Core stabilization versus conventional exercises in patients with chronic low back pain : A systematic review
DOI:
https://doi.org/10.62827/fb.v27i6.1219Keywords:
Lower Back Pain; Abdominal Core; Exercise Therapy; Physiotherapy.Abstract
Introduction: Chronic non-specific low back pain is a leading cause of global disability. While active exercise is recommended, the superiority of core stabilization over other interventions remains debated. Objective: To compare the effects of core stabilization training versus other exercise modalities on pain and functional outcomes in adults with chronic low back pain. Methods: Systematic review with meta-analysis. Databases were searched for randomized and semi-randomized clinical trials, and studies were screened by abstract and full text. For quantitative analysis, a random-effects model was used to calculate mean differences (MD). Risk of bias was assessed using the Risk of Bias 2 tool, and the certainty of evidence was analyzed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system. Results: Six RCTs were analyzed (345 participants). Core stabilization significantly reduced pain intensity compared to control groups (MD = -0.78; 95% CI: -1.20 to -0.36; p < 0.001) and significantly improved functional performance (p = 0.01). Conclusion: Core stabilization is a safe, low-cost strategy and is likely superior to routine physiotherapy or conventional training for chronic low back pain management.
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Copyright (c) 2026 Marcelo Félix Pereira , Isabela Cônsoli Coelho, Lucas Santos de Barros Moreira, Paula Meira Ferraz, Laura Ceccon Barazzetti (Autor)
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