Journal of Bodywork & Movement Therapies
The 4th quarter issue of the Journal of Bodywork and Movement Therapies, Volume 21, Issue 4 was published during October. Full members who are eligible will have received an email recently with access to the online copy of the Journal. If you have not already taken advantage of this great PAA member benefit, take a look soon!
Courtesy of Elsevier, the PAA have also been given permission to share excerpts of research articles in our newsletters. From the current issue we’ve chosen to share the abstract from “Effect of movement control and stabilization exercises in people with extension related non -specific low back pain- a pilot study”.
The following quote from Joe illustrates nicely why this was our choice:
“Still less understand the mechanism of the spine and the proper methods of training this “foundation” bone of the body so that its movements will be under their absolute control at all times”.
Pilates, Joseph. Your Health (p. 49). BookMasters.
The complete research article can be found here.
Effect of movement control and stabilization exercises in people with extension related non -specific low back pain- a pilot study
Sara Salamat, MSc, Saeed Talebian, PhD, Hosein Bagheri, PhD, Nader Maroufi, PhD, Mohammad Jafar Shaterzadeh, PhD, Gitta Kalbasi, Msc, Kieran O’Sullivan, PhD
Abstract
Background
Exercise is considered an effective treatment strategy for non-specific chronic low back pain (NSCLBP).
In spite of the wide use of exercise protocols, it is not clear what type of exercise is more effective in decreasing pain, disability and normalizing muscle activation patterns in people with chronic low back pain.
Objectives
To assess the effects of two exercise protocols (stabilization vs movement control) on pain and disability scores and the flexion relaxation ratio (FRR) of lumbar multifidus (LM) and iliocostalis lumbarum pars thoracic (ICLT) in people with extension related non-specific chronic low back pain.
Study design
Pilot randomized control trial.
Methods
32 subjects with active extension pattern chronic low back pain (stabilization group = 16, movement control group = 16) participated in this study. Treatment groups received 4 weeks of exercise therapy. Outcomes were based on pain score (Numeric rating Scale-NRS), disability (Oswestry Disability Index- ODI) and FRR of the LM and ICLT.
Results
Four people dropped out of the study in each group for reasons unrelated to the protocols of the study. Pain and disability reduced in both groups, with no significant difference between the groups. The FRR of LM did not change in either treatment group after treatment. However, the FRR of ICLT was significantly increased after treatment in the movement control group.
Conclusion
Both movement control and stabilization exercises reduced pain and disability in the short-term among people with extension pattern NSCLBP, with no difference in effectiveness between the groups. However, movement control exercises were more effective in normalizing back muscle activation patterns than stabilization exercises.
© 2017 Elsevier Ltd. All rights reserved
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