|Title:||The influence of a 4-week treadmill training using unstable shoes in patients with low back pain|
|Authors :||Stegen, Cordula Mareike|
|Published in :||Book of Abstracts of the 17th Annual Congress of the European College of Sport Science|
|Conference details:||17th Annual Congress of the European College of Sport Science (ECSS), Bruges, Belgium, 4 - 7 July 2012|
|Publisher / Ed. Institution :||European College of Sport Science|
|License (according to publishing contract) :||Licence according to publishing contract|
|Type of review:||Not specified|
|Subjects :||Low back pain; Unstable shoes; Treadmill training|
|Subject (DDC) :||615.82: Physical therapy |
617.5: Orthopaedic surgery
|Abstract:||Introduction Low back pain (LBP) is one of the major health and socio-economic problems in western countries (Hoy et al. 2010/12), generating an enormous amount of direct and indirect costs for health care systems (Hoy et al. 2010/4). The working-age population is frequently affected. Lifetime prevalence is between 60-80% (Krismer and Tulder 2007). Unstable shoes, such as MBT shoes, claim to have the potential to stimulate muscle activity. LBP reduction after wearing MBT shoes was shown in a study with golf players suffering from LBP (Nigg et al. 2009). The purpose of this study was to investigate the effect on pain and disability of a four week treadmill training comparing jogging in unstable shoes and sport shoes in patients with LBP. Methods A randomized controlled trial in 22 patients suffering from LBP was conducted. Subjects were randomly assigned to two training groups. Both groups received the same supervised treadmill training sessions, two times a week for four weeks. One group wore unstable shoes during the training, as well as during daily activities; the other group performed the training with normal sport shoes. Outcomes were disability (Roland Morris Questionnaire, RM) and individual main complaints (patient specific functional scale, PSFS). We used SPSS 19 and analysed within group differences before and after treatment with the Wilcoxon-test, and between group differences with the Mann-Whitney-U-test. Alpha was set at 0.05. Results A significant reduction in disability (RM) was shown after the training in both groups. The individual main complaints (PSFS) showed a significant improvement and less pain. Differences between groups were not significant. Discussion High intensity aerobic training alleviated pain, disability and psychological strain in patients with chronic LBP (Chatzitheodorou et al. 2007). Treadmill training could influence pain reduction in patients with non-specific LBP positively. The non-significant between group differences might be caused by insufficient power in this pilot study. An alternative explanation is that the effect of treadmill training is much stronger than the effect of the unstable shoes. Further investigations are needed to evaluate the effect of wearing unstable shoes on pain reduction in patients with LBP.|
|Publication type:||Conference Other|
|Appears in Collections:||Publikationen Gesundheit|
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