Effectiveness of movement control exercise on patients with non-specific low back pain and movement control impairment: A systematic review and meta-analysis

Luomajoki, Hannu; Beltran, Maria Beatriz Bonet; Careddu, Silvia; Bauer, Christoph

doi:10.1016/j.msksp.2018.03.008

Cited by 70 publications

(65 citation statements)

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“…Identification of MC dysfunction is determined by motor control tests (MCT). Integration of such tests in treatment strategies seems to be promising 4–9. Altogether, approximately 30 MCTs have been described in six different positions.…”

Section: Introductionmentioning

confidence: 99%

“…Test batteries of MC vary in the number and nature of the included tests and the psychometric properties of different test batteries diverge substantially 5 11 12. For example, one approach applies up to 18 tests,13 while another only six 9. Hence, it is unclear how many and which tests are needed to identify dysfunction of MC accurately and time efficiently at the same time.…”

Section: Introductionmentioning

confidence: 99%

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Validity of increasing the number of motor control tests within a test battery for discrimination of low back pain conditions in people attending a physiotherapy clinic: a case–control study

et al. 2019

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ObjectivesTo develop a time-efficient motor control (MC) test battery while maximising diagnostic accuracy of both a two-level and three-level classification system for patients with non-specific low back pain (LBP).DesignCase–control study.SettingFour private physiotherapy practices in northern Germany.ParticipantsConsecutive males and females presenting to a physiotherapy clinic with non-specific LBP (n=65) were compared with 66 healthy-matched controls.Primary outcome measuresAccuracy (sensitivity, specificity, Youden index, positive/negative likelihood ratio, area under the curve (AUC)) of a clinically driven consensus-based test battery including the ideal number of test items as well as threshold values and most accurate items.ResultsFor both the two and three-level categorisation system, the ideal number of test items was 10. With increasing number of failed tests, the probability of having LBP increases. The overall discrimination potential for the two-level categorisation system of the test is good (AUC=0.85) with an optimal cut-off of three failed tests. The overall discrimination potential of the three-level categorisation system is fair (volume under the surface=0.52). The optimal cut-off for the 10-item test battery for categorisation into none, mild/moderate and severe MC impairment is three and six failed tests, respectively.ConclusionA 10-item test battery is recommended for both the two-level (impairment or not) and three-level (none, mild, moderate/severe) categorisation of patients with non-specific LBP.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Validity of increasing the number of motor control tests within a test battery for discrimination of low back pain conditions in people attending a physiotherapy clinic: a case–control study

et al. 2019

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Section: Introductionunclassified

“…Schon 11 randomisierte Studien verglichen die Effektivität dieser spezifischen Übungen gegenüber anderen Übungsarten (Stabilisationsübungen, allgemeine Übungen oder Übungen und Manuelle Therapie; [7]). Ein vor kurzem publizierter Review und Metaanalyse zeigte, dass die spezifischen Übungen zur Verbesserung der Bewegungskontrolle effektiver sind als andere Übungen [7]. Wurden die Patienten vorab so eingeteilt, dass alle in der jeweiligen Studie wirklich auch eine Bewegungskontrolldysfunktion hatten, waren die Resultate hinsichtlich der selbstempfundenen Behinderung im Alltag sowohl beim Follow-up nach 3 als auch 12 Monaten signifikant und klinisch relevant besser [7].…”

Section: Introductionunclassified

“…Ein vor kurzem publizierter Review und Metaanalyse zeigte, dass die spezifischen Übungen zur Verbesserung der Bewegungskontrolle effektiver sind als andere Übungen [7]. Wurden die Patienten vorab so eingeteilt, dass alle in der jeweiligen Studie wirklich auch eine Bewegungskontrolldysfunktion hatten, waren die Resultate hinsichtlich der selbstempfundenen Behinderung im Alltag sowohl beim Follow-up nach 3 als auch 12 Monaten signifikant und klinisch relevant besser [7]. Zudem besserten sich die Schmerzen kurzfristig, waren im Follow-up nach 12 Monaten jedoch nicht mehr signifikant niedriger als mit anderen Übungen [7].…”

Section: Introductionunclassified

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Bewegungskontrolldysfunktion der HWS

