Movement control exercise versus general exercise to reduce disability in patients with low back pain: randomized controlled multicentre study

Physiotherapy ◽  
2015 ◽  
Vol 101 ◽  
pp. e917-e918
Author(s):  
J. Saner ◽  
H. Luomajoki ◽  
J.M. Sieben ◽  
J. Kool ◽  
C.H. Bastiaenen ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Multicentre Study ◽  
Movement Control ◽  
Low Back ◽  
Randomized Controlled ◽  
General Exercise ◽  
Control Exercise

scholarly journals Movement System Impairment–Based Classification Versus General Exercise for Chronic Low Back Pain: Protocol of a Randomized Controlled Trial

2015 ◽  
Vol 95 (9) ◽  
pp. 1287-1294 ◽  
Author(s):  
Daniel Camara Azevedo ◽  
Linda R. Van Dillen ◽  
Henrique de Oliveira Santos ◽  
Daniel Ribeiro Oliveira ◽  
Paulo Henrique Ferreira ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Low Back Pain ◽  
Back Pain ◽  
Physical Therapy ◽  
Controlled Trial ◽  
Low Back ◽  
Randomized Controlled ◽  
General Exercise ◽  
Movement System ◽  
Blinded Assessor

BackgroundLow back pain (LBP) is an important health problem in all developed countries and is associated with high levels of disability. Evidence-based clinical practice guidelines usually recommend different physical therapy interventions to manage this condition. However, those interventions usually result in small to moderate clinical effects. Recent studies suggest that interventions based on subgroup classifications may improve the effect sizes compared with rehabilitation programs where the same interventions were applied to all patients.ObjectiveThis study will investigate the efficacy of treatment based on a Movement System Impairment (MSI)–based classification model for patients with chronic LBP compared with general exercise. The primary outcomes will be pain intensity and disability at 2 months after randomization.DesignThe study is a 2-arm, prospectively registered, randomized controlled trial with a blinded assessor.SettingThe study setting will be a university physical therapy clinic in Brazil.ParticipantsA total of 148 individuals with chronic LBP will participate in the study.InterventionIncluded individuals will be randomly allocated to participate in an 8-week treatment program based on the MSI-based classification or a general exercise program of stretching and strengthening exercises.MeasurementsPain intensity, disability, and global impression of recovery will be assessed by a blinded assessor at baseline and at follow-up appointments after treatment (2 months) and 4 and 6 months after randomization.LimitationsTherapists will not be blinded.ConclusionsThe results of this study may contribute to a better understanding of the efficacy of treatments based on classification of participants with chronic LBP into subgroups.

scholarly journals Effect of General Versus Specialized Exercises on Movement Control of Lumbo- Pelvic Region in Subjects with Chronic Low Back Pain

2018 ◽  
Vol 3 (90) ◽  
Author(s):  
Toma Garbenytė ◽  
Vytautas Poškaitis ◽  
Vidmantas Zaveckas ◽  
Laimonas Šiupšinskas ◽  
Rimtautas Gudas
Keyword(s):  
Low Back Pain ◽  
Motor Control ◽  
Back Pain ◽  
Exercise Training ◽  
Training Program ◽  
Movement Control ◽  
Low Back ◽  
Pelvic Region ◽  
Exercise Training Program ◽  
General Exercise

Research background and hypothesis. Low back pain is a huge problem in the world. One of the main reasons why the low back pain problems arise is lumbo-pelvic motor control dysfunction. Specialized exercises are the basis of physical therapy for low back pain patients. Hypothesis: specialized exercises can be more effective for movement control of lumbo-pelvic region in subjects with chronic low back pain.Research aim was to assess the effect of general versus specialized exercises for movement control of lumbo-pelvic region in subjects with chronic low back pain.Research methods. The study involved 60 subjects with chronic low back pain, 29 women and 31 men, aged 21.5 years on average. All subjects were submitted to the Low Back Pain Duration and Beacke Habitual Physical Activity Assessment  questionnaires  (Baecke  et  al.,  1982).  Lumbo-pelvic  motion  control  was  evaluated  by  six Hannu Luomajoki movement control tests (Luomajoki et al., 2008). Specialized and general training programs were prescribed and performed under supervision of physical therapist. Video materials expert analysis was used for the evaluation of the study data.Research  results.  The  results  showed  that  a  specialized  training  program  was  more  effective  than  general exercises in improving movement control in lumbo-pelvic region for patients with low back pain.Discussion and conclusions. General exercise training program for general exercise group had no effect for all test results. Specialized exercise training program results showed that lumbo-pelvic movement control improved in five of the six control tests (p  < 0.05).Keywords: motor control, physical therapy program, stability, mobility.

Sign in / Sign up

Export Citation Format

Share Document