Comparison of stabilization and Flexi-Bar exercises: Effects on the flexion-relaxation ratio, pain, and function in military personnel with chronic low back pain

Abstract: Background: Chronic low back pain (CLBP) plagues the military ranks, where grueling duties amplify its toll. This study pitted stabilization exercises against flexion-relaxation ratio (FRR)-vibration-fueled and portable-to test their punch against pain, disability, and lumbar muscle dynamics. Methods: This was a quasi-experimental study involving fifty soldiers suffering from CLBP over an 8-week period. Surface electromyography was used to monitor the lumbar erector spine during standing-to-flexion cycles, allowing for the calculation of the FRR. Pain levels were measured using the Visual Analog Scale (VAS), while disability was assessed using the Oswestry Disability Index (ODI). Results: Both regimens slashed VAS (P <0.001, d = 1.2) and ODI (P < 0.001, d = 1.1), with no between-group edge. The FRR surged in both (P < 0.001, d = 0.9), but the Flexi-Bar outpaced the stabilization (P = 0.03, d = 0.5). Conclusion: Flexi-Bar's vibrational kick may nudge neuromuscular gains over stabilization, offering a lean, mean option for troops battling CLBP.

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