{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T23:36:18Z","timestamp":1792884978953,"version":"4.5.0"},"reference-count":54,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T00:00:00Z","timestamp":1778544000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T00:00:00Z","timestamp":1778544000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Back and Musculoskeletal Rehabilitation"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>While specific types of exercise (e.g., core exercise) are recommended for the management of chronic low back pain (CLBP), little is known of the effects of whole-body strength training (WBST) on pain outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This randomized controlled trial investigated the effects of a WBST program on pain intensity, pain sensitivity, and core strength in CLBP patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      45 Patients were assigned to an intervention group (IG) or active control group (CG). The IG completed 12 weeks of WBST (45\u2005min\/week) plus group training (45\u2005min\/week), while the CG only performed the group training. Pain intensity (numeric rating scale, NRS, 0\u201310), lumbar pressure pain thresholds (PPT, N\/cm\n                      <jats:sup>2<\/jats:sup>\n                      ), and isometric trunk flexion\/extension strength (kg) were assessed baseline (T0), post-intervention (T1), and follow-up (T2, NRS only).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>32 Patients finished the intervention and were analyzed. For PPT, an interaction effect for \u2018time\u2019\u2009\u00d7\u2009\u2018group\u2019 was observed (p\u2009=\u20090.048) and the IG showed improvements in PPT (T0\u2009=\u200938.2\u2009\u00b1\u200921.1; T1\u2009=\u200948.1\u2009\u00b1\u200929.1), while the CG showed no change. A main effect \u2018time\u2019 (p\u2009&lt;\u20090.001) and no interaction effect (p\u2009=\u20090.737) was observed for NRS. In the IG, NRS was lower at T1 and T2 compared to T0 (T0\u2009=\u20095.0\u2009\u00b1\u20091.7; T1\u2009=\u20093.8\u2009\u00b1\u20091.7; T2\u2009=\u20093.8\u2009\u00b1\u20091.5), while no difference was found in the CG. For core extension and flexion strength, main effects \u2018time\u2019 (p\u2009\u2264\u20090.001) and no interaction effects (p\u2009&gt;\u20090.071) were observed, while strength increased only in the IG (extension: T0\u2009=\u200960.0\u2009\u00b1\u200923.7; T1\u2009=\u200974.4\u2009\u00b1\u200928.9; flexion: T0\u2009=\u200940.3\u2009\u00b1\u200916.9; T1\u2009=\u200948.5\u2009\u00b1\u200919.2). PPT correlated positively with trunk strength (r\u2009=\u20090.320\u20130.621).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>WBST combined with group exercise improves lumbar pain sensitivity in CLBP patients and might therefore be considered as an efficient training option within rehabilitation programs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10538127261448967","type":"journal-article","created":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T12:27:54Z","timestamp":1778588874000},"page":"2109-2120","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Effects of whole-body strength training on pain and strength in chronic low back pain. 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