The effects of myofascial release technique combined with core stabilization exercise on pain, spinal mobility, balance, gait and physical activity in elderly with non-specific LOW back pain

Objective: The aim of the study was to evaluate the effects of Myofascial Release Technique (MRT) with a roller massager combined with core stabilization exercises (CSE) in elderly with non-specific low back pain (NSLBP). Method: A total of forty-five participants were randomly divided into two groups (CSE and CSE+MRT). A core stabilization exercise program was applied for the participants in the CSE group for 3 days per week for a total of 6 weeks. In addition to the core stabilization exercises, myofascial relaxation technique with a roller massager was performed for 3 days per week for 6 weeks for the participants in the CSE+MRT group. Participants were assessed in terms of pain, low back disability, lower body flexibility, balance, mobility, kinesiophobia, core stability endurance, spinal mobility, gait characteristics, physical activity and quality of life both pre- and post-treatment Results: It was found that the improvement in core stability endurance (p=0.031), mobility (p=0.041) and spinal mobility (in the sagittal plane) (p=0.022) was greater in the CSE+MRT group compared to the CSE group. There was no significant difference between the two groups in terms of pain, low back disability, lower body flexibility, kinesiophobia, balance, gait characteristics, physical activity and quality of life (p>0.05). Conclusion: This study demonstrates that myofascial relaxation technique combined with core stabilization exercises is an effective choice in increasing gains in the treatment of NSLBP in elderly.