Effects of Core Stability Training on Muscle Physiology among Adults with Low Back Pain


  • Lin Pipeng Centre of Physiotherapy, Faculty of Health Sciences, Universiti Teknologi MARA, Malaysia
  • Zarina Zahari Advanced Rehabilitation Engineering in Diagnostic and Monitoring Research Group(AREDiM), Electrical Engineering Studies, College of Engineering, Universiti Teknologi MARA, Malaysia
  • Azliyana Azizan Clinical and Rehabilitation Exercise Research Group, Faculty of Health Sciences, Universiti Teknologi MARA, Malaysia
  • Yang Yajun Sports Rehabilitation Department, Faculty of Physical Education, Minzu Normal University of Xingyi, China




Core Stability Training, Muscle Physiology, Low Back Pain


Background: The effects of core stability training (CST) on muscle physiology in adults with chronic low back pain(CLBP) are still debatable. Objectives:  To explore the effects of CST on muscle physiology in adults with CLBP. Methods: Eligible studies published in English from inception to October 2023 were extracted from PubMed, Web of Science, and Scopus in this review. Pedro was used for scoring and followed the PRISMA guidelines. Findings: Core muscle strength (1 study), thickness (4 studies), and activation (6 studies) favored CST. Conclusion: CST was more effective in improving core muscle strength, and activation for patients with CLBP.


Amiri, F., Mohsen Roostayi, M., Naimi, S. S., & Akbarzadeh Baghban, A. (2022). Stabilization Exercises versus Flexi-Bar Exercises in Chronic Non-Specific Low Back Pain: Pain, Disability, Back Muscles Endurance. A Randomized Controlled Trial. Muscle Ligaments and Tendons Journal, 12(04), 604. DOI: https://doi.org/10.32098/mltj.04.2022.17

Areeudomwong, P., & Buttagat, V. (2019). Comparison of Core Stabilisation Exercise and Proprioceptive Neuromuscular Facilitation Training on Pain-related and Neuromuscular Response Outcomes for Chronic Low Back Pain: A Randomised Controlled Trial. The Malaysian Journal of Medical Sciences : MJMS, 26(6), 77–89. DOI: https://doi.org/10.21315/mjms2019.26.6.8

Czaprowski, D., Stoliński, Ł., Tyrakowski, M., Kozinoga, M., & Kotwicki, T. (2018). Non-structural misalignments of body posture in the sagittal plane. Scoliosis and Spinal Disorders, 13(1). DOI: https://doi.org/10.1186/s13013-018-0151-5

Ferreira, M. L., Katie de Luca, Haile, L. M., Steinmetz, J. D., Culbreth, G. T., Cross, M., Kopec, J. A., Ferreira, P. H., Blyth, F. M., Buchbinder, R., Hartvigsen, J., Wu, A.- M., Saeid Safiri, Woolf, A., Collins, G. S., Ong, K. L., Stein Emil Vollset, Smith, A. E., Cruz, J. A., & Kai Glenn Fukutaki. (2023). Global, regional, and national burden of low back pain, 1990–2020, its attributable risk factors, and projections to 2050: a systematic analysis of the Global Burden of Disease Study 2021. The Lancet Rheumatology, 5(6), e316–e329. DOI: https://doi.org/10.2139/ssrn.4318392

Frizziero, A., Pellizzon, G., Vittadini, F., Bigliardi, D., & Costantino, C. (2021). Efficacy of Core Stability in Non-Specific Chronic Low Back Pain. Journal of Functional Morphology and Kinesiology, 6(2), 37. DOI: https://doi.org/10.3390/jfmk6020037

Georgios Kakavas, Giannakopoulos, I., Αθανάσιος Τσιόκανος, Potoupnis, M., & Panagiotis Tsaklis. (2023). The Effect of Ball Heading and Subclinical Concussion On the Neuromuscular Control Of The Lower Limb: A Systematic Review. The International Journal of Sports Physical Therapy, 18(5). DOI: https://doi.org/10.26603/001c.87922

Ghafouri, M., Ghasemi, E., Rostami, M., Mahtab Rouhifard, Rezaei, N., Nasserinejad, M., Khashayar Danandeh, Amin Nakhostin-Ansari, Ghanbari, A., Alireza Borghei, Amiri, A., Azin Teymourzadeh, Taylor, J. B., Moghadam, N., & Ramin Kordi. (2023). The quality of care index for low back pain: a systematic analysis of the global burden of disease study 1990–2017. Archives of Public Health, 81(1). DOI: https://doi.org/10.1186/s13690-023-01183-3

Ghamkhar, L., & Kahlaee, A. H. (2019). The effect of trunk muscle fatigue on postural control of upright stance: A systematic review. Gait & Posture, 72, 167–174. DOI: https://doi.org/10.1016/j.gaitpost.2019.06.010

Hayden, J. A., Wilson, M. N., Stewart, S., Cartwright, J. L., Smith, A. O., Riley, R. D., van Tulder, M., Bendix, T., Cecchi, F., Costa, L. O. P., Dufour, N., Ferreira, M. L., Foster, N. E., Gudavalli, M. R., Hartvigsen, J., Helmhout, P., Kool, J., Koumantakis, G. A., Kovacs, F. M., & Kuukkanen, T. (2020). Exercise treatment effect modifiers in persistent low back pain: an individual participant data meta-analysis of 3514 participants from 27 randomised controlled trials. British Journal of Sports Medicine, 54(21), 1277–1278. DOI: https://doi.org/10.1136/bjsports-2019-101205

