Motor skill training versus strength and flexibility exercise in people with chronic low back pain: Preplanned analysis of effects on kinematics during a functional activity

Hooker, Quenten L.; Lanier, Vanessa M.; Roles, Kristen; Dillen, Linda R. Van

doi:10.1016/j.clinbiomech.2021.105570

Cited by 2 publications

(5 citation statements)

References 37 publications

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“…14 SFE, however, did not change the movement pattern across the study duration. 14 Furthermore, the improved movement pattern in MST corresponded with greater improvements in pain and function compared to SFE. 13 Although on average MST improved the altered movement pattern and SFE did not, there was substantial variability in the baseline and the change over time in the pattern within both treatment groups.…”

Section: Introductionmentioning

confidence: 84%

“…14 Specifically, there was a significant decrease in early lumbar excursion and increase in early knee and hip excursion during the PUO test. 14 The improved pattern was maintained 6 months after treatment. 14 SFE, however, did not change the movement pattern across the study duration.…”

Section: Introductionmentioning

confidence: 86%

“…After 6 weeks of MST, on average, people with chronic LBP improved their movement pattern. 14 Specifically, there was a significant decrease in early lumbar excursion and increase in early knee and hip excursion during the PUO test. 14 The improved pattern was maintained 6 months after treatment.…”

Section: Introductionmentioning

confidence: 86%

“…14 The improved pattern was maintained 6 months after treatment. 14 SFE, however, did not change the movement pattern across the study duration. 14 Furthermore, the improved movement pattern in MST corresponded with greater improvements in pain and function compared to SFE.…”

Section: Introductionmentioning

confidence: 88%

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Person-specific Characteristics of People with Low Back Pain Moderate the Preferred Movement Pattern within Motor Skill Training and Strength and Flexibility Exercise

Hooker

Dillen

2022

Preprint

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Background: People with chronic low back pain (LBP) display an altered movement pattern where the lumbar spine moves more readily into its available range of motion relative to other joints when performing a movement. Recently a randomized controlled trial was completed to compare the effects of motor skill training (MST) to strength and flexibility exercise (SFE). MST improved the altered pattern to a greater extent than SFE. However, there was substantial variability in the baseline and the change over time in the pattern. Understanding factors that influence this variability may ultimately be used to better target treatment strategies to the person. Objective: Examine if gender, age, LBP duration, and the movement pattern at baseline moderate the baseline movement pattern and the change over time in the pattern within MST and SFE. Design: Secondary analysis of kinematic data from a single-blind, randomized controlled clinical trial. Setting: Institutional Patients: 154 patients with chronic LBP. Interventions: Motor skill training and strength and flexibility exercise. Main outcome measures: lumbar contribution (LC) to total movement. Results: There was not a significant difference in baseline LC between MST and SFE (β=-2.39, CI=[-7.74, 2.96], p=0.38). SFE did not change LC over time (β=-0.11, CI=[-0.47, 0.24], p=0.53). However, there was a significant change over time in LC within MST (β=-2.13, CI=[-2.54, -1.48], p<0.001). Irrespective of treatment group, there was a trend for gender (β=-5.29, CI=[-10.34, 0.30], p=0.05) and age (β=-0.22, CI=[-0.46, 0.00], p=0.05) to moderate baseline LC. Age (β=0.01, CI=[0.00, 0.02], p = 0.04) and baseline LC (β=-0.07, CI=[-0.10, -0.04], p<0.01) were associated with the change over time in LC within MST only. Conclusions: Person-specific characteristics moderate the baseline altered movement pattern within MST and SFE, as well as the change over time in the pattern within MST.

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Section: Introductionmentioning

confidence: 84%

Section: Introductionmentioning

confidence: 86%

Section: Introductionmentioning

confidence: 86%

Section: Introductionmentioning

confidence: 88%

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Person-specific Characteristics of People with Low Back Pain Moderate the Preferred Movement Pattern within Motor Skill Training and Strength and Flexibility Exercise

Hooker

Dillen

2022

Preprint

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“…Designing exercises to improve movement control of the spine is a challenge. In a recent paper by Hooker et al, patients with low back pain received patient specific training to modify their altered movement pattern during functional activities ( 13 ). This resulted in a more normal distribution of hip, knee and spinal movements when picking up an object at shank height.…”

Section: Introductionmentioning

confidence: 99%

Sensor-based intervention to enhance movement control of the spine in low back pain: Protocol for a quasi-randomized controlled trial

Mourits

Vos²,

Bruijn³

et al. 2022

Front. Sports Act. Living

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IntroductionChronic low back pain is a common condition that imposes an enormous burden on individuals and society. Physical exercise with education is the most effective treatment, but generally results in small, albeit significant improvements. However, which type of exercise is most effective remains unknown. Core stability training is often used to improve muscle strength and spinal stability in these patients. The majority of the core stability exercises mentioned in intervention studies involve no spinal movements (static motor control exercises). It is questionable if these exercises would improve controlled movements of the spine. Sensor-based exergames controlled with spinal movements could help improve movement control of the spine. The primary aim of this study is to compare the effects of such sensor-based exergames to static motor control exercises on spinal movement control.Methods and analysisIn this quasi-randomized controlled trial, 60 patients with chronic low back pain who are already enrolled in a multidisciplinary rehabilitation programme will be recruited. Patients will be randomly allocated into one of two groups: the Sensor-Based Movement Control group (n = 30) or the Static Motor Control group (n = 30). Both groups will receive 8 weeks of two supervised therapy sessions and four home exercises per week in addition to the rehabilitation programme. At baseline (week 1) and after the intervention (week 10), movement control of the spine will be assessed using a tracking task and clinical movement control test battery. Questionnaires on pain, disability, fear avoidance and quality of life will be taken at baseline, after intervention and at 6- and 12 months follow-up. Repeated measures ANOVAs will be used to evaluate if a significant Group x Time interaction effect exists for the movement control evaluations.DiscussionSensor-based spinal controlled exergames are a novel way to train spinal movement control using meaningful and engaging feedback. The results of this study will inform clinicians and researchers on the efficacy of movement control training for patients with low back pain.Ethics and disseminationEthical approval for this study protocol was obtained from the METC Brabant (protocol number NL76811.028.21).Trial registrationOpen Science Framework Registries (https://osf.io/v3mw9/), registration number: 10.17605/OSF.IO/V3MW9, registered on 1 September 2021.

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Motor skill training versus strength and flexibility exercise in people with chronic low back pain: Preplanned analysis of effects on kinematics during a functional activity

Cited by 2 publications

References 37 publications

Person-specific Characteristics of People with Low Back Pain Moderate the Preferred Movement Pattern within Motor Skill Training and Strength and Flexibility Exercise

Person-specific Characteristics of People with Low Back Pain Moderate the Preferred Movement Pattern within Motor Skill Training and Strength and Flexibility Exercise

Sensor-based intervention to enhance movement control of the spine in low back pain: Protocol for a quasi-randomized controlled trial

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