American Journal of Medicine Studies
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American Journal of Medicine Studies. 2017, 5(1), 25-35
DOI: 10.12691/ajms-5-1-3
Open AccessReview Article

The Effect of an Enhanced Rehabilitation Exercise Treatment of Non-Specific Low Back Pain- A suggestion for Rehabilitation Specialists

Qais Gasibat1, , Wurida Suwehli2, Abulgasim Rehema Bawa3, Noura Adham4, Rasha M.Kheer Al turkawi5 and Jalal Mohamed Baaiou3

1Faculty of Medicine, Sport Science and Rehabilitation, Sultan Zainal Abidin University, Gong Badak Campus, Kuala Terengganu, Malaysia

2Faculty of Medical Technology, Physiotherapy, High Institute of Medical Technology, Misurata, Libya

3Faculty of Physical Education, Physiotherapy and Sports Injuries Department, Unnamed road, Misurata, Libya

4Faculty of Physiotherapy, Physiotherapy Department, Cairo University, El-Tahrir st. - in front of Ben El- Sarayat, Traffic- Dokki - Giza, Giza, Cairo, Egypt

5Health Institute, Physical Therapy Department, Albaath University, Translation Section, Homs, Syria

Pub. Date: July 31, 2017

Cite this paper:
Qais Gasibat, Wurida Suwehli, Abulgasim Rehema Bawa, Noura Adham, Rasha M.Kheer Al turkawi and Jalal Mohamed Baaiou. The Effect of an Enhanced Rehabilitation Exercise Treatment of Non-Specific Low Back Pain- A suggestion for Rehabilitation Specialists. American Journal of Medicine Studies. 2017; 5(1):25-35. doi: 10.12691/ajms-5-1-3

Abstract

It is noteworthy that back pain is a medical problem in Western nations where 60%–80% of adults are most-likely to encounter low back pain issues. The purpose of this article is to investigate and bring forward the predicament of back pain faced by the society and physical activities for treatment of non-specific low back pain. This writing is a result of thorough medical research of which was partly contributed by Medline and Google Scholars. A number of general exercise programs that joins strong quality, flexibility and oxygen consuming fitness are beneficial for the restoration of non-specific interminable low back pain. Also, expanding the centre solid quality can help with supporting the lumbar spine. Besides that, enhancing the flexibility of the muscle, ligaments and tendons in the back helps expands the scope of movement of which is useful for the patient’s development. It is also highly suggested that Aerobic Exercise stimulates and increases the blood flow and nutrients to the soft tissues in the back, enhancing the recuperating procedure and decreasing firmness that decreases the back pain.

Keywords:
aerobic exercises non-specific chronic low back pain low back pain physical activity exercise program

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]  Ricci, J.A.; Stewart, W.F.; Chee, E.; Leotta, C.; Foley, K.; Hochberg, M.C. Back pain exacerbations and lost productive time costs in United States workers. Spine 2006, 31, 3052-3060.
 
[2]  Van Tulder, M.; Malmivaara, A.; Esmail, R.; Koes, B. Exercise therapy for low back pain: A systematic review within the framework of the cochrane collaboration back review group. Spine 2000, 25, 2784-2796.
 
[3]  Chen, S.M.; Alexander, R.; Lo, S.K.; Cook, J. Effects of Functional Fascial Taping on pain and function in patients with non-specific low back pain: A pilot randomized controlled trial. Clin. Rehabil. 2012, 26, 924-933.
 
[4]  Ebadi, S.; Ansari, N.N.; Naghdi, S.; Fallah, E.; Barzi, D.M.; Jalaei, S. A study of therapeutic ultrasound and exercise treatment for muscle fatigue in patients with chronic non specific low back pain: A preliminary report. J. Back Musculoskelet. Rehabil. 2013, 26, 221-226.
 
[5]  Hancock, M.J.; Maher, C.G.; Latimer, J. Spinal manipulative therapy for acute low back pain: A clinical perspective. J. Man. Manip. Ther. 2008, 16, 198-203.
 
[6]  Kolber, M.J.; Beekhuizen, K. Lumbar stabilization: An evidence-based approach for the athlete with low back pain. Strength Cond. J. 2007, 29, 26-37.
 
