Supervised exercise with or without laser-guided feedback for people with non-specific chronic low back pain. A randomized controlled clinical trial

Caña-Pino, Alejandro; MD, Apolo-Arenas; Falla, Deborah; Lluch-Girbés, Enrique; Espejo-Antúnez, Luís

doi:10.1016/j.jelekin.2023.102776

Cited by 3 publications

(11 citation statements)

References 57 publications

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“…The 17 studies selected were published between the years 2011 to 2023. The 17 selected studies (Nassif et al, 2011 ; Miyamoto et al, 2013 , 2018 ; Da Luz Junior et al, 2014 ; Vincent et al, 2014 ; Cruz-Díaz et al, 2017 , 2018 ; Keane, 2017 ; Zadro et al, 2019 ; Galan-Martin et al, 2020 ; Tagliaferri et al, 2020 ; Akodu et al, 2021 ; Vicente-Campos et al, 2021 ; Martins de Sousa et al, 2022 ; Cana-Pino et al, 2023 ; Hernandez-Lucas et al, 2023 ; Ogunniran et al, 2023 ) involved 1,354 participants. Variation in chronic non-specific spine-related pain, exercise/physical activity and measures used to assess kinesiophobia contributed to the significant level of heterogeneity between the studies and reported effect estimates.…”

Section: Resultsmentioning

confidence: 99%

“…This was largely because of blinding, allocation sequence concealment and deviation from intended intervention. Five studies (Nassif et al, 2011 ; Miyamoto et al, 2013 , 2018 ; Zadro et al, 2019 ; Galan-Martin et al, 2020 ) were rated as having high risk of risk, ten (Vincent et al, 2014 ; Keane, 2017 ; Cruz-Díaz et al, 2018 ; Tagliaferri et al, 2020 ; Akodu et al, 2021 ; Vicente-Campos et al, 2021 ; Martins de Sousa et al, 2022 ; Cana-Pino et al, 2023 ; Hernandez-Lucas et al, 2023 ; Ogunniran et al, 2023 ) with some concerns of bias and two (Da Luz Junior et al, 2014 ; Cruz-Díaz et al, 2017 ) deemed low risk. Most studies adequately described the follow-up period, but attrition rate was poorly defined.…”

Section: Resultsmentioning

confidence: 99%

“…Another study (Zadro et al, 2019 ) assessed the effect of video game-based exercise (Wii Fit U) on fear of movement measured by TSK; the GRADE rating was also very low. Another study (Cana-Pino et al, 2023 ) examined the effect of supervised/laser guided exercise and neuroscience education (PNE) on fear of movement measured by TSK-11 (Spanish version), the GRADE ranking was very low suggesting little evidence that the observed effects are the true effects of these interventions. Ogunniran et al ( 2023 ) examined the effects of kinesiology taping and core stability exercise on clinical variables in patients with non-specific chronic low back pain.…”

Section: Resultsmentioning

confidence: 99%

“…The exercise interventions among all the studies included Pilates, strengthening/stabilization education/exercise programmes (general and neck/lumbar specific), kinesiology taping and core stabilization exercise, supervised/laser guided exercises- and pain neuroscience education and forms of stretching. Some studies (Miyamoto et al, 2013 ; Zadro et al, 2019 ; Galan-Martin et al, 2020 ; Tagliaferri et al, 2020 ; Cana-Pino et al, 2023 ; Hernandez-Lucas et al, 2023 ) combined their interventions with aerobic exercise, supervised exercise and education such as pain neuroscience education. Other studies (Martins de Sousa et al, 2022 ; Ogunniran et al, 2023 ) used a combination of High- and low-frequency transcutaneous electrical nerve stimulation and exercise and kinesiology taping and core stabilization exercise.…”

Section: Resultsmentioning

confidence: 99%

“…Other studies (Martins de Sousa et al, 2022 ; Ogunniran et al, 2023 ) used a combination of High- and low-frequency transcutaneous electrical nerve stimulation and exercise and kinesiology taping and core stabilization exercise. The control groups among the studies (Nassif et al, 2011 ; Miyamoto et al, 2013 , 2018 ; Vincent et al, 2014 ; Cruz-Díaz et al, 2017 , 2018 ; Keane, 2017 ; Zadro et al, 2019 ; Galan-Martin et al, 2020 ; Akodu et al, 2021 ; Vicente-Campos et al, 2021 ; Cana-Pino et al, 2023 ) either had no intervention, had usual physiotherapy treatment, or a form of education. From all the studies in the review, 14 (Nassif et al, 2011 ; Miyamoto et al, 2013 , 2018 ; Vincent et al, 2014 ; Cruz-Díaz et al, 2017 , 2018 ; Keane, 2017 ; Zadro et al, 2019 ; Galan-Martin et al, 2020 ; Akodu et al, 2021 ; Vicente-Campos et al, 2021 ; Martins de Sousa et al, 2022 ; Hernandez-Lucas et al, 2023 ; Ogunniran et al, 2023 ) had a control group, and ten studies (Da Luz Junior et al, 2014 ; Vincent et al, 2014 ; Cruz-Díaz et al, 2017 ; Keane, 2017 ; Miyamoto et al, 2018 ; Tagliaferri et al, 2020 ; Akodu et al, 2021 ; Martins de Sousa et al, 2022 ; Cana-Pino et al, 2023 ; Ogunniran et al, 2023 ) compared two or more interventions.…”

Section: Resultsmentioning

confidence: 99%

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Effects of exercise/physical activity on fear of movement in people with spine-related pain: a systematic review

Jadhakhan¹,

Sobeih²,

Falla³

2023

Front. Psychol.

