Trunk Muscle Training Augmented with Neuromuscular Electrical Stimulation Appears to Improve Function in Older Adults with Chronic Low Back Pain: A Randomized Preliminary Trial
| Autor: | Gregory E. Hicks, Jaclyn Megan Sions, Teonette O. Velasco, Tara Jo Manal |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Hot Temperature medicine.medical_treatment Ultrasonic Therapy Stimulation Electric Stimulation Therapy Article law.invention 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Randomized controlled trial law medicine Humans Single-Blind Method 030212 general & internal medicine Muscle Skeletal Aged Aged 80 and over Massage Rehabilitation Ultrasonic therapy business.industry Torso Middle Aged Chronic low back pain Exercise Therapy Anesthesiology and Pain Medicine Treatment Outcome Back Pain Physical therapy Feasibility Studies Female Neurology (clinical) Trunk muscle Training program business human activities Low Back Pain 030217 neurology & neurosurgery Preliminary Data |
| Popis: | To assess the feasibility of a trial to evaluate a trunk muscle training program augmented with neuromuscular electrical stimulation (TMT+NMES) for the rehabilitation of older adults with chronic low back pain (LBP) and to preliminarily investigate whether TMT+NMES could improve physical function and pain compared with a passive control intervention.We conducted a single-blind, randomized feasibility trial. Patients aged 60 to 85 years were allocated to TMT+NMES (n=31) or a passive control intervention (n=33), consisting of passive treatments, that is, heat, ultrasound, and massage. Outcomes assessed 3- and 6-month postrandomization included Timed Up and Go Test, gait speed, pain, and LBP-related functional limitation.Feasibility was established by acceptable adherence (≥80%) and attrition (20%) rates for both interventions. Both groups had similar, clinically important reductions in pain of2 points on a numeric pain rating scale during the course of the trial. But, only the TMT+NMES group had clinically important improvements in both performance-based and self-reported measures of function. In terms of the participants' global rating of functional improvement at 6 months, the TMT+NMES group improved by 73.9% and the passive control group improved by 56.7% compared with baseline. The between-group difference was 17.2% (95% confidence interval, 5.87-28.60) in favor of TMT+NMES.It seems that a larger randomized trial investigating the efficacy of TMT+NMES for the purpose of improving physical function in older adults with chronic LBP is warranted. |
| Databáze: | OpenAIRE |
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