabling a progression of core exercise with increasing degree of instability. Selected Exercises