Luomajoki

Hilfiker

2018

manuelletherapie

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ZusammenfassungDie Bewegungskontrolldysfunktion des unteren Rückens ist bereits gut bekannt. Studien zeigten, dass Tests zuverlässig und effektiv sind. In einer neueren Metaanalyse wurden Bewegungskontrollübungen effektiver als sonstige Übungen im Bereich der LWS befunden. Unsere Forschungsgruppe hat zu diesem Thema auch für die HWS einige Studien publiziert. Bewegungskontrolltests der HWS sind zuverlässig und differenzieren gut zwischen Patienten und gesunden Personen. Für die Tests der tiefen Nackenflexoren, die zervikookkularen Koordinationstests und Joint Reposition Tests gelten ähnliche Prinzipien wie für die Bewegungskontrolltests. Der vorliegende Artikel stellt die praktische Anwendung der verschiedenen Tests vor.

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Effect of Motor Skill Training in Functional Activities vs Strength and Flexibility Exercise on Function in People With Chronic Low Back Pain

et al. 2021

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IMPORTANCE Chronic low back pain (LBP) is the most prevalent chronic pain in adults, and there is no optimal nonpharmacologic management. Exercise is recommended, but no specific exercise-based treatment has been found to be most effective.OBJECTIVE To determine whether an exercise-based treatment of person-specific motor skill training (MST) in performance of functional activities is more effective in improving function than strength and flexibility exercise (SFE) immediately, 6 months, and 12 months following treatment. The effect of booster treatments 6 months following treatment also was examined. DESIGN, SETTING, AND PARTICIPANTSIn this single-blind, randomized clinical trial of people with chronic, nonspecific LBP with 12-month follow-up, recruitment spanned December 2013 to August 2016 (final follow-up, November 2017), and testing and treatment were performed at an academic medical center. Recruitment was conducted by way of flyers, physician and physical therapy offices, advertisements, and media interviews at Washington University in St Louis, Missouri. Of 1595 adults screened for eligibility, 1301 did not meet the inclusion criteria and 140 could not be scheduled for the first visit. A total of 154 people with at least 12 months of chronic, nonspecific LBP, aged 18 to 60 years, with modified Oswestry Disability Questionnaire (MODQ) score of at least 20% were randomized to either MST or SFE. Data were analyzed between December 1, 2017, and October 6, 2020.INTERVENTIONS Participants received 6 weekly 1-hour sessions of MST in functional activity performance or SFE of the trunk and lower limbs. Half of the participants in each group received up to 3 booster treatments 6 months following treatment. MAIN OUTCOMES AND MEASURESThe primary outcome was the modified Oswestry Disability Questionnaire (MODQ) score (0%-100%) evaluated immediately, 6 months, and 12 months following treatment.RESULTS A total of 149 participants (91 women; mean [SD] age, 42.5 [11.7] years) received some treatment and were included in the intention-to-treat analysis. Following treatment, MODQ scores were lower for MST than SFE by 7.9 (95% CI, 4.7 to 11.0; P < .001). During the follow-up phase, the MST group maintained lower MODQ scores than the SFE group, 5.6 lower at 6 months (95% CI, 2.1 to 9.1) and 5.7 lower at 12 months (95% CI, 2.2 to 9.1). Booster sessions did not change MODQ scores in either treatment.CONCLUSIONS AND RELEVANCE People with chronic LBP who received MST had greater short-term and long-term improvements in function than those who received SFE. Person-specific MST in functional activities limited owing to LBP should be considered in the treatment of people with chronic LBP.

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Effectiveness of movement control exercise on patients with non-specific low back pain and movement control impairment: A systematic review and meta-analysis

Cited by 70 publications

References 47 publications

Validity of increasing the number of motor control tests within a test battery for discrimination of low back pain conditions in people attending a physiotherapy clinic: a case–control study

Validity of increasing the number of motor control tests within a test battery for discrimination of low back pain conditions in people attending a physiotherapy clinic: a case–control study

Bewegungskontrolldysfunktion der HWS

Effect of Motor Skill Training in Functional Activities vs Strength and Flexibility Exercise on Function in People With Chronic Low Back Pain

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