Core stability training plays a significant role in the rehabilitation process of patients with chronic nonspecific low back pain (CNLBP). To further explore the application progress of core stability training in CNLBP patients and provide rehabilitation references for clinical CNLBP, this study adopted the literature retrieval method to systematically sort out, summarize and conclude the application research of core stability training in the treatment of chronic nonspecific low back pain patients in recent years, and thus draw conclusions. The research found that in CNLBP patients, core stability training can effectively enhance the neuromuscular function of the abdomen and back, as well as the surface electromyographic signals of related core muscle groups. Suspension core stability training can effectively activate the core muscle groups of CNLBP patients, enhance the stability of the spine and the strength of the waist and abdomen, and achieve the effect of reducing the discomfort of the waist in CNLBP patients. Among the equipment core stability training, Swiss ball core stability training can effectively improve the daily living level of CNLBP patients, relieve pain, and long-term training can effectively reduce the recurrence rate, balance pad core stability training can significantly increase the strength of the waist, WBV core stability training can increase the strength of the core muscle groups of the waist in CNLBP patients and show good results in pain relief. Floor core stability training has a good effect in improving the pain, function, muscle strength, range of motion and flexibility of the waist. Among them, Pilates exercise maintains excellent short-term and long-term therapeutic effects, which can help reduce the recurrence risk of CNLBP and also improve the walking stability and quality of life of CNLBP patients.

Xue Sun. Research Progress on the Application of Core Stability Training in Patients with Chronic Nonspecific Low Back Pain. Academic Journal of Medicine & Health Sciences (2025), Vol. 6, Issue 6: 47-53. https://doi.org/10.25236/AJMHS.2025.060607.

[1] Wang Xueqiang. The Effect of Core Stability Training on Neuromuscular Function in Patients with Non-specific Low Back Pain [D]. Shanghai University of Sport, 2016.

[2] MCGILL S M. Low back exercises:evidence for improving exer cise regimens[J]. Phys Ther, 1998, 78(7):754-765.

[3] VERA-GARCIA F J,GRENIER S G,MCGILL S M. Abdominal muscle response during curlups on both stable and labile sur faces[J]. Phys Ther,2000,80(6):564-569.

[4] LEE S W, KIM S Y. Effects of hip exercises for chronic low back pain patients with lumbar instability[J]. J Phys Ther Sci,2015,27(2):345-348.

[5] NEWTON M,THOW M,SOMERVILLE D,et al.Trunk strength testing with iso machines. Part 2:Experimental evaluation of the Cybex II Back Testing System in normal subjects and patients with chronic low back pain[J]. Spine(Phila Pa 1976),1993,18(7):812-824

[6] Shu Ji-kun, Zhi Ying-neng, Cheng Hailong. Observation on the therapeutic effect of deep muscle stimulation combined with suspension training in the treatment of chronic nonspecific neck pain [J]. Journal of Neck and Spine Pain, 2023, 44(02): 295-296.

[7] Yu Rui, Wang Chuhuai, Pan Cuihuan, et al. Changes in Surface Electromyographic Signals during Standing Posture Lumbar Flexion and Extension Movements after Suspension Exercise Therapy for Chronic Non-specific Low Back Pain [J]. Chinese Journal of Rehabilitation Theory and Practice, 2015, 21(8): 943-946.

[8] Mok NW, Yeung EW, Cho JC, et al. Core muscle activity during suspension exercises[J]. J Sci Med Sport,2015,18(2):189-194.

[9] Shen Xiaobao, Yang Tao. Analysis of the Mechanisms of Different Core Stability Training Methods [J]. Sports Research, 2018, 39(1): 5.

[10] Guo Mei. The Effect of Core Stability Training on the Treatment of Non-specific Low Back Pain [J]. Chinese Journal of Rehabilitation Medicine, 2016, 31(01): 88-90.

[11] Sung DH, Yoon SD, Park GD. The effect of complex rehabilitation training for 12 weeks on trunk muscle function and spine deformation of patients with SCI [J]. J Phys Ther Sci, 2015, 27(3):951-954.

[12] Wang Zhibin, Ding Jie. Research Progress on the Application of Whole-Body Vibration Training in Sports Rehabilitation [C]// Chinese Society of Sports Science. Thirteenth National Sports Science Conference Abstract Collection - Special Reports (Sports Medicine Section). Qufu Normal University. National Sports Medicine Research Institute, 2023: 2.

[13] Yang Jie. Experimental Study on the Mechanical Characteristics of the Spinal Muscles in Patients with Chronic Non-specific Low Back Pain and the Effect of Whole-Body Vibration Intervention [D]. Soochow University, 2021.

[14] Xu Shanshan. The Effect of Whole-Body Vibration Training on Core Stability in Patients with Non-specific Low Back Pain [C]// Committee of Sports Physiology of Chinese Physiology Society. 2017 Annual Meeting of the Committee of Sports Physiology of Chinese Physiology Society and "Academic Symposium on Student Physical Fitness and Sports Physiology" Proceedings. Graduate School of Wuhan Sports University, 2017: 1.

[15] WANG S, LIN W, et al. Efficacy of whole body vibration therapy on pain and functional ability in people with non-specific low back pain: a systematic review [J]. BMC complementary medicine and therapies, 2020, 20(1): 158.

[16] Yang Fangfang. Experimental Study on the Impact of Pilates on the Balance Ability of Middle-aged Women [D]. Chengdu Sports University, 2015.

[17] Mannion A F,Connolly B,Wood K,et al.The use of surface EMG powerspectral analysis in the evaluation of back muscle function[J].Journalof Rehabilitation Research & Development,1997, 34(4): 427-439.

[18] Malkia E,Ljunggren AE.Exercise programs for subjects with low backdisorders[J].Scandinavian Journal of Medicine and Science in Sports,1996,6(2):73-81.

[19] FINATTO P,SILVA E S D,OKAMURA A B,et al. Pilates training improves 5-km run performance by changing metabolic cost and muscle activity in trained runners[J]. PLoS One,2018,13(3):e0194057.

[20] Fernández-Rodríguez R, Álvarez-Bueno C, Cavero-Redondo I,et al. Best Exercise Options for Reducing Pain and Disability in Adults With Chronic Low Back Pain:Pilates,Strength,Core-Based,and Mind-Body. A Network Meta analysis[J]. J Orthop Sports Phys Ther,2022,52(8):505-521

[21] Wells, Cherie, Kolt, et al. The Definition and Application of Pilates Exercise to Treat People With Chronic Low Back Pain: A Delphi Survey of Australian Physical Therapists[J]. Physical Therapy, 2014, 94(06).

[22] Li Falin. Analysis of the Fitness Effects of Equipment-Based Pilates [J]. Sports, 2017(20): 151-152.

[23] Chen Shuang. Analysis of the Fitness Benefits of Pilates [J]. Combat (Sports Forum), 2009, 1(05): 64-65.

[24] Liang Feng, Li Queiba, Huo Wenjing, et al. The Effects of Pilates Exercises on Balance, Walking and Lower Limb Function in Elderly Stroke Patients [J]. Chinese Journal of Rehabilitation Theory and Practice, 2018, 24(09): 1072-1076.

[25] Song Cuicui, Wang Jing. Analysis of the Functions, Principles and Scientific Basis of Pilates Exercises [J]. Journal of Beijing Sport University, 2007(S1): 514-515.

[26] Weng Jiayin, Xiang Chunyu, Yang Jiapeng. A Discussion on Prenatal Yoga and Its Physiological and Psychological Functions [J]. Shandong Sports Science and Technology, 2006(01): 29-31.

[27] Cherie Wells, Gregory S. Kolt, Paul Marshall, et al.The Effectiveness of Pilates Exercise in People with Chronic Low Back Pain: A Systematic Review[J]. PLOS ONE, 2014, 9(07).

[28] Rydeard Rochenda, Leger Andrew, Smith Drew. Pilates-based therapeutic exercise: effect on subjects with nonspecific chronic low back pain and functional disability: a randomized controlled trial.[J]. The Journal of orthopaedic and sports physical therapy, 2006, 36(07).

[29] David Cruz-Díaz, Antonio Martínez-Amat, M. C. Osuna-Pérez,et al. Short and long-term effects of a six-week clinical Pilates program in addition to physical therapy on postmenopausal women with chronic low back pain: a randomized controlled trial[J]. Disability and Rehabilitation, 2016, 38(13).

[30] Wang Fei, Wang Jianhua, Shi Yan, et al. Observation on the Therapeutic Effect of Pilates Exercise Combined with Massage in the Treatment of Chronic Non-specific Lower Back Pain [J]. Medical Massage and Rehabilitation Medicine, 2022, 13(12): 4-6.