[7]  Lara-Palomo, I.C.; Aguilar-Ferrándiz, M.E.; Matarán-Peñarrocha, G.A.; Saavedra-Hernández, M.; Granero-Molina, J.; Fernández-Sola, C. Short-term effects of interferential current electro-massage in adultswith chronic non-specific low back pain: A randomized controlled trial. Clin. Rehabil. 2013, 27, 439-450.
 
[8]  Waddell, G.; Burton, A.K. Occupational health guidelines for the management of low back pain at work: Evidence review. Occup. Med. 2001, 51, 124-135.
 
[9]  Thomas, K.J.; MacPherson, H.; Thorpe, L.; Brazier, J.; Fitter, M.; Campbell, M.J. Randomised controlled trial of a short course of traditional acupuncture compared with usual care for persistent non-specific low back pain. Br. Med. J. 2006, 333, 623-626.
 
[10]  National Health Service (NHS). Backcare Awareness Week. Available online: http://www.nhscareers. nhs.uk/features/2012/october/ (accessed on 16 October 2014).
 
[11]  Wynne-Jones, G.; Cowen, J.; Jordan, J.; Uthman, O.; Main, C.J.; Glozier, N.; van der Windt, D. Absence from work and return to work in people with back pain: A systematic review and meta-analysis. Occup. Environ. Med. 2014, 71, 448-456.
 
[12]  Mayer, J.; Mooney, V.; Dagenais, S. Evidence-informed management of chronic low back pain with lumbar extensor strengthening exercises. Spine 2008, 8, 96-113.
 
[13]  Bekkering, G.E.; Hendriks, H.J.; Koes, B.W.; Oostendorp, R.A.; Ostelo, R.W.; Thomassen, J.M.; van Tulder, M.W. Dutch physiotherapy guidelines for low back pain. Physiotherapy 2003, 89, 82-96.
 
[14]  National Health Service (NHS). Back Pain. Available online: http://www.nhs.uk/Conditions/Back-pain/ Pages/Introduction.aspx (accessed on 16 October 2014).
 
[15]  Chan, C.W.; Mok, N.W.; Yeung, E.W. Aerobic exercise training in addition to conventional physiotherapy for chronic low back pain: A randomized controlled trial. Arch. Phys. Med. Rehabil. 2011, 92, 1681-1685.
 
[16]  Shnayderman, I.; Katz-Leurer, M. An aerobic walking programme versus muscle strengthening Programme for chronic low back pain: A randomized controlled trial. Clin. Rehabil. 2013, 27, 207-214.
 
[17]  Chatzitheodorou, D.; Kabitsis, C.; Malliou, P.; Mougios, V. A pilot study of the effects of high-intensity aerobic exercise versus passive interventions on pain, disability, psychological strain, and serum cortisol concentrations in people with chronic low back pain. Phys. Ther. 2007, 87, 304-312.
 
[18]  Chatzitheodorou, D.; Mavromoustakos, S.; Milioti, S. The effect of exercise on adrenocortical responsiveness of patients with chronic low back pain, controlled for psychological strain. Clin. Rehabil. 2008, 22, 319-328.
 
[19]  Inani, S.B.; Selkar, S.P. Effect of core stabilization exercises versus conventional exercises on pain and functional status in patients with non-specific low back pain: A randomized clinical trial. J. Back Musculoskelet. Rehabil. 2013, 26, 37-43.
 
[20]  Kim, J.D.; Oh, H.W.; Lee, J.H.; Cha, J.Y.; Ko, I.G.; Jee, Y.S. The effect of inversion traction on pain sensation, lumbar flexibility and trunk muscles strength in patients with chronic low back pain. Isokinet. Exerc. Sci. 2013, 21, 237-246.
 
[21]  Šarabon, N. Effects of trunk functional stability training in subjects suffering from chronic low back pain: A pilot study. Kinesiol. Slov. 2011, 17, 25-37.
 
[22]  Stankovic, A.; Lazovic, M.; Kocic, M.; Dimitrijevic, L.; Stankovic, I.; Zlatavovic, D. Lumbar stabilization exercises in addition to strengthening and stretching exercises reduce pain and increase function in patients with chronic low back pain: Randomized clinical open-label study. Turk. J. Phys. Med. Rehabil. 2012, 58, 177-183.
 
