Association Between Clinical Tests Related to Motor Control Dysfunction and Changes in Pain and Disability After Lumbar Stabilization Exercises in Individuals With Chronic Low Back Pain
Autor(a) principal: | |
---|---|
Data de Publicação: | 2019 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1016/j.apmr.2019.01.019 http://hdl.handle.net/11449/188978 |
Resumo: | Objective: To investigate whether clinical tests used to detect motor control dysfunction can predict improvements in pain and disability in patients with chronic nonspecific low back pain (LBP) who have undergone an 8-week lumbar stabilization exercise program. Study Design: A prospective cohort study. Setting: Outpatient physical therapy university clinic. Participants: Seventy people with chronic nonspecific LBP were recruited, and 64 completed the exercise program (N=64). Interventions: The lumbar stabilization program was provided twice a week for 8 weeks. Main Outcome Measures: Pain intensity (11-point numerical rating scale) and disability (Roland Morris Disability Questionnaire) and clinical tests, such as the Deep Muscle Contraction (DMC) scale, Clinical Test of Thoracolumbar Dissociation (CTTD), and Passive Lumbar Extension (PLE) test. Univariate and multivariate linear regression models were used in the prediction analysis. Results: Mean changes in pain intensity and disability following the 8-week stabilization program were −3.8 (95% confidence interval [CI], −3.2 to −4.4) and −7.4 (95% CI, −6.3 to −8.5), respectively. Clinical test scores taken at baseline did not predict changes in pain and disability at 8-week follow-up. Conclusion: Our findings revealed that the DMC scale, CTTD, PLE test, clinical tests used to assess motor control dysfunction, do not predict improvements in pain and disability in patients with chronic nonspecific LBP following an 8-week lumbar stabilization exercise program. |
id |
UNSP_d98c8e442ad1c26857fcea2694b5476c |
---|---|
oai_identifier_str |
oai:repositorio.unesp.br:11449/188978 |
network_acronym_str |
UNSP |
network_name_str |
Repositório Institucional da UNESP |
repository_id_str |
2946 |
spelling |
Association Between Clinical Tests Related to Motor Control Dysfunction and Changes in Pain and Disability After Lumbar Stabilization Exercises in Individuals With Chronic Low Back PainExercise therapyLow back painOutcome and process assessment (health care)RehabilitationObjective: To investigate whether clinical tests used to detect motor control dysfunction can predict improvements in pain and disability in patients with chronic nonspecific low back pain (LBP) who have undergone an 8-week lumbar stabilization exercise program. Study Design: A prospective cohort study. Setting: Outpatient physical therapy university clinic. Participants: Seventy people with chronic nonspecific LBP were recruited, and 64 completed the exercise program (N=64). Interventions: The lumbar stabilization program was provided twice a week for 8 weeks. Main Outcome Measures: Pain intensity (11-point numerical rating scale) and disability (Roland Morris Disability Questionnaire) and clinical tests, such as the Deep Muscle Contraction (DMC) scale, Clinical Test of Thoracolumbar Dissociation (CTTD), and Passive Lumbar Extension (PLE) test. Univariate and multivariate linear regression models were used in the prediction analysis. Results: Mean changes in pain intensity and disability following the 8-week stabilization program were −3.8 (95% confidence interval [CI], −3.2 to −4.4) and −7.4 (95% CI, −6.3 to −8.5), respectively. Clinical test scores taken at baseline did not predict changes in pain and disability at 8-week follow-up. Conclusion: Our findings revealed that the DMC scale, CTTD, PLE test, clinical tests used to assess motor control dysfunction, do not predict improvements in pain and disability in patients with chronic nonspecific LBP following an 8-week lumbar stabilization exercise program.National Health and Medical Research CouncilPhysical Therapy Department Faculty of Science and Technology Sao Paulo State University (UNESP) Presidente PrudenteDepartment of Physical Therapy Federal University of Minas Gerais (UFMG)Sydney School of Public Health Faculty of Medicine and Health The University of SydneyNeuroscience Research AustraliaPhysical Therapy Department Faculty of Science and Technology Sao Paulo State University (UNESP) Presidente PrudenteNational Health and Medical Research Council: 1105040Universidade Estadual Paulista (Unesp)Universidade Federal de Minas Gerais (UFMG)The University of SydneyNeuroscience Research AustraliaOliveira, Crystian B. [UNESP]Pinto, Rafael Z.Schabrun, Siobhan M.Franco, Marcia R.Morelhão, Priscila K. [UNESP]Silva, Fernanda G. [UNESP]Damato, Tatiana M. [UNESP]Negrão Filho, Ruben F. [UNESP]2019-10-06T16:25:52Z2019-10-06T16:25:52Z2019-07-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article1226-1233http://dx.doi.org/10.1016/j.apmr.2019.01.019Archives of Physical Medicine and Rehabilitation, v. 100, n. 7, p. 1226-1233, 2019.1532-821X0003-9993http://hdl.handle.net/11449/18897810.1016/j.apmr.2019.01.0192-s2.0-8506428025855537663967409690000-0001-9007-9274Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengArchives of Physical Medicine and Rehabilitationinfo:eu-repo/semantics/openAccess2024-06-18T18:44:14Zoai:repositorio.unesp.br:11449/188978Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-05T19:24:35.309791Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Association Between Clinical Tests Related to Motor Control Dysfunction and Changes in Pain and Disability After Lumbar Stabilization Exercises in Individuals With Chronic Low Back Pain |
