Alrwaily et al.2020 Alrwaily M, Schneider M, Sowa G, Timko M, Whitney SL, Delitto A. Stabilization exercises combined with neuromuscular electrical stimulation for patients with chronic low back pain: a randomized controlled trial. Braz J Phys Ther. 2019;23(6):506-15.
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USA |
30 individuals of both genders; Age between 18 and 60 years; CLBP ≥ 3 months: BMI ≤ 34; Pain ntensity ≥ 3; Modified Oswestry Disability Questionnaire ≥ 20. |
Nonspecific NMES:
- Applied to lumbar paravertebral muscles bilaterally via 2 self-adhesive electrodes;
Stabilization exercise protocol:
- Performed under the supervision of a physical therapist;
- Consisting of 13 abdominal strengthening exercises subdivided into: 5 strengthening exercises without weight bearing. 5 exercises with weight bearing and 3 exercises in the 4 supports position;
- 20 to 30 repetitions of each exercise were performed, with the times of bearing varying from 4 to 10 sec;
- Total protocol duration: 20 min;
- Frequency: 2 times a week, for 6 weeks, totaling 12 sessions.
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- Exercise Group (EXG): performed a stabilization exercise protocol, n=156.
- Exercise + Electrostimulation Group (EXNMESG): underwent exercise protocol and NMES, n=15.
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Not reported. |
Lumbar paravertebral muscle strength (dynamometer). |
- Pre-treatment (EV 1).
- After 12 sessions (EV 2).
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No significant difference between groups and evaluations. |
Batistella et al.22 Batistella CE, Bidin F, Giacomelli I, Nunez MA, Gasoto E, Albuquerque CE, et al. Effects of the Russian current in the treatment of low back pain in women: a randomized clinical trial. J Bodyw Mov Ther. 2020;24(2):118-22.
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Brazil |
24 sedentary women; Age between 18 and 30 years: Nonspecific CLBP; with symptoms for at least 12 weeks. |
Russian Current:
- Applied to the lumbar paravertebral muscles bilaterally via 2 channels containing 4 electrodes (using water-soluble gel as the coupling medium).
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- Control Group (CG): no intervention, n=12.
- Russian Current Group (RCG): underwent Russian current treatment, n=12.
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Not reported. |
Trunk endurance test. |
- Pre-treatment (EV 1).
- After 12 sessions (EV 2).
- One month after end of treatment (EV 3).
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Increase in muscle endurance between EV 1 and EV 2 in RCG; increase between RCG versus CG in EV 3.
No significant difference between groups and between evaluations (at all time points).
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Dimer da Luz et al.2121 Dimer da Luz R, Santos MS, Evaldt AS, Matos LS, Daitx RB, Döhnert MB. Neuromuscular electrical stimulation associated with core stability exercises in nonspecific postural low back pain: a randomized clinical trial. Muscle Ligaments Tendons J. 2019;9(03):446-56.
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Brazil |
30 sedentary women; Age between 18 and 35 years; Nonspecific CLBP ≥ 4 on VAS. |
Nonspecific NMES of 2500 Hz:
- NMES was applied synchronously with the CORE exercises (exercise isometrics were performed when current was On, and rest when the current was Off);
- The electrodes were positioned in the region covering gluteus maximus and medius, rectus abdominis, and transversus abdominis bilaterally.
Exercise protocol for CORE strengthening:
- Performed under the supervision of the researchers;
- Composed of static postures sustained in isometrics;
- In each session the participants performed 4 sets (postures) of 10 repetitions sustained for 10 seconds each, with an interval of 20 seconds between repetitions and 60 seconds between sets;
- Total protocol duration: 25 min;
- Frequency: 3x/week for 4 weeks, totaling 12 sessions.
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- CORE Group (CG): underwent CORE strengthening protocol, n=10.
- Electrostimulation group (EG): underwent treatment with N, n=10.
- Electrostimulation + CORE Group (ECG): underwent treatment with NMES synchronized with voluntary contraction during CORE strengthening exercises, n=10.
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Not reported. |
CORE muscles stabilization strength (average in sec): trunk static endurance test, Sorenson's test, side bridge test and prone instability test. |
- Pre-treatment (EV 1).
- After 12 sessions (EV 2).
- Six months after end of treatment (EV 3).
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Significant increase between EV 2 and EV 3 versus EV 1 in ECG in all tests; significant increase between EV 2 versus EV 1 in EG in Sorenson's test; and significant difference between ECG versus CG and EG in all tests. |
Pelegrini et al.2222 Pelegrini ACA, Gasoto E, Bussolaro JM, Segatti G, Albuquerque CE, Bertolini GRF. The analgesic action of Aussie current in women with non-specific chronic lumbar pain. Int J Ther Rehabil. 2019;26(7):1-10.
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Brazil |
24 sedentary women; Age between 18 and 30 years; Nonspecific CLBP; with symptoms for at least 12 weeks. |
Aussie Current:
- Applied on the lumbar paravertebral muscles bilaterally by means of 2 channels containing 4 electrodes (using water-soluble gel as a coupling medium).
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- Control Group (CG): no intervention, n=12
- Aussie Current Group (ACG): submitted to treatment with Aussie current, n=12.
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Not reported. |
Trunk endurance test.
Cross-sectiona area of the Multifidus muscles (ultrasound).
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- Pre-treatment (EV 1).
- After 12 sessions (EV 2).
- One month after end of treatment (EV 3).
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Increase in muscle endurance between ACG versus CG in EV 2 and EV 3.
Increase in cross-section between ACG versus CG at EV 2 and EV 3.
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