Core Muscle Endurance and Its Association with Factors Contributing to Low Back Pain Development

Document Type : Research Paper

Authors

1 Department of Sports Injury and Biomechanics, Faculty of Sport Sciences and Health, University of Tehran, Tehran, Iran.

2 Department of Sports Injury and Biomechanics, Faculty of Sport Sciences and Health, University of Tehran, Tehran, Iran

10.22059/sshr.2024.381969.1166

Abstract

Background: Low back pain (LBP) is common, especially among "pain developers" (PDs) who experience discomfort during prolonged standing despite no prior history of LBP. Core muscle endurance is crucial for spinal stability and may influence LBP development.



Aim: This study aimed to evaluate the relationship between core muscle endurance and pain onset during prolonged standing in individuals predisposed to LBP. The McGill core endurance tests were used to explore correlations between core strength, lumbar lordosis, and pain development.



Materials and Methods: Twenty-four female PDs were recruited. Core endurance was assessed using the McGill test battery, and dynamic pelvic stability was measured via the Active Hip Abduction test. Pearson's correlation coefficients were used to analyze relationships between core endurance, lumbar lordosis, and pain onset during prolonged standing.



Results: Significant positive correlations were found between core endurance and time to pain onset. Lower endurance, particularly in the McGill tests, was linked to earlier pain onset. No significant correlation was observed between lumbar lordosis and pain onset.



Conclusion: Core muscle endurance plays a key role in reducing the risk of LBP in those prone to prolonged standing, emphasizing the importance of strengthening core muscles as a preventive measure.

Keywords