Motor control exercise for acute non-specific low back pain

Macedo, Luciana; Saragiotto, Bruno Tirotti; Yamato, Tiê Parma; Costa, Leonardo Oliveira Pena; Ostelo, Raymond; Maher, Christopher G.

doi:10.1002/14651858.cd012085

Cited by 58 publications

(50 citation statements)

References 179 publications

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“… 21 We will consider studies in which MCE is described as motor control, core stability or a specific stabilisation exercise and/or the study describes exercise aiming to facilitate, activate, restore, train or improve the function of the deep musculature of the spine. 27 43 All these different names of MCEs will be used in our search syntax. In addition, we will include trials evaluating Pilates, because the principles of Pilates may overlap with the principles of a motor control intervention.…”

Section: Methodsmentioning

confidence: 99%

“… 44 It is important that all the studies included focus on specific muscle activity in their training programme and if a trial consists of specific stabilisation without consideration of specific muscle activity it will be excluded. 43 Furthermore, when MCEs are used in addition to other treatments in primary studies, they need to represent at least 50% of the total treatment programme to be included. 27 …”

Section: Methodsmentioning

confidence: 99%

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Motor control exercise for symptomatic lumbar disc herniation: protocol for a systematic review and meta-analysis

et al. 2016

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IntroductionLumbar disc herniation (LDH) is a common condition in adults and can impose a heavy burden on both the individual and society. It is defined as displacement of disc components beyond the intervertebral disc space. Various conservative treatments have been recommended for the treatment of LDH and physical therapy plays a major role in the management of patients. Therapeutic exercise is effective for relieving pain and improving function in individuals with symptomatic LDH. The aim of this systematic review is to evaluate the effectiveness of motor control exercise (MCE) for symptomatic LDH.Methods and analysisWe will include all clinical trial studies with a concurrent control group which evaluated the effect of MCEs in patients with symptomatic LDH. We will search PubMed, SCOPUS, PEDro, SPORTDiscus, CINAHL, CENTRAL and EMBASE with no restriction of language. Primary outcomes of this systematic review are pain intensity and functional disability and secondary outcomes are functional tests, muscle thickness, quality of life, return to work, muscle endurance and adverse events. Study selection and data extraction will be performed by two independent reviewers. The assessment of risk of bias will be implemented using the PEDro scale. Publication bias will be assessed by funnel plots, Begg's and Egger's tests. Heterogeneity will be evaluated using the I2 statistic and the χ2 test. In addition, subgroup analyses will be conducted for population and the secondary outcomes. All meta-analyses will be performed using Stata V.12 software.Ethics and disseminationNo ethical concerns are predicted. The systematic review findings will be published in a peer-reviewed journal and will also be presented at national/international academic and clinical conferences.Trial registration numberCRD42016038166.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Motor control exercise for symptomatic lumbar disc herniation: protocol for a systematic review and meta-analysis

et al. 2016

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“…Further, a previous work has shown no differences in outcome between a subgroup of patients with LBP who responded positively and negatively to a clinical prediction rule for manual therapy (Hancock, Maher, Latimer, Herbert, & McAuley, ). Similarly, Cochrane and systematic reviews (Macedo et al, ; Saragiotto et al, ; Smith, Littlewood, May, ) have reported no concrete evidence for the effectiveness of stabilization exercises in patients suffering from acute LBP. This we hypothesize to the mechanical nature of symptoms displayed by the patients at baseline that lead to the classification.…”

Section: Discussionmentioning

confidence: 99%

A subgroup analysis to compare patients with acute low back pain classified as per treatment‐based classification

Ganesh¹,

Sahu

Das³

et al. 2018

Physiotherapy Res Intl

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“…Trunk stabilization exercises are one of the important components of rehabilitation training for increasing trunk muscle activation [1] because it is possible to re-educate the trunk muscles for proper activation and coordination through improved exercise control, and they can lead to improvement of vertebral stability [2,3]. It also maintains spinal alignment, provides adequate motion control for functional activity, and is widely used to prevent and treat back pain [4].…”

Section: Introductionmentioning

confidence: 99%

Comparison of trunk muscle activity according to hip abduction angle during plank exercise

Pi¹,

Cho²,

Shim

et al. 2019

PTRS

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The purpose of this study was to investigate the conditions for the application of various plank exercises to people who require trunk stabilization by comparing trunk muscle activity according to the degree of hip abduction in the plank exercise. Design: Cross-sectional study. Methods: Twenty healthy participants voluntarily participated in this study and the plank exercise was performed under 5 conditions (two-legged support plank [TSP] with hip abduction, TSP with hip abduction of 15 degrees, TSP with hip abduction of 30, one-legged support plank [OSP] with hip abduction of 15 degrees, OSP with hip abduction of 30 degrees). In order to measure the trunk muscle activity according to the 5 conditions, surface electromyography was used. The electrical activities of the rectus abdominis (RA), external oblique (EO), and internal oblique (IO) muscles were measured during the 5 plank exercises. Subjects practiced each of the 5 conditions three times in random order and the average values were obtained. Results: In the OSP condition with 15/30 degrees of hip abduction, activities of the RA, EO, and IO were significantly greater than during the TSP (p<0.05). In the OSP with 30 degrees of hip abduction condition, activities of the left EO, IO were significantly greater than other plank exercise conditions (p<0.05). Conclusions: The plank exercise with hip abduction of 30 degrees and the OSP exercise can be suggested as an effective method to enhance the activity of the trunk oblique muscles.

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Motor control exercise for acute non-specific low back pain

Cited by 58 publications

References 179 publications

Motor control exercise for symptomatic lumbar disc herniation: protocol for a systematic review and meta-analysis

Motor control exercise for symptomatic lumbar disc herniation: protocol for a systematic review and meta-analysis

A subgroup analysis to compare patients with acute low back pain classified as per treatment‐based classification

Comparison of trunk muscle activity according to hip abduction angle during plank exercise

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