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BackgroundKinesiophobia (i.e., fear of movement) can be an important contributor for ongoing pain and disability in people with spine-related pain. It remains unclear whether physical activity interventions/exercise influence kinesiophobia in this population. A systematic review was therefore conducted to synthesize the available evidence on whether physical activity interventions/exercise influence kinesiophobia in people with chronic non-specific spine-related pain.MethodsThe study protocol was registered prospectively with PROSPERO (CRD42021295755). The following databases were systematically searched from inception to 31 January 2022 and updated on 22 June 2023: PubMed, MEDLINE, Embase, CINAHL, Web of Science, PsycINFO, ZETOC, PROSPERO and Google Scholar. Inclusion criteria were randomized or non-randomized controlled studies investigating adults aged ≥18 years, reporting the effect of exercise or physical activity on kinesiophobia in individuals with chronic non-specific spine-related pain. Two reviewers independently extracted data and assessed the quality of the included studies. Bias was assessed using the Cochrane ROB2 tool and evidence certainty via Grading of Recommendations Assessment, Development and Evaluation (GRADE).ResultsSeventeen studies from seven countries involving a total of 1,354 individuals were selected for inclusion. The majority of studies (n = 13) involved participants with chronic low back pain (LBP), and Pilates was the most common form of exercise evaluated. Most of the studies reported a positive direction of effect in favor of exercise reducing kinesiophobia when compared to a control group. There was moderate to high risk of bias among the studies and the overall certainty of the evidence was very low.ConclusionThis review supports the use of exercise for reducing kinesiophobia in people with chronic LBP albeit with very low certainty of evidence; Pilates (especially equipment-based) was shown to be effective as were strengthening training programmes. There was limited evidence available on the effects of exercise on kinesiophobia for people with chronic neck or thoracic pain and further research is required.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/display_record.php?RecordID=295755

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Effects of exercise/physical activity on fear of movement in people with spine-related pain: a systematic review

Jadhakhan¹,

Sobeih²,

Falla³

2023

Front. Psychol.

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Pain neuroscience education for patients with chronic pain: A scoping review from teaching–learning strategies, educational level, and cultural perspective

Salazar-Méndez,

Cuyul-Vásquez,

Ponce-Fuentes

et al. 2024

Patient Education and Counseling

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Psychophysiological responses to a multimodal physiotherapy program in fighter pilots with flight-related neck pain: A pilot trial

Fernández-Morales,

Espejo-Antúnez,

Cardero-Durán

et al. 2024

PLoS ONE

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Background The physical and cognitive demands of combat flying may influence the development and persistence of flight-related neck pain (FRNP). The aim of this pilot study was to analyse the effect of a multimodal physiotherapy program which combined supervised exercise with laser-guided feedback and interferential current therapy on psychophysiological variables in fighter pilots with FRNP. Methods Thirty-one fighter pilots were randomly assigned to two groups (Intervention Group: n = 14; Control Group: n = 17). The intervention consisted of 8 treatment sessions (twice per week) delivered over 4 weeks. The following primary outcomes were assessed: perceived pain intensity (Numeric Pain Rating Scale–NPRS) and Heart Rate Variability (HRV; time-domain, frequency-domain and non-linear variables). A number of secondary outcomes were also assessed: myoelectric activity of the upper trapezius and sternocleidomastoid, pain catastrophizing (Pain Catastrophizing Scale–PCS) and kinesiophobia (TSK-11). Results Statistically significant differences (p≤0.05) within and between groups were observed for all outcomes except for frequency domain and non-linear HRV variables. A significant time*group effect (one-way ANOVA) in favour of the intervention group was found for all variables (p<0.001). Effect sizes were large (d≥0.6). Conclusions The use of a multimodal physiotherapy program consisting of supervised exercise with laser-guided feedback and interferential current appears to show clinical benefit in fighter pilots with FRNP. Trial registration ClinicalTrials.gov: NCT05541848.

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Supervised exercise with or without laser-guided feedback for people with non-specific chronic low back pain. A randomized controlled clinical trial

Cited by 3 publications

References 57 publications

Effects of exercise/physical activity on fear of movement in people with spine-related pain: a systematic review

Effects of exercise/physical activity on fear of movement in people with spine-related pain: a systematic review

Pain neuroscience education for patients with chronic pain: A scoping review from teaching–learning strategies, educational level, and cultural perspective

Psychophysiological responses to a multimodal physiotherapy program in fighter pilots with flight-related neck pain: A pilot trial

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