Motor control learning in chronic low back pain

Spine (Phila Pa 1976). 2008 Jul 15;33(16):E532-8. doi: 10.1097/BRS.0b013e31817dfd9a.

Abstract

Study design: A randomized prospective cohort study of participants with chronic low back pain, seeking physical therapy, with follow-up at weeks 6 and 28. Effects of conventional physiotherapy and physiotherapy with the addition of postural biofeedback were compared.

Objective: To evaluate the benefits of postural biofeedback in chronic low back pain participants.

Summary of background data: Biofeedback using electromyographic signals has been used in chronic low back pain with mixed results. Postural feedback had not been previously used.

Methods: Demographic and psychological baseline data along with range of motion were analyzed from a sample of 47 chronic participants with low back pain randomized into conventional physiotherapy with or without the addition of postural biofeedback.

Results: After 6 months, there were 21 dropouts. The participants with biofeedback had markedly improved status in visual analog pain scales, short form-36, and range of motion.

Conclusion: The study strongly suggests that postural feedback is a useful adjunct to conventional physiotherapy of chronic low back pain participants.

Publication types

  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Aged
  • Biofeedback, Psychology / instrumentation
  • Biofeedback, Psychology / methods
  • Cohort Studies
  • Exercise Therapy / instrumentation
  • Exercise Therapy / methods
  • Female
  • Follow-Up Studies
  • Humans
  • Learning / physiology*
  • Low Back Pain / physiopathology*
  • Low Back Pain / psychology
  • Low Back Pain / therapy*
  • Male
  • Middle Aged
  • Motor Skills / physiology*
  • Pain Measurement / instrumentation
  • Pain Measurement / methods
  • Posture / physiology