Efectividad de un programa de ejercicios de movilidad de cadera vs. un programa de ejercicios de estabilidad lumbar en pacientes con lumbalgia. Un ensayo clínico aleatorizado

Mónica Morones Alba; Carla Patricia García Luque; Fernández Oñate Fernández Oñate; María de Jesús González Rodríguez; Yesenia Ramírez Carreón; Gilberto Enrique Plascencia Silva; Susana Berenice Esparza Ramos

doi:10.33064/58lm20244206

Authors

Mónica Morones Alba UAA https://orcid.org/0009-0009-8499-7170
Carla Patricia García Luque UAA https://orcid.org/0009-0003-4734-365X
Fernández Oñate Fernández Oñate UAA https://orcid.org/0009-0003-3432-189X
María de Jesús González Rodríguez UAA https://orcid.org/0009-0001-4546-0735
Yesenia Ramírez Carreón UAA https://orcid.org/0009-0006-9919-4010
Gilberto Enrique Plascencia Silva CRIT https://orcid.org/0009-0005-5843-7525
Susana Berenice Esparza Ramos UAA https://orcid.org/0000-0002-7388-3305

DOI:

https://doi.org/10.33064/58lm20244206

Keywords:

Low back pain, Therapeutic exercise, Mobility, Hip, Lumbar, Core stability

Abstract

Introduction: Hip mobility and lumbar stability exercises are therapeutic strategies useful for managing low back pain, but no comparative studies have been conducted to determine which is more effective. Objective: To compare the effectiveness of two exercise programs: hip mobility (HM) and lumbar stability (LS), in patients with low back pain. Materials and Methods: A randomized single-blind clinical trial conducted in patients aged 20 to 60 years with low back pain without signs of nerve compression. Participants were assigned to one of two groups (HM or LS) and performed 30-minute sessions twice a week for four weeks. Variables assessed included pain intensity, hip rotation range of motion, lumbar instability and disability level. Mann-Whitney and Chi-squared tests were used for intergroup comparisons, and Wilcoxon and McNemar tests for intragroup analyses. The significance level was set at p<0.05. Results: Both groups showed significant improvements in all variables (p<0.05). However, intergroup comparisons revealed no statistically significant differences in pain intensity (p=0.605), lumbar instability (p=0.799), or disability level (p=0.916), indicating similar effectiveness between the programs. Conclusions: Both the hip mobility and lumbar stability programs are equally effective in reducing pain, improving stability and decreasing disability in patients with low back pain.

Recepción: 28/11/2022

Aprobación: 13/01/2025

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