[23]  Suni, J.; Rinne, M.; Natri, A.; Statistisian, M.P.; Parkkari, J.; Alaranta, H. Control of the lumbar neutral zone decreases low back pain and improves self-evaluated work ability: A 12-month randomized controlled study. Spine 2006, 31, 611-620.
 
[24]  You, J.H.; Kim, S.Y.; Oh, D.W.; Chon, S.C. The effect of a novel core stabilization technique on managing patients with chronic low back pain: A randomized, controlled, experimenter-blinded study. Clin. Rehabil. 2014, 28, 460-469.
 
[25]  Gladwell, V.; Head, S.; Haggar, M.; Beneke, R. Does a program of pilates improve chronic non-specific low Back pain? J. Sport Rehabil. 2006, 15, 338-350.
 
[26]  Kuukkanen, T.; Malkia, E. Effects of a three-month therapeutic exercise programme on flexibility in subjects with low back pain. Physiother. Res. Int. 2000, 5, 46-61.
 
[27]  Masharawi, Y.; Nadaf, N. The effect of non-weight bearing group-exercising on females with non-specific chronic low back pain: A randomized single blind controlled pilot study. J. Back Musculoskelet. Rehabil. 2013, 26, 353-359.
 
[28]  Hayden, J.A.; van Tulder, M.; Tomlinson, G. Systematic review: Strategies for using exercise therapy to improve outcomes in chronic low back pain. Ann. Intern. Med. 2005, 142, 776-785.
 
[29]  Smith, J.A.; Osborn, M. Pain as an assault on the self: An interpretative phenomenological analysis of the psychological impact of chronic benign low back pain. Psychol. Health 2007, 22, 517-534.
 
[30]  Smeets, R.; Severens, J.L.; Beelen, S.; Vlaeyen, J.W.; Knottnerus, J.A. More is not always better: Cost-effectiveness analysis of combined, single behavioral and single physical rehabilitation programs for chronic low back pain. Eur. J. Pain 2009, 13, 71-81.
 
[31]  Smith, D.; Bissell, G.; Bruce-Low, S.; Wakefield, C. The effect of lumbar extension training with and without pelvic stabilization on lumbar strength and low back pain. J. Back Musculoskelet. Rehabil. 2011, 24, 241-249.
 
[32]  Wai, E.K.; Rodriguez, S.; Dagenais, S.; Hall, H. Evidence informed management of chronic low back pain with physical activity, smoking cessation, and weight loss. Spine J. 2008, 8, 195-202.
 
[33]  McCarthy, C.J.; Roberts, C.; Gittins, M.; Oldham, J.A. A process of subgroup identification in non-specific low back pain using a standard clinical examination and cluster analysis. Physiother. Res. Int. 2012, 17, 92-100.
 
[34]  Bupa. Back Pain. Available online: http://www.bupa.co.uk/individuals/health-information/directory/b/backpain#textBlock190676 (accessed on 16 October 2014).
 
[35]  McGill, S. Designing Back Exercise: From Rehabilitation to Enhancing Performance. Available online: http://www.backfitpro.com/articles.php (accessed on 11 October 2014).
 
[36]  Del Pozo-Cruz, B.; Gusi, N.; Del Pozo-Cruz, J.; Adsuar, J.C.; Hernandez-Mocholí, M.; Parraca, J.A. Clinical effects of a nine-month web-based intervention in subacute non-specific low back pain patients: A randomized controlled trial. Clin. Rehabil. 2013, 27, 28-39.
 
[37]  Tsauo, J.Y.; Chen, W.H.; Liang, H.W.; Jang, Y. The effectiveness of a functional training programme for patients with chronic low back pain—A pilot study. Disabil. Rehabil. 2009, 31, 1100-1106.
 
[38]  Wells, C.; Kolt, G.S.; Marshall, P.; Bialocerkowski, A. The definition and application of pilates exercise to treat people with chronic low back pain: A delphi survey of australian physical therapists. Phys. Ther. 2014, 94, 792-805.
 
