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- Title
Effect of Lumbar Progressive Resistance Exercise on Lumbar Muscular Strength and Core Muscular Endurance in Soldiers.
- Authors
Mayer, John M.; Childs, John D.; Neilson, Brett D.; Henian Chen; Koppenhaver, Shane L.; Quillen, William S.; Chen, Henian
- Abstract
<bold>Objectives: </bold>Low back pain is common, costly, and disabling for active duty military personnel and veterans. The evidence is unclear on which management approaches are most effective. The purpose of this study was to assess the effectiveness of lumbar extensor high-intensity progressive resistance exercise (HIPRE) training versus control on improving lumbar extension muscular strength and core muscular endurance in soldiers.<bold>Methods: </bold>A randomized controlled trial was conducted with active duty U.S. Army Soldiers (n = 582) in combat medic training at Fort Sam Houston, Texas. Soldiers were randomized by platoon to receive the experimental intervention (lumbar extensor HIPRE training, n = 298) or control intervention (core stabilization exercise training, n = 284) at one set, one time per week, for 11 weeks. Lumbar extension muscular strength and core muscular endurance were assessed before and after the intervention period.<bold>Results: </bold>At 11-week follow-up, lumbar extension muscular strength was 9.7% greater (p = 0.001) for HIPRE compared with control. No improvements in core muscular endurance were observed for HIPRE or control.<bold>Conclusions: </bold>Lumbar extensor HIPRE training is effective to improve isometric lumbar extension muscular strength in U.S. Army Soldiers. Research is needed to explore the clinical relevance of these gains.
- Subjects
TEXAS; MILITARY physical training &; conditioning; PAIN management; LUMBAR pain; MUSCLE strength; AMERICAN military personnel; RANDOMIZED controlled trials; ISOMETRIC exercise; LUMBAR vertebrae physiology; COMPARATIVE studies; RESEARCH methodology; MEDICAL cooperation; RESEARCH; MILITARY personnel; EVALUATION research; RESISTANCE training; PREVENTION
- Publication
Military Medicine, 2016, Vol 181, Issue 11, pe1615
- ISSN
0026-4075
- Publication type
journal article
- DOI
10.7205/MILMED-D-15-00543