In this episode of Chiropractic Review Podcast, A.I. hosts Alison and Ian break down a large systematic review and meta-analysis on core exercise interventions for chronic low back pain.
The conversation moves beyond the question of whether core training works and into how different methods perform. The evidence supports three clear clinical pathways: Pilates-style training for pain reduction, resistance-based training for functional improvement, and stability work as an effective early-stage intervention that requires planned progression.
A key insight from the data is timing. The largest gains from stability-focused training occur within the first six to eight weeks. Framing this upfront can help manage expectations, improve adherence, and guide progression rather than frustration.
The episode closes with a challenge for clinicians: if movement quality and mindful instruction matter for pain, how can we better integrate those elements into resistance and stability training to support whole-person recovery?