Hemming, R., Sheeran, L., van Deursen, R., & Sparkes, V. (2019). Investigating differences in trunk muscle activity in non-specific chronic low back pain subgroups and no-low back pain controls during functional tasks: a case-control study. BMC Musculoskeletal Disorders, 20(1). DOI: https://doi.org/10.1186/s12891-019-2843-2

Kamel, E., Abdelmajeed, S., El Khozamy, H., & Hassan, K. (2021). Trunk and hip muscles activation patterns in subjects with and without chronic low back pain: a systematic review. Physiotherapy Quarterly, 29(2), 79–88. DOI: https://doi.org/10.5114/pq.2020.100280

Khodadad, B., Letafatkar, A., Hadadnezhad, M., & Shojaedin, S. (2019). Comparing the Effectiveness of Cognitive Functional Treatment and Lumbar Stabilization Treatment on Pain and Movement Control in Patients With Low Back Pain. Sports Health, 12(3), 289–295. DOI: https://doi.org/10.1177/1941738119886854

Kwon, S. H., Oh, S. J., & Kim, D. H. (2019). The effects of lumbar stabilization exercise on transversus abdominis muscle activation capacity and function in low back pain patients. Isokinetics and Exercise Science, 28(2), 1–6. DOI: https://doi.org/10.3233/IES-182127

Mohamad Chan, E. W., Md Nadzalan, A., Othman, Z., Hafiz, E., & A. Hamid, M. S. (2020). The Short-Term Effects of Progressive vs. Conventional Core Stability Exercise in Rehabilitation of Nonspecific Chronic Low Back Pain. Sains Malaysiana, 49(10), 2527–2537. DOI: https://doi.org/10.17576/jsm-2020-4910-18

Mohammadi, V., Letafatkar, A., Amir, A., & Jafarnezhadgero. (2023). Number 1. Physical Treatments. PTJ, 13(1), 55–66. DOI: https://doi.org/10.32598/ptj.13.1.551.1

Owen, P. J., Miller, C. T., Mundell, N. L., Verswijveren, S. J., Tagliaferri, S. D., Brisby, H., Bowe, S. J., & Belavy, D. L. (2019). Which specific modes of exercise training are most effective for treating low back pain? Network meta-analysis. British Journal of Sports Medicine, 54(21), 1279–1287. DOI: https://doi.org/10.1136/bjsports-2019-100886

Paez, A. (2017). Gray literature: an Important Resource in Systematic Reviews. Journal of Evidence-Based Medicine, 10(3), 233–240. DOI: https://doi.org/10.1111/jebm.12266

Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., & McGuinness, L. A. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Systematic Reviews, 10(1). DOI: https://doi.org/10.1186/s13643-021-01626-4

Rique, P., Gomes, S. R. A., Costa, L. D. O., Liguori, L., L C C Bulhões, & Brasileiro, J. S. (2022). Core stabilisation exercises reduce chronic low back pain in Air Force fighter pilots: a randomised controlled trial. PubMed, e002005–e002005.

Salik Sengul, Y., Yilmaz, A., Kirmizi, M., Kahraman, T., & Kalemci, O. (2021). Effects of stabilization exercises on disability, pain and core stability in patients with non-specific low back pain: A randomized controlled trial. Work, 70(1), 1–9. DOI: https://doi.org/10.3233/WOR-213557

Stochkendahl, M. J., Kjaer, P., Hartvigsen, J., Kongsted, A., Aaboe, J., Andersen, M., Andersen, M. Ø., Fournier, G., Højgaard, B., Jensen, M. B., Jensen, L. D., Karbo,

T., Kirkeskov, L., Melbye, M., Morsel-Carlsen, L., Nordsteen, J., Palsson, T. S., Rasti, Z., Silbye, P. F., & Steiness, M. Z. (2017). National Clinical Guidelines for non-surgical treatment of patients with recent onset low back pain or lumbar radiculopathy. European Spine Journal, 27(1), 60–75. DOI: https://doi.org/10.1007/s00586-017-5099-2

Ulger, O., Oz, M., & Ozel Asliyuce, Y. (2023). The Effects of Yoga and Stabilization Exercises in Patients With Chronic Low Back Pain: A Randomized Crossover Study. Holistic Nursing Practice, 37(4), E59. DOI: https://doi.org/10.1097/HNP.0000000000000593

Wang, H., Zheng, J., Fan, Z., Luo, Z., Wu, Y., Cheng, X., Yang, J., Zhang, S., Yu, Q., Lo, W. L. A., & Wang, C. (2022). Impaired static postural control correlates to the contraction ability of trunk muscle in young adults with chronic non-specific low back pain: A cross-sectional study. Gait & Posture, 92, 44–50. DOI: https://doi.org/10.1016/j.gaitpost.2021.11.021




How to Cite

Pipeng, L., Zahari , Z., Azizan, A., & Yajun, Y. (2024). Effects of Core Stability Training on Muscle Physiology among Adults with Low Back Pain. Environment-Behaviour Proceedings Journal, 9(27), 329–341. https://doi.org/10.21834/e-bpj.v9i27.5717

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