Core muscle functional strength training for reducing the risk of low back pain in military recruits: An open-label randomized controlled trial |
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| Affiliation: | 1. School of Traditional Chinese Medicine, Naval Medical University, Shanghai 200433, China;2. Department of Rehabilitation, Changhai Hospital, Naval Medical University, Shanghai 200433, China;3. School of Mechanical Engineering, University of Shanghai for Science and Technology, Shanghai 200093, China;1. Department of Biomedical Engineering, Southwest State University, Kursk 305040, Russian Federation;2. Electrical Energy Department, Balqa Applied University, Amman 11937, Jordan;3. Civil Engineering Department, Zarqa University, Zarqa Governorate 13222, Jordan;4. Saint-Petersburg National Research University of Information Technologies, Mechanics and Optics, Saint-Petersburg 197101, Russian Federation;5. Pediatric Faculty, Kursk State Medical University, Kursk 305041, Russian Federation;1. Hakim Ajmal Khan Institute for Literary and Historical Research in Unani Medicine, Central Council for Research in Unani Medicine, Jamia Millia Islamia Campus, New Delhi 110025, India;2. Department of Ilaj bit Tadbeer, School of Unani Medical Education and Research, Jamia Hamdard, New Delhi 110062, India;1. Department of General Practice, Changhai Hospital, Naval Medical University, Shanghai 200433, China;2. Department of General Practice, Changhai Hongkou Hospital, Shanghai 200081, China;3. Department of Special Clinic, Changhai Hospital, Naval Medical University, Shanghai 200433, China;4. Shanghai Institute of Biochemical and Cell Biology, Chinese Academy of Sciences, Shanghai 200031, China;5. Department of Nursing, Shidong Hospital, University of Shanghai for Science and Technology, Shanghai 200438, China;6. Department of Respiratory and Critical Care Medicine, Changhai Hospital, Naval Medical University, Shanghai 200433, China;1. Institute of Chemistry, São Paulo State University, Araraquara, São Paulo 14800-060, Brazil;2. Educational Foundation of the City of Assis, Assis, São Paulo 19807-130, Brazil;3. Department of Chemistry, School of Sciences, São Paulo State University, Bauru, São Paulo 17033-360, Brazil;4. Department of Biotechnology, School of Sciences, Humanities and Languages, São Paulo State University, Assis, São Paulo 19806-900, Brazil;1. Department of Radiology, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China;2. Department of Acupuncture & Moxibustion, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China |
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| Abstract: | BackgroundCore muscle functional strength training (CMFST) has been reported to reduce injuries to the lower extremity. However, no study has confirmed whether CMFST can reduce the risk of low back pain (LBP).ObjectiveThis study identified the effects of CMFST on the incidence of LBP in military recruits.Design, setting, participants and interventionWe performed a prospective, open-label, randomized, controlled study in a population of young healthy male naval recruits from a Chinese basic combat training program. Participants were randomly assigned to either the core group or the control group. In additional to normal basic combat training, recruits in the core group underwent a CMFST program for 12 weeks, while recruits in the control group received no extra training.Main outcome measuresAt the beginning of the study and at the 12th week, the number of participants with LBP was counted, and lumbar muscle endurance was measured. In addition, when participants complained of LBP, they were assessed using the visual analog scale (VAS) and Roland Morris Disability Questionnaire (RMDQ).ResultsA total of 588 participants were included in the final analysis (295 in the core group and 293 in the control group). The incidence of LBP in the control group was about twice that of the core group over the 12-week study (20.8% vs 10.8%, odds ratio: 2.161–2.159, P < 0.001). The core group had better lumbar muscle endurance at 12 weeks than the control group ([200.80 ± 92.98] s vs [147.00 ± 84.51] s, P < 0.01). There was no significant difference in VAS score between groups, but the core group had a significantly lower RMDQ score at week 12 than the control group (3.33 ± 0.58 vs 5.47 ± 4.41, P < 0.05).ConclusionThis study demonstrated that the CMFST effectively reduced the incidence of LBP, improved lumbar muscle endurance, and relieved the dysfunction of LBP during basic military training. |
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| Keywords: | Low back pain Core exercise Recruits Randomized controlled trial |
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