| Publikationstyp: | Beitrag in wissenschaftlicher Zeitschrift |
| Art der Begutachtung: | Peer review (Publikation) |
| Titel: | The effect of motor control and tactile acuity training on patients with non-specific low back pain and movement control impairment |
| Autor/-in: | Gutknecht, Magdalena Mannig, Angelika Waldvogel, Anja Wand, Benedict M. Luomajoki, Hannu |
| DOI: | 10.1016/j.jbmt.2014.12.003 |
| Erschienen in: | Journal of Bodywork and Movement Therapies |
| Band(Heft): | 19 |
| Heft: | 4 |
| Seite(n): | 722 |
| Seiten bis: | 731 |
| Erscheinungsdatum: | 2015 |
| Verlag / Hrsg. Institution: | Elsevier |
| ISSN: | 1360-8592 1532-9283 |
| Sprache: | Englisch |
| Schlagwörter: | Movement control impairment; Graphaesthesia; Disability; Two-point discrimination; Non-specific low back pain |
| Fachgebiet (DDC): | 615.82: Physiotherapie 617.5: Orthopädische Chirurgie |
| Zusammenfassung: | 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. |
| URI: | https://digitalcollection.zhaw.ch/handle/11475/4854 |
| Volltext Version: | Publizierte Version |
| Lizenz (gemäss Verlagsvertrag): | Lizenz gemäss Verlagsvertrag |
| Departement: | Gesundheit |
| Organisationseinheit: | Institut für Physiotherapie (IPT) |
| Enthalten in den Sammlungen: | Publikationen Gesundheit |
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Gutknecht, M., Mannig, A., Waldvogel, A., Wand, B. M., & Luomajoki, H. (2015). The effect of motor control and tactile acuity training on patients with non-specific low back pain and movement control impairment. Journal of Bodywork and Movement Therapies, 19(4), 722–731. https://doi.org/10.1016/j.jbmt.2014.12.003
Gutknecht, M. et al. (2015) ‘The effect of motor control and tactile acuity training on patients with non-specific low back pain and movement control impairment’, Journal of Bodywork and Movement Therapies, 19(4), pp. 722–731. Available at: https://doi.org/10.1016/j.jbmt.2014.12.003.
M. Gutknecht, A. Mannig, A. Waldvogel, B. M. Wand, and H. Luomajoki, “The effect of motor control and tactile acuity training on patients with non-specific low back pain and movement control impairment,” Journal of Bodywork and Movement Therapies, vol. 19, no. 4, pp. 722–731, 2015, doi: 10.1016/j.jbmt.2014.12.003.
GUTKNECHT, Magdalena, Angelika MANNIG, Anja WALDVOGEL, Benedict M. WAND und Hannu LUOMAJOKI, 2015. The effect of motor control and tactile acuity training on patients with non-specific low back pain and movement control impairment. Journal of Bodywork and Movement Therapies. 2015. Bd. 19, Nr. 4, S. 722–731. DOI 10.1016/j.jbmt.2014.12.003
Gutknecht, Magdalena, Angelika Mannig, Anja Waldvogel, Benedict M. Wand, and Hannu Luomajoki. 2015. “The Effect of Motor Control and Tactile Acuity Training on Patients with Non-Specific Low Back Pain and Movement Control Impairment.” Journal of Bodywork and Movement Therapies 19 (4): 722–31. https://doi.org/10.1016/j.jbmt.2014.12.003.
Gutknecht, Magdalena, et al. “The Effect of Motor Control and Tactile Acuity Training on Patients with Non-Specific Low Back Pain and Movement Control Impairment.” Journal of Bodywork and Movement Therapies, vol. 19, no. 4, 2015, pp. 722–31, https://doi.org/10.1016/j.jbmt.2014.12.003.
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