title |
Association Between Clinical Tests Related to Motor Control Dysfunction and Changes in Pain and Disability After Lumbar Stabilization Exercises in Individuals With Chronic Low Back Pain |
spellingShingle |
Association Between Clinical Tests Related to Motor Control Dysfunction and Changes in Pain and Disability After Lumbar Stabilization Exercises in Individuals With Chronic Low Back Pain Oliveira, Crystian B. [UNESP] Exercise therapy Low back pain Outcome and process assessment (health care) Rehabilitation |
title_short |
Association Between Clinical Tests Related to Motor Control Dysfunction and Changes in Pain and Disability After Lumbar Stabilization Exercises in Individuals With Chronic Low Back Pain |
title_full |
Association Between Clinical Tests Related to Motor Control Dysfunction and Changes in Pain and Disability After Lumbar Stabilization Exercises in Individuals With Chronic Low Back Pain |
title_fullStr |
Association Between Clinical Tests Related to Motor Control Dysfunction and Changes in Pain and Disability After Lumbar Stabilization Exercises in Individuals With Chronic Low Back Pain |
title_full_unstemmed |
Association Between Clinical Tests Related to Motor Control Dysfunction and Changes in Pain and Disability After Lumbar Stabilization Exercises in Individuals With Chronic Low Back Pain |
title_sort |
Association Between Clinical Tests Related to Motor Control Dysfunction and Changes in Pain and Disability After Lumbar Stabilization Exercises in Individuals With Chronic Low Back Pain |
author |
Oliveira, Crystian B. [UNESP] |
author_facet |
Oliveira, Crystian B. [UNESP] Pinto, Rafael Z. Schabrun, Siobhan M. Franco, Marcia R. Morelhão, Priscila K. [UNESP] Silva, Fernanda G. [UNESP] Damato, Tatiana M. [UNESP] Negrão Filho, Ruben F. [UNESP] |
author_role |
author |
author2 |
Pinto, Rafael Z. Schabrun, Siobhan M. Franco, Marcia R. Morelhão, Priscila K. [UNESP] Silva, Fernanda G. [UNESP] Damato, Tatiana M. [UNESP] Negrão Filho, Ruben F. [UNESP] |
author2_role |
author author author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) Universidade Federal de Minas Gerais (UFMG) The University of Sydney Neuroscience Research Australia |
dc.contributor.author.fl_str_mv |
Oliveira, Crystian B. [UNESP] Pinto, Rafael Z. Schabrun, Siobhan M. Franco, Marcia R. Morelhão, Priscila K. [UNESP] Silva, Fernanda G. [UNESP] Damato, Tatiana M. [UNESP] Negrão Filho, Ruben F. [UNESP] |
dc.subject.por.fl_str_mv |
Exercise therapy Low back pain Outcome and process assessment (health care) Rehabilitation |
topic |
Exercise therapy Low back pain Outcome and process assessment (health care) Rehabilitation |
description |
Objective: To investigate whether clinical tests used to detect motor control dysfunction can predict improvements in pain and disability in patients with chronic nonspecific low back pain (LBP) who have undergone an 8-week lumbar stabilization exercise program. Study Design: A prospective cohort study. Setting: Outpatient physical therapy university clinic. Participants: Seventy people with chronic nonspecific LBP were recruited, and 64 completed the exercise program (N=64). Interventions: The lumbar stabilization program was provided twice a week for 8 weeks. Main Outcome Measures: Pain intensity (11-point numerical rating scale) and disability (Roland Morris Disability Questionnaire) and clinical tests, such as the Deep Muscle Contraction (DMC) scale, Clinical Test of Thoracolumbar Dissociation (CTTD), and Passive Lumbar Extension (PLE) test. Univariate and multivariate linear regression models were used in the prediction analysis. Results: Mean changes in pain intensity and disability following the 8-week stabilization program were −3.8 (95% confidence interval [CI], −3.2 to −4.4) and −7.4 (95% CI, −6.3 to −8.5), respectively. Clinical test scores taken at baseline did not predict changes in pain and disability at 8-week follow-up. Conclusion: Our findings revealed that the DMC scale, CTTD, PLE test, clinical tests used to assess motor control dysfunction, do not predict improvements in pain and disability in patients with chronic nonspecific LBP following an 8-week lumbar stabilization exercise program. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-10-06T16:25:52Z 2019-10-06T16:25:52Z 2019-07-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1016/j.apmr.2019.01.019 Archives of Physical Medicine and Rehabilitation, v. 100, n. 7, p. 1226-1233, 2019. 1532-821X 0003-9993 http://hdl.handle.net/11449/188978 10.1016/j.apmr.2019.01.019 2-s2.0-85064280258 5553766396740969 0000-0001-9007-9274 |
url |
http://dx.doi.org/10.1016/j.apmr.2019.01.019 http://hdl.handle.net/11449/188978 |
identifier_str_mv |
Archives of Physical Medicine and Rehabilitation, v. 100, n. 7, p. 1226-1233, 2019. 1532-821X 0003-9993 10.1016/j.apmr.2019.01.019 2-s2.0-85064280258 5553766396740969 0000-0001-9007-9274 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Archives of Physical Medicine and Rehabilitation |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
1226-1233 |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1808128230517899264 |