[39]  Goertz, M.; Thorson, D.; Bonsell, J.; Bonte, B.; Campbell, R.; Haake, B. Adult Acute and Subacute Low Back Pain; Institute for Clinical Systems Improvement: Bloomington, MN, USA, 2012; pp. 1-91.
 
[40]  Van Tulder, M.; Becker, A.; Bekkering, T.; Breen, A.; del Real, M.; Hutchinson, A.; Koes, B.; Laerum, E.; Malmivaara, A. Chapter 3 European guidelines for the management of acute nonspecific low back pain in primary care. Eur. Spine J. 2006, 15, 169-191.
 
[41]  Reme, S.; Shaw, W.; Steenstra, I.; Woiszwillo, M.; Pransky, G.; Linton, S. Distressed, immobilized, or lacking employer support? A sub-classification of acute work-related low back pain. J. Occup. Rehabil. 2012, 22, 541-552.
 
[42]  Chou, R.; Qaseem, A.; Snow, V.; Casey, D.; Cross, T.; Shekelle, P. Diagnosis and treatment of low back pain: A joint clinical practice guideline from the American College of Physicians and the American Pain Society. Ann. Intern. Med. 2007, 147, 478-491.
 
[43]  Toye, F.; Barker, K. ‘I can’t see any reason for stopping doing anything, but I might have to do it differently’—Restoring hope to patients with persistent non-specific low back pain—A qualitative study. Disabil. Rehabil. 2012, 34, 894-903.
 
[44]  Savigny, P.; Watson, P.; Underwood, M. Early management of persistent non-specific low back pain: Summary of NICE guidance. Br. Med. J. 2009.
 
[45]  Ehrlich, G.E. Low back pain. Bull. World Health Organ. 2003, 81, 671-676.
 
[46]  Nonspecific Lower Back Pain in Adults. Available online: http://www.patient.co.uk/health/nonspecific-lower-back-pain-in-adults (accessed on 16 October 2014).
 
[47]  Josephson, I.; Hedberg, B.; Bülow, P. Problem-solving in physiotherapy—Physiotherapists’ talk about encounters with patients with non-specific low back pain. Disabil. Rehabil. 2013, 35, 668-677.
 
[48]  Benjamin, C. Low Back Pain—Acute. Available online: http://www.nlm.nih.gov/medlineplus/ency/article/007425.htm (accessed on 2 December 2014).
 
[49]  Koes, B.W.; van Tulder, M.W.; Thomas, S. Diagnosis and treatment of low back pain. Br. Med. J. 2006, 332, 1430-1434.
 
[50]  Henchoz, Y.; Kai-Lik, S.A. Exercise and nonspecific low back pain: A literature review. Joint Bone Spine 2008, 75, 533-539.
 
[51]  Winter, E.M.; Fowler, N. Exercise defined and quantified according to the Systeme International d’Unites. J. Sports Sci. 2009, 27, 447-460.
 
[52]  World Health Organisation. Physical Activity. Available online: http://www.who.int/topics/physical_activity/en/ (accessed on 2 December 2014).
 
[53]  Robb, B. Exercise and Physical Activity: What’s the Difference? 2009. Available online: http://www.everydayhealth.com/fitness/basics/difference-between-exercise-and-physical-activity.aspx(accessed on 18 November 2014).
 
[54]  Hayden, J.A.; van Tulder, M.W.; Malmivaara, A.; Koes, B.W. Exercise therapy for treatment of non-specific low back pain. Cochrane Database Syst. Rev. 2005, 20, 1-66.
 
[55]  Ullrich, P.F. Low Impact Aerobic Exercise. Available online: http://www.spine-health.com/wellness/exercise/low-impact-aerobic-exercise (accessed on 15 November 2014).
 
[56]  Kenny, W.L.; Wilmore, J.H.; Costill, D.L. Physiology of Sport and Exercise, 5th ed.; Human Kinetics: Champaign, IL, USA, 2012.
 
[57]  Stoppler, M.C.; Shiel, W.C. Endorphins: Natural Pain and Stress Fighters. 2014. Available online: http://www.medicinenet.com/script/main/art.asp?articlekey=55001 (accessed on 5 December 2014).
 
