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Individualized Low-Load Motor Control Exercises and Education Versus a High-Load Lifting Exercise and Education to Improve Activity, Pain Intensity, and Physical Performance in Patients With Low Back Pain: A Randomized Controlled Trial
Department of Orthopaedics, Surgical and Perioperative Sciences, Umeå University, Norrlandsklinikens hälsocentral, Umeå.
Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University.
Luleå University of Technology, Department of Health Sciences, Health and Rehab.ORCID iD: 0000-0003-0112-4657
Umeå University, Department of Community Medicine and Rehabilitation.
2015 (English)In: Journal of Orthopaedic and Sports Physical Therapy, ISSN 0190-6011, E-ISSN 1938-1344, Vol. 45, no 2, p. 77-85Article in journal (Refereed) Published
Abstract [en]

Study DesignRandomized controlled trial. BackgroundLow back pain is a common disorder. Patients with low back pain frequently have aberrant and pain-provocative movement patterns that often are addressed with motor control exercises. ObjectiveTo compare the effects of low-load motor control (LMC) exercise and those of a high-load lifting (HLL) exercise. MethodsSeventy participants with recurrent low back pain, who were diagnosed with nociceptive mechanical pain as their dominating pain pattern, were randomized to either LMC or HLL exercise treatments. Participants were offered 12 treatment sessions over an 8-week period. All participants were also provided with education regarding pain mechanisms. MethodsParticipants were assessed prior to and following treatment. The primary outcome measures were activity (the Patient-Specific Functional Scale) and average pain intensity over the last 7 days (visual analog scale). The secondary outcome measure was a physical performance test battery that included 1 strength, 3 endurance, and 7 movement control tests for the lumbopelvic region. ResultsBoth interventions resulted in significant within-group improvements in pain intensity, strength, and endurance. The LMC group showed significantly greater improvement on the Patient-Specific Functional Scale (4.2 points) compared with the HLL group (2.5 points) (P<.001). There were no significant between-group differences in pain intensity (P = .505), strength, and 1 of the 3 endurance tests. However, the LMC group showed an increase (from 2.9 to 5.9) on the movement control test subscale, whereas the HLL group showed no change (from 3.9 to 3.1) (P<.001). ConclusionAn LMC intervention may result in superior outcomes in activity, movement control, and muscle endurance compared to an HLL intervention, but not in pain intensity, strength, or endurance. Registered at ClinicalTrials.gov (NCT01061632).

Place, publisher, year, edition, pages
2015. Vol. 45, no 2, p. 77-85
National Category
Physiotherapy
Research subject
Physiotherapy
Identifiers
URN: urn:nbn:se:ltu:diva-8261DOI: 10.2519/jospt.2015.5021ISI: 000349593300003Scopus ID: 2-s2.0-84961289981Local ID: 6bdf9042-a326-42db-a3f9-3e6f58e87d5fOAI: oai:DiVA.org:ltu-8261DiVA, id: diva2:981152
Note
Validerad; 2015; Nivå 2; 20150203 (andbra)Available from: 2016-09-29 Created: 2016-09-29 Last updated: 2018-07-10Bibliographically approved

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