Recovery of the lumbopelvic movement and muscle recruitment patterns using motor control exercise program in people with chronic nonspecific low back pain: A prospective study

Autor: Caroline N. C. Wong, Sharon M.H. Tsang, Raymond Y.W. Lee, Edwin C. M. Wu, Eva Y. W. Chun, Angelina K. C. Yeung, Grace P. Y. Szeto
Rok vydání: 2021
Předmět:
Muscle Physiology
Kinematics
Physiology
medicine.medical_treatment
Exercise program
Medicine and Health Sciences
Back pain
Biomechanics
Prospective Studies
Prospective cohort study
Musculoskeletal System
Multidisciplinary
Rehabilitation
Physics
Classical Mechanics
Low back pain
Self Efficacy
Biomechanical Phenomena
Exercise Therapy
Treatment Outcome
Bioassays and Physiological Analysis
Physical Sciences
Medicine
Female
Anatomy
medicine.symptom
Muscle Electrophysiology
Research Article
medicine.medical_specialty
Science
Movement
Pain
Research and Analysis Methods
Pelvis
Signs and Symptoms
Physical medicine and rehabilitation
Complementary and Alternative Medicine
medicine
Humans
In patient
Muscle
Skeletal
Skeleton
Hip
Electromyography
business.industry
Electrophysiological Techniques
Biology and Life Sciences
Motor control
Recovery of Function
Spine
Case-Control Studies
Chronic Disease
Motor unit recruitment
Clinical Medicine
Musculoskeletal Mechanics
business
Low Back Pain
Program Evaluation
Zdroj: PLoS ONE
PLoS ONE, Vol 16, Iss 11 (2021)
PLoS ONE, Vol 16, Iss 11, p e0259440 (2021)
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0259440
Popis: This study aims to investigate the dysfunction and recovery of the lumbopelvic movement and motor control of people with chronic nonspecific low back pain after a structured rehabilitation which emphasizes on re-education and training of movement and motor control. The lumbopelvic movement and motor control pattern of 30 adults (15 with chronic low back pain, 15 healthy controls) were assessed using 3D motion and electromyographic analysis during the repeated forward bending test, in additional to the clinical outcome measures. Regional kinematics and muscle recruitment pattern of the symptomatic group was analysed before and after the 6-week rehabilitation, and compared to healthy controls. Significant improvement in back pain, functional capacity and self-efficacy of the symptomatic group was found after the rehabilitation. Patients with chronic nonspecific low back pain were capable to recover to a comparable level of the healthy controls in terms of their lumbopelvic movement and motor control pattern upon completion of a 6-week rehabilitation program, despite their dysfunction displayed at baseline. Phase specific motor control reorganization in which more profound and positive changes shown during the flexion phase. Our findings indicate that the recovery of the movement and motor control pattern in patients with chronic low back pain achieved to a comparable level of the healthy able-bodies. The improvement of both the physical outcome measures suggest that specific rehabilitation program which emphasizes on optimizing motor control during movements would help promoting the functional recovery of this specific low back pain subgroup.
Databáze: OpenAIRE
Externí odkaz: