{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T03:40:37Z","timestamp":1785901237721,"version":"3.56.0"},"reference-count":55,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,2,8]],"date-time":"2025-02-08T00:00:00Z","timestamp":1738972800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Pain"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Core stabilisation training is known to be effective in managing pain in patients suffering from chronic low back pain (CLBP). Yet, acute effects of core stabilisation exercise on exercise\u2010induced hypoalgesia (EIH) are largely unknown. This study aimed to examine the EIH effects of an easy\u2010to\u2010perform core stabilisation exercise in CLBP patients and to explore associations between EIH and potential influencing factors (i.e., physical activity, catastrophizing, kinesiophobia, subjective pain state and exercise exertion).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Thirty patients with unspecific CLBP finished this randomised controlled crossover trial. Patients performed a 10\u2010min isometric core stabilisation exercise and a 10\u2010min control session. Before and after, pain sensitivity was measured via pressure pain thresholds [Newton\/cm<jats:sup>2<\/jats:sup>] locally (low back; PPT<jats:sub>local<\/jats:sub>) and remotely (forehead, thumb; PPT<jats:sub>remote<\/jats:sub>). Correlation analyses were performed between EIH and influencing factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A \u2018Time\u2019\u2009\u00d7\u2009\u2018Intervention\u2019 interaction (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) was observed for PPT<jats:sub>local<\/jats:sub> with post hoc analysis revealing higher values post exercise (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001; pre: 56.6\u2009\u00b1\u200920.6, post: 67.5\u2009\u00b1\u200926.1). No differences were observed for the control session (<jats:italic>p<\/jats:italic>\u2009=\u20090.894; pre: 58.5\u2009\u00b1\u200924.0, post: 58.4\u2009\u00b1\u200923.3). No such effect was observed for PPT<jats:sub>remote<\/jats:sub> (<jats:italic>p<\/jats:italic>\u2009=\u20090.014). Post hoc analyses showed no differences following the exercise session (<jats:italic>p<\/jats:italic>\u2009=\u20090.103; pre: 41.3\u2009\u00b1\u200912.5, post: 42.5\u2009\u00b1\u200913.6), while lower PPT<jats:sub>remote<\/jats:sub> post values were observed post control compared to pre values (<jats:italic>p<\/jats:italic>\u2009=\u20090.031; 42.5\u2009\u00b1\u200914.5, post: 41.3\u2009\u00b1\u200913.7). The only significant moderate correlation was observed between \u0394PPT<jats:sub>local<\/jats:sub> of the exercise session and catastrophizing with <jats:italic>rho<\/jats:italic>\u2009=\u2009\u22120.381.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>A 10\u2010min isometric core stabilisation exercise results in local lumbar EIH, while no systemic effects are observed. A higher degree of catastrophizing is associated with lower hypoalgesic responses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Significance<\/jats:title><jats:p>This study shows for the first time that a brief and easy\u2010to\u2010perform 10\u2010min core stabilisation exercise produces significant local pain relief (EIH) in patients with unspecific CLBP. The effect is localised to the lumbar region, with no observed impact on remote sites. Higher pain catastrophizing seems to be linked to reduced hypoalgesic response. These findings support the use of short core stabilisation exercises as an effective, immediate, non\u2010pharmacological pain management strategy for these patients.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ejp.4794","type":"journal-article","created":{"date-parts":[[2025,2,11]],"date-time":"2025-02-11T05:16:27Z","timestamp":1739250987000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Ten\u2009Minutes of Core Stabilisation Exercise Result in Local Exercise\u2010Induced Hypoalgesia in Patients With Chronic Unspecific Low Back Pain"],"prefix":"10.1002","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1738-4891","authenticated-orcid":false,"given":"Fabian","family":"Tomschi","sequence":"first","affiliation":[{"name":"Department of Sports Medicine University of Wuppertal  Wuppertal Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andre","family":"Zschunke","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine University of Wuppertal  Wuppertal Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0935-2526","authenticated-orcid":false,"given":"Thomas","family":"Hilberg","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine University of Wuppertal  Wuppertal Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,2,8]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.CSMR.0000308663.13278.69"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0160866"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00640668"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/0268-0033(95)00035-6"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000002641"},{"key":"e_1_2_9_7_1","volume-title":"Statistical Power Analysis for the Behavioral Sciences","author":"Cohen J.","year":"1988"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1249\/01.MSS.0000078924.61453.FB"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2022.10671"},{"key":"e_1_2_9_10_1","first-page":"917","article-title":"Isometric Back Exercise Has Different Effect on Pressure Pain Thresholds in Healthy Men and Women","volume":"18","author":"Gajsar H.","year":"2017","journal-title":"Pain Medicine"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psyneuen.2011.09.017"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/0953710021000057541-1"},{"key":"e_1_2_9_13_1","article-title":"Effects of Core Stabilization Exercise and Strengthening Exercise on Proprioception, Balance, Muscle Thickness and Pain Related Outcomes in Patients With Subacute Nonspecific Low Back Pain: A Randomized Controlled Trial","volume":"22","author":"Hlaing S. 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