[58]  Spine-Health. Endorphins Definition. Available online: http://www.spine health.com/glossary/endorphins (accessed on 5 December 2014).
 
[59]  Mayo, T.P.; Weissman, L. The noninvasive path to chronic back pain management. Rehab Manag. Interdiscip. J. Rehabil. 2011, 24, 18-20.
 
[60]  Duque, I.L.; Parra, J.H.; Duvallet, A. Aerobic fitness and limiting factors of maximal performance in chronic low back pain patients. J. Back Musculoskelet. Rehabil. 2009, 22, 113-119.
 
[61]  Lin, C.W.; McAuley, J.H.; Macedo, L.; Barnett, D.C.; Smeets, R.J.; Verbunt, J.A. Relationship between physical activity and disability in low back pain: A systematic review and meta-analysis. Pain 2011, 152, 607-613.
 
[62]  Smeets, R.; Wittink, H.; Hidding, A.; Knottnerus, J.A. Do patients with chronic low back pain have a lower level of aerobic fitness than healthy controls? Are pain, disability, fear of injury, working status, or level of leisure time activity associated with the difference in aerobic fitness level? Spine 2006, 31, 90-97.
 
[63]  Hoffman, M.D.; Shepanski, M.A.; Mackenzie, S.P.; Clifford, P.S. Experimentally induced pain perception is acutely reduced by aerobic exercise in people with chronic low back pain. J. Rehabil. Res. Dev. 2005, 42, 175-181.
 
[64]  Jacob, T.; Baras, M.; Zeev, A.; Epstein, L. Physical activities and low back pain: a community-based study. Med. Sci. Sports Exerc. 2004, 36, 9-15.
 
[65]  Koho, P.; Orenius, T.; Kautiainen, H.; Haanp, M.; Pohjolainen, T.; Hurri, H. Association of fear of movement and leisure-time physical activity among patients with chronic pain. J. Rehabil. Med. 2011, 43, 794-799.
 
[66]  Swinkels-Meewisse, I.E.; Roelofs, J.; Oostendorp, R.A.; Verbeek, A.L.; Vlaeyen, J.W. Acute Low Back Pain: Pain-Related Fear and Pain Catastrophizing Influence Physical Performance and Perceived Disability. Pain 2006, 120, 36-43.
 
[67]  Preuper, H.S.; Reneman, M.F.; Boonstra, A.M.; Dijkstra, P.U.; Versteegen, G.J.; Geertzen, J.H. Relationship between psychological factors and performance-based and self-reported disability in chronic low back pain. Eur. Spine J. 2008, 17, 1448-1456.
 
[68]  McArthur, D.; Dumas, A.; Woodend, K.; Beach, S.; Stacey, D. Factors influencing adherence to regular exercise in middle-aged women: A qualitative study to inform clinical practice. BMC 2014.
 
[69]  Hanumanthu, V. Assessment of an Exercise Program on Population with Chronic Medical Conditions; ProQuest LLC: Ann Arbor, MI, USA, 2008.
 
[70]  Balint, T.; Dobrescu, T.; Rata, M.; Cristuta, A. Research regarding the assessment of a body’s normal size by using the body mass index. Gymn. J. Phys. Educ. Sports 2010, 11, 14-17.
 
[71]  National Health Service (NHS). What’s your BMI? Available online: http://www.nhs.uk/livewell/loseweight/pages/bodymassindex.aspx (accessed on 5 December 2014).
 
[72]  Frisco, D.J. Weight Loss for Back Pain Relief. Available online: http://www.spine health.com/wellness/ nutrition-diet-weight-loss/weight-loss-back-pain-relief (accessed on 1 December 2014).
 
[73]  Hurley, D.; O'Donoghue, G.; Tully, M.; Klaber Moffett, J.; van Mechelen, W.; Daly, L. A walking programme and a supervised exercise class versus usual physiotherapy for chronic low back pain: A single-blinded randomised controlled trial. BMC Musculoskelet. Disord. 2009.
 
[74]  National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS). Handout on Health: Back Pain. Available online: http://www.niams.nih.gov/Health_Info/Back_Pain/ (accessed on 8 December 2014).
 
