A Decrease In Regular Opioid Usage Between Inmates With Chronic Low Back Pain Using Core Strengthening Exercises

Sana Saeed, Shabeer Hussain, Abd-Ur- Rehman


Chronic low back pain (CLBP) can be considered an intricate disorder, in that it leads to physical and psychosocial disabilities. High costs and lack of healthcare resources can exacerbate the problems caused by CLBP in correctional facility inmates. Worldwide treatment methods for CLBP have been very eclectic, with different clinical practice guidelines implemented by different healthcare professionals. There is no gold standard of care for CLBP. Costly medical diagnostics provide little information to guide appropriate treatment. Low cost treatment measures for inmates with CLBP may utilize self-management strategies to inhibit exacerbation flare-ups and provide stabilization. Core strengthening stabilization exercises which allow strength training have been demonstrated as valid treatment for CLBP and may improve performance and management of pain. A common treatment for CLBP is the use of pain medications, primarily opioids, which can be abused and present health risks. As a primary indicator of pain relief, this study tracked the daily prescribed dosage of opioid pain relief medications of 51 inmates in a Lahore correctional facility throughout the 60-day intervention period during which the inmates performed stabilization exercises in conjunction with reducing their opioid use. Using a Quasi-experimental design, two tailed t-test, results indicated that core strengthening stabilization exercises have a significant clinical impact on the need for opioid pain relief medications in CLBP patients. The goal of treatment for inmates with CLBP is to prevent physical and psychological disability, enhance mobility, relieve pain, and improve quality of life.


Chronic low back pain, inmates, core strengthening exercises, opioids

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