Secondary Prevention of Low-Back Pain

Donchin, Milka; O, Woolf; Kaplan, Leon; Floman, Yizhar

doi:10.1097/00007632-199012000-00015

Cited by 137 publications

(78 citation statements)

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“…Many studies have focused on training of muscle strength/endurance and/or mobility (9,11,12,22,23, 28,37,38), but we have found no studies evaluating the effect of coordination training. Therefore, we compared coordination training with intensive muscle endurance training, which is a recommended treatment for low back pain today (28.37).…”

Section: R E S E a R C H S T U D Ymentioning

confidence: 84%

“…Therefore, it appears logical to train the coordination/propriocep tion of patients with LBP in as many different movements as possible with limited and controlled load. Thereby, coordinated reflexes will develop and the movements will become smooth, which might decrease the risk of I* cally harmful stress forces.When unfamiliar and complicated movements are performed, they are executed clumsily and with difficulty.Many studies have focused on training of muscle strength/endurance and/or mobility (9,11,12,22,23, 28,37,38), but we have found no studies evaluating the effect of coordination training. Therefore, we compared coordination training with intensive muscle endurance training, which is a recommended treatment for low back pain today (28.37).…”

mentioning

confidence: 84%

“…Many studies have found that inadequate strength and endurance of the back muscles are significant risk factors (1,3,2l); physical training programs have been prescribed as therapy. Many different kinds of training programs have improved function and pain levels in patients with chronic low back pain (9,11,12,22,23,28,37,38). Williams' flexion exercises have been a cornerstone in the management of LBP patient?…”

mentioning

confidence: 99%

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Exercises for Chronic Low Back Pain: A Clinical Trial

Johannsen¹,

Remvig²,

Kryger³

et al. 1995

J Orthop Sports Phys Ther

107

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Optimal muscle function does not depend upon muscle strength/ endurance and muscle flexibility only. The coordination of movement? is also of great importance. When unfamiliar and complicated movement? are performed, they are executed clumsily and with difficulty.With proper practice/training, they become smooth and easy (2). Specific coordinated reflexes p d u a l l y develop through training of specific movements. This is called coordination training and does not necessarily increase muscle cross-sectional area (muscle strength) (2). Coordination training is essential to increase performance in many sports and is also used with success in the prevention of injuries (43 R E S E A R C H S T U D Yance training alone will primarily improve the specific movements trained. However, everyday life consists of a wide spectrum of different movements of the back, including rotation and sidebending in different degrees of back flexion and extension. Therefore, it appears logical to train the coordination/propriocep tion of patients with LBP in as many different movements as possible with limited and controlled load. Thereby, coordinated reflexes will develop and the movements will become smooth, which might decrease the risk of I* cally harmful stress forces.When unfamiliar and complicated movements are performed, they are executed clumsily and with difficulty.Many studies have focused on training of muscle strength/endurance and/or mobility (9,11,12,22,23, 28,37,38), but we have found no studies evaluating the effect of coordination training. Therefore, we compared coordination training with intensive muscle endurance training, which is a recommended treatment for low back pain today (28.37). MATERIALS AND METHODS SubjectsForty consecutive patients were included in this study after informed consent. All patients were admitted to the Department of Rheumatology, Bispebjerg Hospital, Copenhagen, Denmark under the diagnosis of chronic low back pain. Eligibility was confined to patients aged 18-65 years with low back pain for more than 1 year. The patients had back pain for at 1ea.t 3 months in the last year, but were still employed. Those with signs of nerve root compression or evidence of spondylolisthesis, osteoporosis, painful osteoarthritis in the lower extremities, inflammatory rheumatic diseases, and neoplastic disorders were excluded. X-rays of the lumbar spine were performed before inclusion. The X-rays were evaluated by a trained radiologist. with special attention to the exclusion criteria, disc degeneration, facet joint arthrosis, spondylarthrosis, and Morbus Scheuermann. ProcedureAll included patients were randomized by stratification for sex, age (older/younger than 40 years), duration of symptoms (greater/less than 2 years), and normal/abnormal X-ray into two training models: endurance training and coordination training. The patient. were trained in groups of up to 10 patients for 1 hour twice a week during a Smonth period. Patients with more than 30% absence from training were excluded from the study. After ...

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Section: R E S E a R C H S T U D Ymentioning

confidence: 84%

mentioning

confidence: 84%

mentioning

confidence: 99%

See 1 more Smart Citation

Exercises for Chronic Low Back Pain: A Clinical Trial

Johannsen¹,

Remvig²,

Kryger³

et al. 1995

J Orthop Sports Phys Ther

107

View full text Add to dashboard Cite

show abstract

“…14 Lahad et al 15 identified several randomized, controlled trials of education and exercise programs in the workplace. [16][17][18][19][20][21] Programs including exercise reduced back pain and the number of sick days, but no program reduced injury rates. The generalizability of these studies was limited by the small samples and a focus on volunteers or subjects with a history of back problems.…”

Section: Methodsmentioning

confidence: 99%

A Controlled Trial of an Educational Program to Prevent Low Back Injuries

et al. 1997

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“…Increasing the strength and flexibility of the core to increase trunk flexion and extension has also shown to decrease the amount of pain that chronic low back sufferers report (Donchin-abstract p.1) [32] the core muscles must function synergistically in order to stabilize the lumbar spine of an individual. Research confirms that in healthy individuals, activation of the core muscles occurs before any movement of the body or a body segment.…”

Section: Discussionmentioning

confidence: 99%