[75]  Hill, E.E.; Zack, E.; Battaglini, C.; Viru, M.; Viru, A.; Hackney, A.C. Exercise and circulating cortisol levels: The intensity threshold effect. J. Endocrinol. Investig. 2008, 31, 587-591.
 
[76]  Muhtz, C.; Rodriguez-Raecke, R.; Hinkelmann, K.; Moeller-Bertram, T.; Kiefer, F.; Wiedemann, K. Cortisol nresponse to experimental pain in patients with chronic low back pain and patients with major depression. Pain Med. 2013, 14, 498-503.
 
[77]  Nagarajan, M.; Nair, M.R. Importance of fear-avoidance behavior in chronic non-specific low back pain. J. Back Musculoskelet. Rehabil. 2010, 23, 87-95.
 
[78]  Hanney, W.J.; Kolber, M.J.; Beekhuizen, K.S. Implications for physical activity in the population with low back pain. Am. J. Lifestyle Med. 2009, 3, 63-70.
 
[79]  Basler, H.D.; Luckmann, J.; Wolf, U.; Quint, S. Fear-avoidance beliefs, physical activity, and disability in elderly individuals with chronic low back pain and healthy controls. Clin. J. Pain 2008, 24, 604-610.
 
[80]  Lante, K.; Stancliffe, R.J.; Bauman, A.; van der Ploeg, H.P.; Jan, S.; Davis, G.M. Embedding sustainable physical activities into the everyday lives of adults with intellectual disabilities: A randomised controlled trial. BMC Public Health 2014.
 
[81]  Krismer, M.; van Tulder, M. Low back pain (non-specific). Best Pract. Res. Clin. Rheumatol. 2007, 21, 77-91.
 
[82]  Willson, J.D.; Dougherty, C.P.; Ireland, M.L.; Davis, I.M. Core stability and its relationship to lower extremity function and injury. J. Am Acad Orthop. Surg. 2005, 13, 316-325.
 
[83]  Cho, H.Y.; Kim, E.H.; Kim, J. Effects of the CORE exercise program on pain and active range of motion in patients with chronic low back pain. J. Phys. Ther. Sci. 2014, 26, 1237-1240.
 
[84]  Danneels, L.A.; Vanderstraeten, G.G.; Cambier, D.C.; Witvrouw, E.E.; de Cuyper, H.J. CT imaging of trunk muscles in chronic low back pain patients and healthy control subjects. Eur. Spine J. 2000, 9, 266-272.
 
[85]  Franca, F.R.; Burke, T.N.; Hanada, E.S.; Marques, A.P. Segmental stabilisation and muscular strengthening in chronic low back pain—A comparative study. Clinics 2010, 65, 1013-1017.
 
[86]  Amit, K.; Manish, G.; Taruna, K. Effect of trunk muscles stabilization exercises and general exercises on pain in recurrent non specific low back ache. Int. Res. J. Med. Sci. 2013, 1, 23-26.
 
[87]  Nourbakhsh, M.R.; Arabloo, A.M.; Salavati, M. The relationship between pelvic cross syndrome and chronic low back pain. J. Back Musculoskelet. Rehabil. 2006, 19, 119-128.
 
[88]  Standaert, C.J.; Weinstein, S.M.; Rumpeltes, J. Evidence-informed management of chronic low back pain with lumbar stabilisation exercises. Spine J. 2008, 8, 114-120.
 
[89]  Hodges, P.W.; Richardson, C.A. Inefficient muscular stabilization of the lumbar spine associated with low back pain: a motor control evaluation of transversus abdominis. Spine 1996, 21, 2640-2650.
 
[90]  Arokoski, J.P.; Valta, T.; Airaksinen, O.; Kankaanpää, M. Back and abdominal muscle function during stabilization exercises. Arch. Phys. Med. Rehabil. 2001, 82, 1089-1098.
 
[91]  Kavcic, N.; Grenier, S.; McGill, S. Determining the stabilizing role of individual torso muscles during rehabilitation exercises. Spine 2004, 29, 1254-1265.
 
