Brief Resume of The Intended Work: 6.1 Need For The Study

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Brief resume of the intended work: 6.

1 Need for the study Low back pain is an important public health problem in all nations. Although most people appear to recover quickly from an episode of low back pain, disability resulting from back pain is more common than any other cause of activity limitation in adults1. The core has been described as a box or a double-walled cylinder with the abdominals as the front, paraspinals and gluteals as the back, the diaphragm as the roof and the pelvic floor and hip girdle musculature as the bottom.2 The normal function of the core muscle is to provide sufficient stability to the spine to match the instantaneously varying stability demands due to changes in spinal posture, and static and dynamic loads.3 Back pain can occur as a consequence of deficits in control of spinal segment when abnormally large segmental motions cause compression or stretch on neural structures or abnormal deformation of ligaments and pain-sensitive structures. This deficit may be potentially cause by instability in the core muscles.4 A comprehensive strengthening or facilitation of these core muscles has been advocated as a way to prevent and rehabilitate various lumbar spine and musculoskeletal disorders and as a way to enhance performance. The goal is to optimize the muscle activation and co-ordination around the spine while minimizing compressive load to spinal tissues.5,6 General exercise programs for the back are designed to enhance trunk performance through the training of long trunk muscles like the erector spinae and rectus abdominis, whose primary function is to generate movement. However, current research has shown that specific exercise targeting the multifidus and transversus abdominis muscles have shown to decrease pain and disability in chronic low back pain.7,8 Study has shown both Rhythmic stabilization training and Active lumbar stability exercises are effective in the treatment of Chronic low back pain. Though both technique works on different type of muscle, both the technique improve stability of the lumbar spine and reduces pain. The concept of the active lumbar stabilization is to gain a co-contraction of key local muscles, transversus abdominis and lumbar multifidus which is elicited by drawing in the abdominal walls. This procedure to utilize increased intra-abdominal pressure to stabilize the lumbar spine prior to and during any activity which loads the spine.9 Rhythmic stabilization training is a form of Proprioceptive neuromuscular facilitation exercises. It

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