{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:13:06Z","timestamp":1787771586476,"version":"build-2784847793"},"reference-count":45,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T00:00:00Z","timestamp":1747612800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Faculty of Allied Health Sciences, Burapha University","award":["AHS03\/2566"],"award-info":[{"award-number":["AHS03\/2566"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Back and Musculoskeletal Rehabilitation"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Blood flow restriction (BFR) is considered an alternative method for increasing muscle activity and thickness to reduce Nonspecific Chronic Low back pain (NSCLBP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study aimed to evaluate the effects of BFR with core stabilization exercise (CSE) on muscle activity, muscle thickness, and disability in individuals with NSCLBP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 38 individuals with NSCLBP aged 18\u201345 years were included in this study. The participants were randomly divided into the BFR\u2009+\u2009CSE and CSE groups (n\u2009=\u200919 each). All participants underwent supervised rehabilitation sessions three times per week over a period of four consecutive weeks. Muscle activity, muscle thickness, and disability were assessed before and after the four-week intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The BFR\u2009+\u2009CSE group showed significant within-group improvement in muscle activity of the transversus abdominis (TrA), multifidus (MF), and gluteus maximus (Gmax), muscle thickness at rest and during contraction, and disability (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.05). The CSE group showed a significant increase in electromyography activity of the MF muscle (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.05), a significant increase in muscle thickness at rest for the TrA, MF, and Gmax muscles (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.05), and only a significant increase in muscle thickness during contraction for the TrA muscle (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.05). Additionally, the BFR\u2009+\u2009CSE group exhibited superior benefits compared to the CSE group across all variables.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>BFR combined with CSE over four weeks is more effective in improving TrA, MF, and Gmax muscle strength, muscle thickness, and disability.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10538127251343856","type":"journal-article","created":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T18:37:00Z","timestamp":1747679820000},"page":"97-107","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Effect of blood flow restriction training with core stabilization exercise on muscle activity and muscle thickness in subjects with nonspecific chronic low back pain"],"prefix":"10.1177","volume":"39","author":[{"given":"Phurichaya","family":"Werasirirat","sequence":"first","affiliation":[{"name":"Department of Physical Therapy, Faculty of Allied Health Sciences, Burapha University, Chonburi, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juntip","family":"Namsawang","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Faculty of Allied Health Sciences, Burapha University, Chonburi, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nutsupa","family":"Singhasoot","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Faculty of Allied Health Sciences, Burapha University, Chonburi, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nongnuch","family":"Luangpon","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Faculty of Allied Health Sciences, Burapha University, Chonburi, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Audrius","family":"Snieckus","sequence":"additional","affiliation":[{"name":"Institute of Sport Science and Innovations, Lithuanian Sports University, Kaunas, Lithuania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pornpimol","family":"Muanjai","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Faculty of Allied Health Sciences, Burapha University, Chonburi, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,5,19]]},"reference":[{"key":"e_1_3_3_2_2","first-page":"1","article-title":"Low back pain (chronic)","author":"Chou R","unstructured":"Chou R. 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