Glute Weakness and Low Back Pain

A review of The effects of gluteus muscle strengthening exercise and lumbar stabilization exercise on lumbar muscle strength and balance in chronic low back pain patients

Jeong, U. C., Sim, J. H., Kim, C. Y., Hwang-Bo, G., & Nam, C. W. (2015). The effects of gluteus muscle strengthening exercise and lumbar stabilization exercise on lumbar muscle strength and balance in chronic low back pain patients. Journal of physical therapy science, 27(12), 3813–3816. https://doi.org/10.1589/jpts.27.3813

Reviewed by Tanner Tunsky

Glute Weakness and Low Back Pain

Summarized Review Conclusions

Up to 75% of adults will experience some sort of chronic low back pain at some point in their lives. As I tell my patients in St. Louis Park, the pain can come from a multitude of factors, but a recent research review looked into low back pain and the effect that low back and hip musculature has on positive outcomes in patients with low back pain. The research found that a combination of low back segmental stabilization exercises and hip muscle strengthening exercises had a greater improvement in the low back disability index than just low back strengthening alone. The article shows that low back pain is multifaceted, and focusing on strengthening the musculature around the hips should be a primary focus as well as the muscles of the lumbar spine when working with patients who suffer from chronic low back pain.

“In the future, research focusing on hip muscle strengthening as well as lumbar segmental stabilization should be conducted continuously.”

“Reiman also observed that functional disorder resulting from weakening of the hip muscles and restricted hip joint range of motion has elements related to pathology of the waist and the lower limbs and that there is some association between the weakening of the hip muscles, functional disorder of the hip joint, and pathology of the waist20).”

“The results showed that hip muscle strengthening exercise in addition to lumbar segmental stabilization exercise increased the stability of the hip joint and pelvis, which was conducive to increasing lumbar segmental stability. It was also more effective for

increasing the lumbar low back pain disability index, isometric muscle strength of lumbar flexion and extension, and balance ability.”

Introduction to the Research

This research was done to assess the combination of hip musculature strengthening along with lumbar segmental stabilization exercises and its effect on the lumbar disability index, lumbar muscle strength, and balance. Low back rehabilitation programs consist of lumbar strengthening, but hip musculature strengthening is not often included. The main purpose of the research was to determine if adding in hip musculature strengthening had any effect on the outcomes of patients with low back pain, and if the addition of hip strengthening to low back strengthening had improved results compared to just low back strengthening.

Research Methodology

This study applied hip muscle strengthening exercise and lumbar segmental stabilization exercise to female chronic low back pain patients in their 30s to 50s and examined changes in the low back pain disability index, lumbar muscle strength, and balance. The subjects were divided into the SMG+LSE and LSE groups, and the SMG+LSE group conducted lumbar segmental stabilization exercise (abdominal drawing-in technique) plus hip muscle strengthening exercise, whereas the LSE group carried out lumbar segmental stabilization exercise (abdominal drawing-in technique).

Research Findings

The results showed that hip muscle strengthening exercise in addition to lumbar segmental stabilization exercise increased the stability of the hip joint and pelvis, which was conducive to increasing lumbar segmental stability. It was also more effective for increasing the lumbar low back pain disability index, isometric muscle strength of lumbar flexion and extension, and balance ability.

Research References

As always with these reviews, these are my takeaways from the article and I encourage you to read the article in its entirety. The references used in this article by the authors of this article are listed here.

Our Message

When you are looking for a Chiropractor near you that you can trust, choose one who will not only get rid of your back pain, neck pain, or headaches but who will also guide you to living a healthier lifestyle to keep you out of pain. Our St. Louis Park Chiropractors located in the West End, near the corner of MN-100 S & Lake Rd./Westside Dr., are here to teach you that taking care of your mental health and getting the proper nutrients are just as important as the chiropractic adjustment to stay healthy.