The Effects of an 8-week Stabilization Exercise Program on Lumbar Movement Sense in Patients with Low Back Pain

Overview

Journal BMC Musculoskelet Disord

Publisher Biomed Central

Specialties Orthopedics
Physiology

Date 2016 Jan 15

PMID 26762185

Citations 13

Authors

Jean-Alexandre Boucher

Richard Preuss

Sharon M Henry

Jean-Pierre Dumas

Christian Lariviere

Affiliations

Soon will be listed here.

Abstract

Background: Lumbar stabilization exercises have gained popularity and credibility in patients with non-acute low back pain. Previous research provides more support to strength/resistance and coordination/stabilisation programs. Some authors also suggest adding strength/resistance training following motor control exercises. However, the effect of such a lumbar stabilization program on lumbar proprioception has never been tested so far. The present study investigated the effects of an 8-week stabilization exercise program on lumbar proprioception in patients with low back pain (LBP) and assessed the 8-week test-retest reliability of lumbar proprioception in control subjects.

Methods: Lumbar proprioception was measured before and after an 8-week lumbar stabilization exercise program for patients with LBP. Control subjects participated in the same protocol but received no treatment.

Results: The lumbar proprioception measure showed moderate reliability. Patients with LBP and control subjects demonstrated no differences in lumbar proprioception at baseline. Participants from both groups showed better proprioception following the 8-week interval, demonstrating the presence of learning between testing days.

Conclusions: The improvement of lumbar proprioception seen in both groups was ascribed to motor learning of the test itself. The effect of lumbar stabilization exercises on lumbar proprioception remains unknown because the LBP group did not show lumbar proprioception impairments.

Citing Articles

Disability reduction following a lumbar stabilization exercise program for low back pain: large vs. small improvement subgroup analyses of physical and psychological variables.

Lariviere C, Preuss R, Coutu M, Sullivan M, Roy N, Henry S BMC Musculoskelet Disord. 2024; 25(1):358.

PMID: 38704535 PMC: 11069239. DOI: 10.1186/s12891-024-07480-4.

Effects of Pain Neuroscience Education and Physiotherapy on Chronic Low Back Pain, Fear of Movement and Functional Status: A Randomised Pilot Study.

Lendraitiene E, Styraite B, Sakaliene R, Misyte G, Bileviciute-Ljungar I J Clin Med. 2024; 13(7).

PMID: 38610845 PMC: 11012892. DOI: 10.3390/jcm13072081.

Neuroendocrine effects of a single bout of functional and core stabilization training in women with chronic nonspecific low back pain: A crossover study.

Santos M, Santos P, Vasconcelos A, Amado Gomes A, de Oliveira L, Souza P Physiol Rep. 2022; 10(17):e15365.

PMID: 36065850 PMC: 9446407. DOI: 10.14814/phy2.15365.

Derivation of clinical prediction rules for identifying patients with non-acute low back pain who respond best to a lumbar stabilization exercise program at post-treatment and six-month follow-up.

Lariviere C, Rabhi K, Preuss R, Coutu M, Roy N, Henry S PLoS One. 2022; 17(4):e0265970.

PMID: 35476707 PMC: 9045609. DOI: 10.1371/journal.pone.0265970.

Effects of core stabilization exercise and strengthening exercise on proprioception, balance, muscle thickness and pain related outcomes in patients with subacute nonspecific low back pain: a randomized controlled trial.

Hlaing S, Puntumetakul R, Khine E, Boucaut R BMC Musculoskelet Disord. 2021; 22(1):998.

PMID: 34847915 PMC: 8630919. DOI: 10.1186/s12891-021-04858-6.

References

Searle A, Spink M, Ho A, Chuter V . Exercise interventions for the treatment of chronic low back pain: a systematic review and meta-analysis of randomised controlled trials. Clin Rehabil. 2015; 29(12):1155-67. DOI: 10.1177/0269215515570379. View

Gorgoni M, DAtri A, Lauri G, Rossini P, Ferlazzo F, De Gennaro L . Is sleep essential for neural plasticity in humans, and how does it affect motor and cognitive recovery?. Neural Plast. 2013; 2013:103949. PMC: 3693176. DOI: 10.1155/2013/103949. View

Childs J, Piva S, Fritz J . Responsiveness of the numeric pain rating scale in patients with low back pain. Spine (Phila Pa 1976). 2005; 30(11):1331-4. DOI: 10.1097/01.brs.0000164099.92112.29. View