[92]  Ferreira, P.H.; Ferreira, M.L.; Maher, C.G.; Herbert, R.D.; Refshauge, K. Specific stabilisation exercise for spinal and pelvic pain: A systematic review. Aust. J. Physiother. 2006, 52, 79-88.
 
[93]  Hodges, P. Transversus abdominis: A different view of the elephant. Br. J. Sports Med. 2008, 42, 941-944.
 
[94]  Hicks, G.E.; Fritz, J.M.; Delitto, A.; McGill, S.M. Preliminary development of a clinical prediction rule for determining which patients with low back pain will respond to a stabilization exercise program. Arch. Phys. Med. Rehabil. 2005, 86, 1753-1762.
 
[95]  Maeo, S.; Takahashi, T.; Takai, Y.; Kanehisa, H. Trunk muscle activities during abdominal bracing: comparison among muscles and exercises. J. Sports Sci. Med. 2013, 12, 467-474.
 
[96]  Adler, S.; Beckers, D.; Buck, M. PNF in Practice: An Illustrated Guide, 3rd ed.; Springer: Berlin, Germany, 2008.
 
[97]  Shimura, K.; Kasai, T. Effects of proprioceptive neuromuscular facilitation on the initiation of voluntary movement and motor evoked potentials in upper limb muscles. Hum. Mov. Sci. 2002, 21, 101-113.
 
[98]  Richardson, C.; Hodges, P.W.; Hides, J. Therapeutic Exercise for Lumbopelvic Stabilization: A Motor Control Approach for the Treatment and Prevention of Low Back Pain, 2nd ed.; Churchill Livingstone: Edinburgh, UK, 2004.
 
[99]  Stanton, T.; Kawchuk, G. The effect of abdominal stabilization contractions on posteroanterior spinal stiffness. Spine 2008, 33, 694-701.
 
[100]  Chon, S.C.; Chang, K.Y.; You, J.H. Effect of the abdominal draw-in manoeuvre in combination with ankle dorsiflexion in strengthening the transverse abdominal muscle in healthy young adults: a preliminary, randomised, controlled study. Physiotherapy 2010, 96, 130-136.
 
[101]  Katsura, Y.; Ueda, S.Y.; Yoshikawa, T.; Usui, T.; Orita, K.; Sakamoto, H.; Sotobayashi, D.; Fujimoto, S. Effects of aquatic exercise training using new water-resistance equipment on trunk muscles, abdominal circumference, and activities of daily living in elderly women. Int. J. Sport Health Sci. 2011, 9, 113-121.
 
[102]  Dankaerts, W.; O’Sullivan, P.; Burnett, A.; Straker, L. Altered patterns of superficial trunk muscle activation during sitting in nonspecific chronic low back pain patients: importance of subclassification. Spine 2006, 31, 2017-2023.
 
[103]  O’Sullivan, P.B.; Smith, A.; Beales, D.J.; Straker, L.M. Association of biopsychosocial factors with degree of slump in sitting posture and self-report of back pain in adolescents: A cross-sectional study. Phys. Ther. 2011, 91, 470-484.
 
[104]  Spine-Health. Annulus Fibrosus Definition. Available online: http://www.spine-health.com/glossary/annulus-fibrosus (accessed on 15 December 2014).
 
[105]  Nerurkar, N.L.; Sen, S.; Huang, A.H.; Elliott, D.M.; Mauck, R.L. Engineered disk-like angle-ply structures for intervertebral disk replacement. Spine 2012, 35, 867-873.
 
[106]  Reitmaier, S.; Shirazi-Adl, A.; Bashkuev, M.; Wilke, H.J.; Gloria, A.; Schmidt, H. In vitro and in silico investigations of disc nucleus replacement. J. R. Soc. 2012, 9, 1869-1879.
 
[107]  Guerin, H.L.; Elliott, D.M. Quantifying the contributions of structure to annulus fibrosus mechanical function using a nonlinear, anisotropic, hyperelastic model. J. Orthop. Res. 2007, 25, 508-516.
 
[108]  O’Sullivan, P.B.; Mitchell, T.; Bulich, P.; Waller, R.; Holte, J. The relationship between posture and back muscle endurance in industrial workers with flexion-related low back pain. Man. Ther. 2006, 11, 264-271.
 
