Effects of Core Stability Exercise on Functional Performance 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 Exercise, Functional Performance, Low Back Pain


The influence of Core Stability Exercise (CSE) on functional performance in adults with Chronic Low Back Pain (CLBP) is a debated topic. This study aimed to explore CSE effects on functional performance in this demographic. English-language studies until October 2023 were systematically gathered from Web of Science, Scopus, and PubMed, with PEDro scoring and adherence to PRISMA guidelines. Notably, CSE showed superiority over passive therapy in enhancing proprioception, as supported by one study. In conclusion, while CSE demonstrates proficiency in improving proprioception, its effects on aspects like pain, balance, motor control, functionality, metabolic capacity, and postural sway in CLBP vary.


Alkhathami, K., Alshehre, Y., Brizzolara, K., Weber, M., & Wang-Price, S. (2023). Effectiveness of Spinal Stabilization Exercises on Movement Performance in Adults with Chronic Low Back Pain. International Journal of Sports Physical Therapy, 18(1), 169-172. https://doi.org/10.26603/001c.68024 DOI: https://doi.org/10.26603/001c.68024

Alshehre, Y. M., Alkhathami, K., Brizzolara, K., Weber, M., & Wang-Price, S. (2023). Effectiveness of Spinal Stabilization Exercises on Dynamic Balance in Adults with Chronic Low Back Pain. International Journal of Sports Physical Therapy, 18(1), 173-187. https://doi.org/10.26603/001c.68075 DOI: https://doi.org/10.26603/001c.68075

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. https://doi.org/10.21315/mjms2019.26.6.8 DOI: https://doi.org/10.21315/mjms2019.26.6.8

Berenshteyn, Y., Gibson, K., Hackett, G. C., Trem, A. B., & Wilhelm, M. (2018). Is standing balance altered in individuals with chronic low back pain? A systematic review. Disability and Rehabilitation, 41(13), 1514–1523. https://doi.org/10.1080/09638288.2018.1433240 DOI: https://doi.org/10.1080/09638288.2018.1433240

Butera, K. A., Fox, E. J., Bishop, M. D., Coombes, S. A., Beneciuk, J. M., & George, S. Z. (2022). Low Risk for Persistent Back Pain Disability Is Characterized by Lower Pain Sensitivity and Higher Physical Performance. Physical Therapy, 102, 1–9. https://doi.org/10.1093/ptj/pzab283 DOI: https://doi.org/10.1093/ptj/pzab283

Dickson Nwodo, O., Olanrewaju Ibikunle, P., Linda Ogbonna, N., Umezulike Ani, K., Christain Okonkwo, A., Joy Eze, C., Uchenna Onwudiwe, C., Uroko Ezeja, G., & Adaobi Maduanusi, I. (2022). Review of core stability exercise versus conventional exercise in the management of chronic low back pain. African Health Sciences, 22(4), 148–167. https://doi.org/10.4314/ahs.v22i4.19 DOI: https://doi.org/10.4314/ahs.v22i4.19

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. https://doi.org/10.3390/jfmk6020037 DOI: https://doi.org/10.3390/jfmk6020037

Gorji, S. M., Mohammadi Nia Samakosh, H., Watt, P., Henrique Marchetti, P., & Oliveira, R. (2022). Pain Neuroscience Education and Motor Control Exercises versus Core Stability Exercises on Pain, Disability, and Balance in Women with Chronic Low Back Pain. International Journal of Environmental Research and Public Health, 19(5), 2694. https://doi.org/10.3390/ijerph19052694 DOI: https://doi.org/10.3390/ijerph19052694

Hu, H., Zheng, Y., Wang, X., Chen, B., Dong, Y., Zhang, J., Liu, X., & Gong, D. (2017). Correlations between lumbar neuromuscular function and pain, lumbar disability in patients with nonspecific low back pain. Medicine, 96(36), e7991. https://doi.org/10.1097/md.0000000000007991 DOI: https://doi.org/10.1097/MD.0000000000007991

Hwangbo, G., Lee, C.-W., Kim, S.-G., & Kim, H.-S. (2015). The effects of trunk stability exercise and a combined exercise program on pain, flexibility, and static balance in chronic low back pain patients. Journal of Physical Therapy Science, 27(4), 1153–1155. https://doi.org/10.1589/jpts.27.1153 DOI: https://doi.org/10.1589/jpts.27.1153

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. https://doi.org/10.1177/1941738119886854 DOI: https://doi.org/10.1177/1941738119886854