Vogler D, Paillex R, Norberg M, de Goumoens P, Cabri J . [Cross-cultural validation of the Oswestry disability index in French]. Ann Readapt Med Phys. 2008; 51(5):379-85. DOI: 10.1016/j.annrmp.2008.03.006. View

Danneels L, Vanderstraeten G, Cambier D, Witvrouw E, de Cuyper H . CT imaging of trunk muscles in chronic low back pain patients and healthy control subjects. Eur Spine J. 2001; 9(4):266-72. PMC: 3611341. DOI: 10.1007/s005860000190. View

Lariviere C, Bilodeau M, Forget R, Vadeboncoeur R, Mecheri H . Poor back muscle endurance is related to pain catastrophizing in patients with chronic low back pain. Spine (Phila Pa 1976). 2010; 35(22):E1178-86. DOI: 10.1097/BRS.0b013e3181e53334. View

Clark N, Roijezon U, Treleaven J . Proprioception in musculoskeletal rehabilitation. Part 2: Clinical assessment and intervention. Man Ther. 2015; 20(3):378-87. DOI: 10.1016/j.math.2015.01.009. View

Lee A, Cholewicki J, Reeves N, Zazulak B, Mysliwiec L . Comparison of trunk proprioception between patients with low back pain and healthy controls. Arch Phys Med Rehabil. 2010; 91(9):1327-31. PMC: 4896302. DOI: 10.1016/j.apmr.2010.06.004. View

Brumagne S, Cordo P, Lysens R, Verschueren S, Swinnen S . The role of paraspinal muscle spindles in lumbosacral position sense in individuals with and without low back pain. Spine (Phila Pa 1976). 2000; 25(8):989-94. DOI: 10.1097/00007632-200004150-00015. View

10.

Hayden J, Van Tulder M, Tomlinson G . Systematic review: strategies for using exercise therapy to improve outcomes in chronic low back pain. Ann Intern Med. 2005; 142(9):776-85. DOI: 10.7326/0003-4819-142-9-200505030-00014. View

11.

Santos B, Delisle A, Lariviere C, Plamondon A, Imbeau D . Reliability of centre of pressure summary measures of postural steadiness in healthy young adults. Gait Posture. 2007; 27(3):408-15. DOI: 10.1016/j.gaitpost.2007.05.008. View

12.

Silfies S, Cholewicki J, Reeves N, Greene H . Lumbar position sense and the risk of low back injuries in college athletes: a prospective cohort study. BMC Musculoskelet Disord. 2008; 8:129. PMC: 2259335. DOI: 10.1186/1471-2474-8-129. View

13.

Roijezon U, Clark N, Treleaven J . Proprioception in musculoskeletal rehabilitation. Part 1: Basic science and principles of assessment and clinical interventions. Man Ther. 2015; 20(3):368-77. DOI: 10.1016/j.math.2015.01.008. View

14.

Deyo R, Dworkin S, Amtmann D, Andersson G, Borenstein D, Carragee E . Report of the NIH Task Force on research standards for chronic low back pain. Phys Ther. 2015; 95(2):e1-e18. PMC: 5396149. DOI: 10.2522/ptj.2015.95.2.e1. View

15.

Koumantakis G, Watson P, Oldham J . Trunk muscle stabilization training plus general exercise versus general exercise only: randomized controlled trial of patients with recurrent low back pain. Phys Ther. 2005; 85(3):209-25. View

16.

Smidt N, de Vet H, Bouter L, Dekker J, Arendzen J, de Bie R . Effectiveness of exercise therapy: a best-evidence summary of systematic reviews. Aust J Physiother. 2005; 51(2):71-85. DOI: 10.1016/s0004-9514(05)70036-2. View

17.

Holm S, Indahl A, Solomonow M . Sensorimotor control of the spine. J Electromyogr Kinesiol. 2002; 12(3):219-34. DOI: 10.1016/s1050-6411(02)00028-7. View

18.

Panjabi M . A hypothesis of chronic back pain: ligament subfailure injuries lead to muscle control dysfunction. Eur Spine J. 2005; 15(5):668-76. PMC: 3489327. DOI: 10.1007/s00586-005-0925-3. View

19.

Ostelo R, Deyo R, Stratford P, Waddell G, Croft P, Von Korff M . Interpreting change scores for pain and functional status in low back pain: towards international consensus regarding minimal important change. Spine (Phila Pa 1976). 2008; 33(1):90-4. DOI: 10.1097/BRS.0b013e31815e3a10. View

20.

Riemann B, Lephart S . The sensorimotor system, part I: the physiologic basis of functional joint stability. J Athl Train. 2006; 37(1):71-9. PMC: 164311. View