Effect of Hip Exercise Program on pain intensity, balance and disability among low back pain patients - a systematic review.

Soundararajan, Leo and Dhaliwhal, Simranjeet (2025) Effect of Hip Exercise Program on pain intensity, balance and disability among low back pain patients - a systematic review. In: World Physiotherapy Congress 2025, 29 - 31 May 2025, Tokyo, Japan..

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Abstract

Background: Non-specific chronic low back pain (NSCLBP) is a prevalent musculoskeletal condition affecting up to 80% of individuals globally, with significant implications for function and quality of life. Emerging evidence suggests a biomechanical link between hip function and lumbar spine stability, highlighting the potential of hip-focused interventions in NSCLBP management. Objective: To systematically evaluate the effectiveness of hip exercise programs on pain intensity, balance, and disability in adults with NSCLBP. Methods: This systematic review adhered to PRISMA guidelines. A comprehensive search was conducted across PubMed, SPORTDiscus, Trip, and Google Scholar for randomized controlled trials (RCTs) published between 2013 and 2023. The PICO framework guided study selection: Population – adults with NSCLBP; Intervention – hip exercises; Comparison – no or alternative intervention; Outcomes – pain, disability, and balance. Methodological quality was assessed using the CASP tool. Results: Seven RCTs involving 240 participants (aged 18–70) met the inclusion criteria. Interventions included hip strengthening, stretching, and mobilization, often combined with lumbar stabilization exercises. Control groups typically received core or lumbar-focused exercises. Intervention durations ranged from 2 to 8 weeks, with 12 to 30 sessions. Most studies reported significant improvements in pain and disability (p<0.05), with several also demonstrating enhanced balance. Notably, strengthening of the gluteus medius was associated with improved lumbo-pelvic stability. Conclusion: Hip-targeted exercise programs are effective in reducing pain and disability and improving balance in individuals with NSCLBP. These findings support the integration of hip-focused interventions into multidisciplinary rehabilitation strategies. However, variability in exercise protocols and outcome measures underscores the need for further high-quality research to establish standardized guidelines.

Item Type:	Conference or Workshop Item (Poster)
Keywords:	NSCLBP, hip exercises, systematic review, pain, disability, balance, physiotherapy.
Depositing User:	RED Unit Admin
Date Deposited:	27 May 2025 14:23
Last Modified:	19 Jun 2025 13:30
URI:	https://bnu.repository.guildhe.ac.uk/id/eprint/19974

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