Title: The effect of motor control and tactile acuity training on patients with non-specific low back pain and movement control impairment
Authors : Gutknecht, Magdalena
Mannig, Angelika
Waldvogel, Anja
Wand, Benedict M.
Luomajoki, Hannu
Published in : Journal of Bodywork and Movement Therapies
Volume(Issue) : 19
Issue : 4
Pages : 722
Pages to: 731
Publisher / Ed. Institution : Churchill Livingstone
Issue Date: 2015
License (according to publishing contract) : Licence according to publishing contract
Type of review: Peer review (Publication)
Language : English
Subjects : Movement control impairment; Graphaesthesia; Disability; Two-point discrimination; Non-specific low back pain
Subject (DDC) : 615.82: Physical therapy
617.5: Orthopaedic surgery
Abstract: Background Movement control impairment is a clinical subgroup of non-specific low back pain which can be assessed reliably. There is a strong correlation between tactile acuity and movement control suggesting these two treatments might have additive effects. The first research aim was to determine if patients with a motor control impairment demonstrated improvement in outcome with combined tactile acuity and motor control training. The second aim was to determine if tactile acuity training enhanced the effect of motor control training. Method The primary study was a single-arm cohort study conducted in three physiotherapy practices in the German-speaking part of Switzerland. 40 patients (23 males and 17 females) suffering from non-specific low back pain (NSLBP) and movement control impairment were treated. Patients were assessed at baseline and immediately post treatment. Treatment included exercises to lumbopelvic control and graphesthesia training to improve tactile acuity. Treatment effects were evaluated using the Roland Morris disability questionnaire (RMQ) and the patient-specific functional scale (PSFS). The performance on a set of six movement control tests and lumbar two-point discrimination were also assessed. The results of this cohort study were compared with a historic control group which was comparable with the primary study but included only motor control exercises. Results All the outcomes improved significantly with the combined training (RMQ – 2.2 pts., PSFS – 2.8 pts.; MCTB – 2.02 pts. & TPD – 17.07 mm; all p < 0.05). In comparison to the outcomes of the historic control, there was no significant differences in movement control, patient-specific functional complaints or disability between the groups. Conclusions The results of this study, based on a before and after intervention comparison, showed that outcome improved significantly following combined tactile acuity and motor control training. However, compared to an earlier study, the tactile acuity training did not have an additional effect to the results. The use of historical controls does not control for allocation bias and the results obtained here require verification in a randomized controlled trial.
Departement: Gesundheit
Organisational Unit: Institute of Physiotherapy (IPT)
Publication type: Article in scientific Journal
DOI : 10.1016/j.jbmt.2014.12.003
ISSN: 1360-8592
URI: https://digitalcollection.zhaw.ch/handle/11475/4854
Appears in Collections:Publikationen Gesundheit

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