Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-4217
Publication type: Article in scientific journal
Type of review: Peer review (publication)
Title: Improvement in low back movement control, decreased pain and disability, resulting from specific exercise intervention
Authors: Luomajoki, Hannu
Kool, Jan
De Bruin, Eling D.
Airaksinen, Olavi
DOI: 10.21256/zhaw-4217
10.1186/1758-2555-2-11
Published in: BMC Sports Science, Medicine and Rehabilitation
Volume(Issue): 2
Issue: 11
Page(s): 1
Pages to: 7
Issue Date: 2010
Publisher / Ed. Institution: BioMed Central
ISSN: 2052-1847
Language: English
Subjects: Physiotherapie; Low back pain; Behandlung
Subject (DDC): 615.82: Physical therapy
617.5: Orthopaedic surgery
Abstract: Background: The study was conducted to assess whether patient-specific functional impairment and experienced daily disability improved after treatment to address active movement control of the low back. Method: A prospective study was carried out in two outpatient physiotherapy practices in the German-speaking part of Switzerland. 38 patients (17 males and 21 females) suffering from non-specific low back pain (NSLBP) and movement control impairment were treated. The study participants had an average age of 45 ± 13 years, an average height of 170 ± 8 cm and an average weight of 73 ± 15 kg. Patients were assessed prior and post treatment. Treatment was aimed at improving movement control of the lumbar spine, pain and disability. Six physiotherapists treated each patient on average nine times (SD 4.6). Treatment effects were evaluated using a set of six movement control tests (MCT), patient-specific functional pain scores (PSFS) and a Roland and Morris disability questionnaire (RMQ). Means, standard deviations, confidence intervals and paired t-tests were calculated. The effect size (d) was based on the change between t1 (time prior intervention) and t2 (time post intervention) using a significance level of p < 0.05, with d > 0.8 being considered a large effect. Power calculations were performed for type I & II error estimation. Results: Movement control (MCT) showed a 59% improvement from 3.2 (max 6) to 1.3 positive tests (d = 1.3, p < 0.001), complaints (PSFS) decreased 41% from 5.9 points (max 10) to 3.5 (d = 1.3, p < 0.001), and disability (RMQ) decreased 43% from 8.9 to 5.1 points (d = 1.0, p < 0.001). Conclusions: The results of this controlled case series study, based on prior and post intervention, showed that movement control, patient specific functional complaints and disability improved significantly following specific individual exercise programs, performed with physiotherapeutic intervention. The results obtained warrant performance of a randomized controlled trial (RCT) to substantiate our findings.
Further description: Open Access Journal
URI: https://digitalcollection.zhaw.ch/handle/11475/4931
Fulltext version: Published version
License (according to publishing contract): CC BY 2.0: Attribution 2.0 Generic
Departement: School of Health Sciences
Appears in collections:Publikationen Gesundheit

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Luomajoki, H., Kool, J., De Bruin, E. D., & Airaksinen, O. (2010). Improvement in low back movement control, decreased pain and disability, resulting from specific exercise intervention. BMC Sports Science, Medicine and Rehabilitation, 2(11), 1–7. https://doi.org/10.21256/zhaw-4217
Luomajoki, H. et al. (2010) ‘Improvement in low back movement control, decreased pain and disability, resulting from specific exercise intervention’, BMC Sports Science, Medicine and Rehabilitation, 2(11), pp. 1–7. Available at: https://doi.org/10.21256/zhaw-4217.
H. Luomajoki, J. Kool, E. D. De Bruin, and O. Airaksinen, “Improvement in low back movement control, decreased pain and disability, resulting from specific exercise intervention,” BMC Sports Science, Medicine and Rehabilitation, vol. 2, no. 11, pp. 1–7, 2010, doi: 10.21256/zhaw-4217.
LUOMAJOKI, Hannu, Jan KOOL, Eling D. DE BRUIN und Olavi AIRAKSINEN, 2010. Improvement in low back movement control, decreased pain and disability, resulting from specific exercise intervention. BMC Sports Science, Medicine and Rehabilitation. 2010. Bd. 2, Nr. 11, S. 1–7. DOI 10.21256/zhaw-4217
Luomajoki, Hannu, Jan Kool, Eling D. De Bruin, and Olavi Airaksinen. 2010. “Improvement in Low Back Movement Control, Decreased Pain and Disability, Resulting from Specific Exercise Intervention.” BMC Sports Science, Medicine and Rehabilitation 2 (11): 1–7. https://doi.org/10.21256/zhaw-4217.
Luomajoki, Hannu, et al. “Improvement in Low Back Movement Control, Decreased Pain and Disability, Resulting from Specific Exercise Intervention.” BMC Sports Science, Medicine and Rehabilitation, vol. 2, no. 11, 2010, pp. 1–7, https://doi.org/10.21256/zhaw-4217.


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