Improved interoceptive awareness in chronic low back pain: a comparison of Back school versus Feldenkrais method

Paolucci, Teresa; Zangrando, Federico; Iosa, Marco; Angelis, Simona De; Marzoli, Caterina; Piccinini, Giulia; Saraceni, Vincenzo Maria

doi:10.1080/09638288.2016.1175035

Cited by 56 publications

(92 citation statements)

References 33 publications

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“…It confirmed positive correlations of subjective and physical characteristics in assessing seating comfort ( Park et al, 1998 ). Regarding the improvement of interoception our data are in alignment with the results of a study by Paolucci et al (2017) that documents improved interoceptive awareness after a Feldenkrais intervention in chronic lower back pain patients.…”

Section: Discussionsupporting

confidence: 89%

“…More recent studies complement this evidence by demonstrating significant results in physical functioning for individuals with intellectual disability compared to wait-list ( Torres-Unda et al, 2017 ) and by demonstrating significant improvement in quality of life and depression in a sample of Parkinson patients compared to a control group receiving only educational lessons ( Araújo et al, 2015 ). Another RCT could not find significant differences for patients with chronic low back pain when comparing Feldenkrais to Back School ( Paolucci et al, 2017 ). Within the Feldenkrais-method two options for application are described.…”

Section: Introductionmentioning

confidence: 99%

“…In the RCT on chronic lower back pain comparing Feldenkrais to back school ( Paolucci et al, 2017 ) interoceptive awareness was assessed as well with the Multidimensional Assessment of Interoceptive Awareness Questionnaire (MAIA) ( Mehling et al, 2012 ). Patients in both groups showed highly significant improvements in interoceptive awareness with the Feldenkrais group being slightly better than the Back School group ( p = 0.056).…”

Section: Introductionmentioning

confidence: 99%

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Feldenkrais ‘Functional Integration’ Increases Body Contact Surface in the Supine Position: A Randomized-Controlled Experimental Study

Brummer¹,

Walach

Schmidt

2018

Front. Psychol.

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Feldenkrais ‘Functional Integration’ (FI) is a widely used type of body work with a focus on the continuous integration of body sensations and awareness with movement. The method is, amongst others, known for improving balance in aging populations, but also for its ability to relax muscles. With participants treated in the supine position FI is potentially changing the surface area of the body in contact with the surface on which a participant is lying. So far, no prior study has assessed this claim. We evaluated objectively and subjectively if a treatment with FI would induce changes in pressure and contact surface of the body on the mat. Thirty volunteers received an individual treatment with FI, in a randomized order on both sides of the body. Pressure and contact surface was documented with the Xsensor-Measurement-System. Subjective sensations were assessed with a self-report scale. Due to two parallel assessments alpha-level was adjusted to α = 0.025. We found that pressure and contact surface of the body on the mat significantly changed after the treatment (factor time: p < 0.0001, ηp2 = 0.90). We also found that pressure and contact surface increased significantly on the left side for the group that started with the left side first (time × group p = 0.016; ηp2 = 0.62), but less so on the right side for the group that started with the right side first (time × group: p = 0.056) although there was still a substantial effect size (ηp2 = 0.54). The subjective reports confirmed the physical measurements. In conclusion our results demonstrate for the first time that the treatment with the Feldenkrais method changes muscle tone leading to a more relaxed supine position with respect to pressure and contact surface on the mat.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Feldenkrais ‘Functional Integration’ Increases Body Contact Surface in the Supine Position: A Randomized-Controlled Experimental Study

Brummer¹,

Walach

Schmidt

2018

Front. Psychol.

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“…Both groups performed two weekly sessions for 5 weeks. Both groups experienced significant changes in pain ( P <0.001) during follow-up, demonstrating that Feldenkrais method has efficacy comparable to that of BS in improving CLDP 39…”

Section: Discussionmentioning

confidence: 86%

Chronic low back pain and postural rehabilitation exercise: a literature review

Paolucci

Attanasi

Cecchini

et al. 2018

JPR

Self Cite

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Chronic low back represents one of the major causes of disability worldwide. Our narrative review has the purpose of highlighting the evidence supporting the different rehabilitative techniques described for its management. In total, 26 studies were found suitable to be included in the review (14 articles about pilates, six about McKenzie (MK), one article about Feldenkrais, three about Global Postural Rehabilitation (GPR) and two about Proprioceptive Neuromuscular Facilitation). The effect of exercise therapy was examined for each single study through changes in the main clinical outcomes (pain, disability,) quality of life (QoL) and psychological aspects and the targeted aspects of physical function (muscle strength, mobility, muscular activity and flexibility). All the techniques are effective for the study groups with respect to the control groups in reducing pain and disability and improving the QoL and maintaining benefits at follow-up; pilates, Back School, MK and Feldenkrais methods reduce pain and are more efficient than a pharmacological or instrumental approach in reducing disability and improving all psychological aspects also. GPR shows long lasting results for the last outcome. To date, it is difficult to affirm the superiority of one approach over another. Further high quality research is needed to confirm the effect of these techniques, together with the use of more appropriate evaluation measures.

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“… 59 A second RCT showed the FM has comparable efficacy to back school for the treatment of chronic low back pain. 61 Another RCT found improvements in balance testing in middle-aged individuals with intellectual disability. Given the commonality of functional decline in this population, Feldenkrais may play a role in improving physical activity and maintaining a level of independence in patients with intellectual disability.…”

Section: Feldenkraismentioning

confidence: 99%

Movement-Based Therapies in Rehabilitation

Phuphanich

Droessler

Altman

et al. 2020

Physical Medicine and Rehabilitation Clinics of North America

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Movement therapy refers to a broad range of Eastern and Western mindful movement-based practices used to treat the mind, body, and spirit concurrently. Forms of movement practice are universal across human culture and exist in ancient history. Research demonstrates forms of movement therapy, such as dance, existed in the common ancestor shared by humans and chimpanzees, approximately 6 million years ago. Movement-based therapies innately promote health and wellness by encouraging proactive participation in one’s own health, creating community support and accountability, and so building a foundation for successful, permanent, positive change.

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Improved interoceptive awareness in chronic low back pain: a comparison of Back school versus Feldenkrais method

Cited by 56 publications

References 33 publications

Feldenkrais ‘Functional Integration’ Increases Body Contact Surface in the Supine Position: A Randomized-Controlled Experimental Study

Feldenkrais ‘Functional Integration’ Increases Body Contact Surface in the Supine Position: A Randomized-Controlled Experimental Study

Chronic low back pain and postural rehabilitation exercise: a literature review

Movement-Based Therapies in Rehabilitation

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