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Effects of Ankle Joint Stabilization Exercises on Pressure Pain Threshold, Flexibility, and Disability in Patients with Non-Specific Low Back Pain: A Randomized, Controlled, Preliminary Study

  • Journal of the Korean Society of Physical Medicine
  • Abbr : J Korean Soc Phys Med
  • 2026, 21(1), pp.85~95
  • Publisher : The Korean Society of Physical Medicine
  • Research Area : Medicine and Pharmacy > Physical Therapy > Other physical therapy
  • Received : October 30, 2025
  • Accepted : November 24, 2025
  • Published : February 28, 2026

Se-Hui Kim 1 Eun-Byeol Oh 1 Yong-Jun Cha ORD ID 1

1대전대학교

Accredited

ABSTRACT

PURPOSE: Low back pain is one of the most common musculoskeletal problems. The human body posture results from the complex interaction of all joints. Ankle instability can also cause low back pain. This study examined the effects of combining ankle stabilization exercises and lumbar exercises on the pressure pain threshold, flexibility, disability index in patients with non-specific low back pain METHODS: This single-blinded comparative study randomly assigned 25 patients diagnosed with non-specific low back pain into an experimental group (ankle stabilization exercise and lumbar stabilization exercise) and a control group (lumbar stabilization exercise only). Both groups received interventions three times per week for four weeks. In addition, all participants (n = 25) were assessed for the pressure pain threshold, trunk extension degree, and disability index before and after the four-week intervention period. RESULTS: The pressure pain threshold, trunk flexion and extension degree, and Oswestry disability index showed significant improvements (p < .05). The experimental group showed larger increases in the variables than the control group (pressure pain threshold, 2.01 kg vs. .94kg; trunk extension distance, 3.35 cm vs. 2.14 cm, respectively). CONCLUSION: Incorporating ankle stabilization exercises into rehabilitation programs might improve pain control and flexibility in patients with non-specific low back pain.

Citation status

* References for papers published after 2024 are currently being built.

This paper was written with support from the National Research Foundation of Korea.