Motor control exercise for chronic non-specific low-back pain (PEDro synthesis)

New, Cameron C; Dannaway, Jasan; New, Heather A.; New, Charles H

doi:10.1136/bjsports-2016-097266

Cited by 8 publications

(3 citation statements)

References 3 publications

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“…The possible origin of pain sources of NSLBP include variable combinations of degenerative alterations in one or more discs, facet joints, and/or ligaments, with or without regional and/or global alterations in spinal alignment [4]. A lack of coordination of the muscles that support the spine is one of the proposed mechanisms for the onset and/or persistence of NSLBP [5]. Initial non-pharmacological treatment includes educations of self-management and normal activities or exercises resumption, and psychological programs for those with persistent symptoms [6].Treatment focuses on reducing pain and its consequences became the main treatment for NSLBP because of its unknow path-oanatomical cause.…”

Section: Introductionmentioning

confidence: 99%

Spinopelvic Anatomic Parameters Prediction Model of NSLBP based on open dataset

2023

MCR

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Objective: The purpose of this study is to perform analysis through the low back pain open data set to predict the incidence of non-specific chronic low back pain (NSLBP) to obtain a more accurate and convenient sagittal spinopelvic parameter model. Methods: The logistic regression analysis and multilayer perceptron (MLP) algorithm is used to construct a NSLBP prediction model based on the parameters of the spinopelvic parameters from open data source. Results: Degree of spondylolisthesis (DS), Pelvic radius (PR), Sacral slope (SS), Pelvic tilt (PT) are four predictors screened out by regression analysis that have significant predictive power for the risk of NSLBP. The overall accuracy of the equation prediction model is 85.8%.The MLP network algorithm determines that DS is the most powerful predictor of NSLBP through more precise modeling. The model has good predictive ability of 95.2% of accuracy. Conclusions: MLP models play a more accurate role in the construction of predictive models. Computer science is playing a greater role in helping precision medicine clinical research.

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Section: Introductionmentioning

confidence: 99%

Spinopelvic Anatomic Parameters Prediction Model of NSLBP based on open dataset

2023

MCR

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“…Moreover, neural networks formed under the presence of noise are more flexible in handling external conditions [27]. Instability exercise is considered within the framework of motor control exercise which effectiveness is evaluated in several meta-analyses [28][29][30][31][32]. However, the methods differ in our approach.…”

Section: Introductionmentioning

confidence: 99%

Perturbation-based trunk stabilization training in elite rowers: A pilot study

Schäfer¹,

Schäfer²,

Platen³

2021

Preprint

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Low back pain is a major health issue in elite rowers. High training volume, frequent flexion movements of the lower spine and rotational movement in sweep rowing contribute to increased spinal strain and neuropathological pattern. Perturbation-based trunk stabilization training (PTT) may be effective to treat neuromuscular deficits and back pain. All boat classes (8+, 4+/-, 2-) of the male German national sweep rowing team participated in this non-randomized, parallel group study. We included 26 athletes (PTT: n=12, control group: n=14) in our analysis. Sports therapists conducted 16 individualized PTT sessions á 30-40 minutes in 10 weeks, while the control group kept the usual routines. We collected data before and after intervention on back pain intensity and disability, maximum isometric trunk extension and flexion, jump height and postural sway of single-leg stance. We found less disability (5.3 points, 95% CI [0.4, 10.1], g=0.42) for PTT compared to control. Pain intensity decreased similar in both groups (-14.4 and -15.4 points), yielding an inconclusive between-group effect (95% CI [-16.3, 14.3]). Postural sway, strength and jump height tend to have no between and within-group effects. Perturbation-based trunk stabilization training is possibly effective to improve the physical function of the lower back in elite rowers.

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“…As postulated by a recent review from Wilson (Wilson, 2017 ), more research about the long-term effects of multidisciplinary programs is highly necessary, since there is little evidence about the sustaining effects of such programs on low back pain (Flor, 2011 ; Saragiotto et al, 2016 ). In order to fill this gap, the here reported results provide a follow-up to an intervention study with uni- and multidisciplinary interventions to record long-term effects.…”

Section: Introductionmentioning

confidence: 99%

Sustainability of a Motor Control Exercise Intervention: Analysis of Long-Term Effects in a Low Back Pain Study

Puschmann

Lin

Wippert

2021

Front. Sports Act. Living

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Development of chronic pain after a low back pain episode is associated with increased pain sensitivity, altered pain processing mechanisms and the influence of psychosocial factors. Although there is some evidence that multimodal therapy (such as behavioral or motor control therapy) may be an important therapeutic strategy, its long-term effect on pain reduction and psychosocial load is still unclear. Prospective longitudinal designs providing information about the extent of such possible long-term effects are missing. This study aims to investigate the long-term effects of a homebased uni- and multidisciplinary motor control exercise program on low back pain intensity, disability and psychosocial variables. 14 months after completion of a multicenter study comparing uni- and multidisciplinary exercise interventions, a sample of one study center (n = 154) was assessed once more. Participants filled in questionnaires regarding their low back pain symptoms (characteristic pain intensity and related disability), stress and vital exhaustion (short version of the Maastricht Vital Exhaustion Questionnaire), anxiety and depression experiences (the Hospital and Anxiety Depression Scale), and pain-related cognitions (the Fear Avoidance Beliefs Questionnaire). Repeated measures mixed ANCOVAs were calculated to determine the long-term effects of the interventions on characteristic pain intensity and disability as well as on the psychosocial variables. Fifty four percent of the sub-sample responded to the questionnaires (n = 84). Longitudinal analyses revealed a significant long-term effect of the exercise intervention on pain disability. The multidisciplinary group missed statistical significance yet showed a medium sized long-term effect. The groups did not differ in their changes of the psychosocial variables of interest. There was evidence of long-term effects of the interventions on pain-related disability, but there was no effect on the other variables of interest. This may be partially explained by participant's low comorbidities at baseline. Results are important regarding costless homebased alternatives for back pain patients and prevention tasks. Furthermore, this study closes the gap of missing long-term effect analysis in this field.

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Motor control exercise for chronic non-specific low-back pain (PEDro synthesis)

Cited by 8 publications

References 3 publications

Spinopelvic Anatomic Parameters Prediction Model of NSLBP based on open dataset

Spinopelvic Anatomic Parameters Prediction Model of NSLBP based on open dataset

Perturbation-based trunk stabilization training in elite rowers: A pilot study

Sustainability of a Motor Control Exercise Intervention: Analysis of Long-Term Effects in a Low Back Pain Study

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