A Clinical Prediction Rule to Identify Patients With Low Back Pain Who Are Likely to Experience Short-Term Success Following Lumbar Stabilization Exercises: A Randomized Controlled Validation Study

Rabin, Alon; Shashua, Anat; Pizem, Koby; Dickstein, Ruthy; Dar, Gali

doi:10.2519/jospt.2014.4888

Cited by 74 publications

(73 citation statements)

References 79 publications

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“…A positive PIT was one of the four variables shown to be predictive of success with a stabilization exercise program for patients with sub‐acute LBP (a sample of 40 subjects with an average duration of 75 days) that included exercises designed to reactivate the LM 94. In another study 95, subjects with LBP (a sample of 105 with an average duration of 65 days) who had a positive PIT in conjunction with aberrant movement patterns were shown to have reduced disability and pain following a course of motor control re‐training exercises when compared to those subjects who did not have these clinically findings.…”

Section: Diagnostic Tests For Motor Control Dysfunctionmentioning

confidence: 99%

Muscle Control and Non-specific Chronic Low Back Pain

Russo¹,

Deckers

Eldabe

et al. 2018

Neuromodulation: Technology at the Neural Interface

138

129

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ObjectivesChronic low back pain (CLBP) is the most prevalent of the painful musculoskeletal conditions. CLBP is a heterogeneous condition with many causes and diagnoses, but there are few established therapies with strong evidence of effectiveness (or cost effectiveness). CLBP for which it is not possible to identify any specific cause is often referred to as non‐specific chronic LBP (NSCLBP). One type of NSCLBP is continuing and recurrent primarily nociceptive CLBP due to vertebral joint overload subsequent to functional instability of the lumbar spine. This condition may occur due to disruption of the motor control system to the key stabilizing muscles in the lumbar spine, particularly the lumbar multifidus muscle (MF).MethodsThis review presents the evidence for MF involvement in CLBP, mechanisms of action of disruption of control of the MF, and options for restoring control of the MF as a treatment for NSCLBP.ResultsImaging assessment of motor control dysfunction of the MF in individual patients is fraught with difficulty. MRI or ultrasound imaging techniques, while reliable, have limited diagnostic or predictive utility. For some patients, restoration of motor control to the MF with specific exercises can be effective, but population results are not persuasive since most patients are unable to voluntarily contract the MF and may be inhibited from doing so due to arthrogenic muscle inhibition.ConclusionsTargeting MF control with restorative neurostimulation promises a new treatment option.

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Section: Diagnostic Tests For Motor Control Dysfunctionmentioning

confidence: 99%

Muscle Control and Non-specific Chronic Low Back Pain

Russo¹,

Deckers

Eldabe

et al. 2018

Neuromodulation: Technology at the Neural Interface

138

129

View full text Add to dashboard Cite

show abstract

“…The first phase (1st to 4th sessions) began with low-load activation of the local stabilizing muscles (lumbar multifidus, transversus abdominis) isometrically. In the second phase (5th to 12th sessions), additional loads were placed on the spine through various upper and lower extremities and trunk movement patterns with the goal of recruiting a variety of trunk muscles (15). In the final phase (8th to 9th visit), functional movement patterns were incorporated into the training program.…”

Section: Motor Control Exercisesmentioning

confidence: 99%

Combined Effects of Postural Education, Therapeutic Massage, Segmental Stretching, and Motor Control Exercise in a 19-Year-Old Male with Chronic Back Pain and Kypholordotic Posture: A Case Report

Ibrahim

Akindele

2018

Middle East J Rehabil Health Stud

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Introduction: Sagittal spine malalignment has been linked with a number of health consequences including pain, disability, and suboptimal quality of life. Case Presentation: We present a 19-year-old male with 3 years history of chronic back pain associated with kypholordotic posture. Upon examination, lumbar hyperlordosis and thoracic hyperkyphosis were mainly associated with muscular imbalance around the chest, upper back, and lumbopelvic-hip region. The patient received treatment comprising postural education (PE), therapeutic massage (TM), motor control exercises (MCE), and segmental stretching exercises (SSE) twice a week for 8 weeks. The patient demonstrated a significant improvement in lumbar lordotic (83.80 to 76.30) and thoracic kyphotic (65.20 to 60.60) curves as measured by flexible ruler, back pain (7.0cm to1.0cm) as measured by visual analogue scale, spine ranges of motion (flexion: 5.2cm to 7.5cm; extension: 3.5cm to 4.7cm) as measured by modified Schober's test, and functional disability (46.7% to 20.0%) as measured by modified Oswestry disability index. Conclusions:The results showed that the combination of PE, TM, MCE, and SSE was effective in improving sagittal spine alignment, back pain, spine range of movement, and function.

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“…As a result, few have been conducted, and little evidence is currently available to inform whether better matching of patients to interventions can increase effect sizes. 8,9 Some promising findings exist and replication studies are under way to assess the generalisability of these early findings. A related but different approach to this problem of heterogeneity is to develop more multidimensional treatment approaches that address a range of potential contributors to LBP and can be tailored to an individual patient's needs.…”

Section: Between Group Differences and Within Group Changesmentioning

confidence: 99%