[109]  Womersley, L.; May, S. Sitting posture of subjects with postural backache. J. Manip. Physiol. Ther. 2006, 29, 213-218.
 
[110]  Mitchell, T.; O’Sullivan, P.B.; Burnett, A.F.; Straker, L.; Smith, A. Regional differences in lumbar spinal posture and the influence of low back pain. BMC Musculoskelet. Disord. 2008.
 
[111]  Gazzi, M.L.; Maher, C.G.; Hancock, M.J.; Kamper, S.J.; McAuley, J.H.; Stanton, T.R. Predicting response to motor control exercises and graded activity for patients with low back pain: preplanned secondary analysisof a randomized controlled trial. Phys. Ther. 2014, 94, 1543-1554.
 
[112]  Ullrich, P.F. Stretching for Back Pain Relief. Available online: http://www.spine-health.com/wellness/ exercise/stretching-back-pain-relief (accessed on 17 December 2014).
 
[113]  MacAuley, D.; Best, T. Evidence-Based Sports Medicine, 2nd ed.; Blackwell Publishing: Oxford, UK, 2007.
 
[114]  Li, Y.; McClure, P.W.; Pratt, N. The effect of hamstring muscle stretching on standing posture and on lumbar and hip motions during forward bending. Phys. Ther. 1996, 76, 836-845.
 
[115]  DeLisa, J.A.; Gans, B.M.; Walsh, N.E. Physical Medicine and Rehabilitation: Principles and Practice, 4th ed.; Lippincott Williams and Wilkins: Philadelphia, PA, USA, 2005.
 
[116]  Youdas, J.W. Lumbar lordosis and pelvic inclination in adults with chronic low back pain. Phys. Ther. 2000, 80, 261-275.
 
[117]  Kim, H.; Chung, S.; Kim, S.; Shin, H.; Lee, J.; Kim, S. Influences of trunk muscles on lumbar lordosis and sacral angle. Eur. Spine J. 2006, 15, 409-414.
 
[118]  Spine-Health. Nucleus Pulposus Definition. Available online: http://www.spine-health.com/glossary/nucleus-pulposus (accessed on 19 December 2014).
 
[119]  Stutchfield, B.M.; Coleman, S. The relationships between hamstring flexibility, lumbar flexion, and low back pain in rowers. Eur. J. Sport Sci. 2006, 6, 255-260.
 
[120]  O’Sullivan, P. Diagnosis and classification of chronic low back pain disorders: maladaptive movement and motor control impairments as underlying mechanism. Man. Ther. 2005, 10, 242-255.
 
[121]  Brennan, G.P.; Fritz, J.; Hunter, S.J.; Thackeray, A.; Delitto, A.; Erhard, R. Identifying subgroups of patients with acute/subacute “nonspecific” low back pain: results of a randomized clinical trial. Spine 2006, 31, 623-631.
 
[122]  Gasibat, Q., & Simbak, N. B. Modified rehabilitation exercises to strengthen the gluteal muscles with a significant improvement in the lower back pain. pain, 12(18), 19.‏
 
[123]  Gasibat, Q., Simbak, N. B., Aziz, A. A., Petridis, L., Tróznai, Z., Pálinkás, G., ... & Thornton, S. (2017). Stretching Exercises to Prevent Work-related Musculoskeletal Disorders–A Review Article. American Journal of Sports Science and Medicine, 5(2), 27-37.‏
 
[124]  Gasibat, Q., & Simbak, N. B. Moderation of Back pain by Rehabilitation Exercises; Multifidus Muscle’ Perspective. People, 40(26), 42.‏
 
[125]  Gasibat, Q., Simbak, N. B., Barasi, S. E., Almangoush, A., AbdulKareem, N. G., Khalil, N. S., ... & Nuaman, B. N. (2017). Measuring the Relationship between Obesity and Low Back Pain: A Review Article. American Journal of Medical Sciences and Medicine, 5(2), 35-39.‏
 
[126]  Qais Gasibat, Wurida Suwehli. Determining the Benefits of Massage Mechanisms: A Review of Literature. Rehabilitation Sciences. Vol. 2, No. 3, 2017, pp. 58-67.