Lamoth, C. J. C., Meijer, O. G., Daffertshofer, A., Wuisman, P. I. J. M., & Beek, P. J. (2005). Effects of chronic low back pain on trunk coordination and back muscle activity during walking: changes in motor control. European Spine Journal, 15(1), 23–40. https://doi.org/10.1007/s00586-004-0825-y DOI: https://doi.org/10.1007/s00586-004-0825-y

Meier, M. L., Vrana, A., & Schweinhardt, P. (2018). Low Back Pain: The Potential Contribution of Supraspinal Motor Control and Proprioception. The Neuroscientist, 25(6), 583–596. https://doi.org/10.1177/1073858418809074 DOI: https://doi.org/10.1177/1073858418809074

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. https://doi.org/10.17576/jsm-2020-4910-18 DOI: https://doi.org/10.17576/jsm-2020-4910-18

Pangarkar, S. S., Kang, D. G., Sandbrink, F., Bevevino, A., Tillisch, K., Konitzer, L., & Sall, J. (2019). VA/DoD Clinical Practice Guideline: Diagnosis and Treatment of Low Back Pain. Journal of General Internal Medicine, 34(11), 2620–2629. https://doi.org/10.1007/s11606-019-05086-4 DOI: https://doi.org/10.1007/s11606-019-05086-4

Piscitelli, D. (2016). Motor rehabilitation should be based on knowledge of motor control. Archives of Physiotherapy, 6(1). https://doi.org/10.1186/s40945-016-0019-z DOI: https://doi.org/10.1186/s40945-016-0019-z

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. https://doi.org/10.3233/wor-213557 DOI: https://doi.org/10.3233/WOR-213557

Sethi, J., Sarker, K., & Mohanty, U. (2020). Comparative clinical effects of spinal manipulation, core stability exercise, and supervised exercise on pain intensity, segmental instability, and health-related quality of life among patients with chronic nonspecific low back pain: A randomized control trial. Journal of Natural Science, Biology and Medicine, 11(1), 27. https://doi.org/10.4103/jnsbm.jnsbm_101_19 DOI: https://doi.org/10.4103/jnsbm.JNSBM_101_19

Smrcina, Z., Woelfel, S., & Burcal, C. (2022). A Systematic Review of the Effectiveness of Core Stability Exercises in Patients with Non-Specific Low Back Pain. International Journal of Sports Physical Therapy, 17(5). https://doi.org/10.26603/001c.37251 DOI: https://doi.org/10.26603/001c.37251

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. https://doi.org/10.1097/HNP.0000000000000593 DOI: https://doi.org/10.1097/HNP.0000000000000593

Wang, H., Fan, Z., Liu, X., Zheng, J., Zhang, S., Zhang, S., Yu, Q., Lo, W. L. A., Chen, X., & Wang, C. (2022). Effect of Progressive Postural Control Exercise Versus Core Stability Exercise in Young Adults with Chronic Low Back Pain: A Randomized Controlled Trial. Pain and Therapy, 12(1), 293–308. https://doi.org/10.1007/s40122-022-00458-x DOI: https://doi.org/10.1007/s40122-022-00458-x

Wang, X.-Q., Zheng, J.-J., Yu, Z.-W., Bi, X., Lou, S.-J., Liu, J., Cai, B., Hua, Y.-H., Wu, M., Wei, M.-L., Shen, H.-M., Chen, Y., Pan, Y.-J., Xu, G.-H., & Chen, P.-J. (2012). A Meta-Analysis of Core Stability Exercise versus General Exercise for Chronic Low Back Pain. PLoS ONE, 7(12), e52082. https://doi.org/10.1371/journal.pone.0052082 DOI: https://doi.org/10.1371/journal.pone.0052082

Zarina Zahari, Nurul Amira Arnuin, Mohd, M., & Lin, P. (2023). Type of Sitting Posture and Low Back Pain among University Students. Environment-Behaviour Proceedings Journal, 8(24), 247–252. https://doi.org/10.21834/ebpj.v8i24.4683 DOI: https://doi.org/10.21834/ebpj.v8i24.4683




How to Cite

Pipeng, L., Zahari, Z., Azizan, A., & Yajun, Y. (2024). Effects of Core Stability Exercise on Functional Performance among Adults with Low Back Pain. Environment-Behaviour Proceedings Journal, 9(28), 203–209. https://doi.org/10.21834/e-bpj.v9i28.5790



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