We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Improvements in Forward Bending are Related to Improvements in Pain and Activity Limitation during Cognitive Functional Therapy for people with Chronic Low Back Pain.
- Authors
Chang, Ruth; Campbell, Amity; Kent, Peter; O'Sullivan, Peter; Hancock, Mark; Hoffman, Lesa; Smith, Anne
- Abstract
Introduction: Treatments for low back pain (LBP) often focus on restoring movement to reduce pain and disability. Longitudinal studies examining the relationships between changes in the way a person with LBP moves and changes in their pain/disability are required to clarify associations. Objectives: To investigate whether improvements in spinal movement during forward bending are related to improvements in pain/disability in people with LBP undergoing Cognitive Functional Therapy (CFT). Study design: Longitudinal Observational Study. Methods: Participants with chronic, disabling non-specific LBP allocated to CFT or CFT with biofeedback in the RESTORE trial1(n=261) performed forward bending at each treatment session over a 13-week treatment period (average of 4.3 timepoints/participant (range 1-8)). Spinal kinematics were recorded using inertial measurement units. Participants reported i) average pain intensity (0-10 scale) (Pain), and ii) pain-related activity limitation (Disability), (Roland Morris Disability Questionnaire (RMDQ)) via online questionnaires at 0,3,6 and 13 weeks. Multivariate multilevel models were used to evaluate associations between individual rates of change over time between three spinal movement measures (trunk velocity, trunk range of movement (ROM) or intersensor ROM) and Pain/Disability. Results: Strong correlations were observed between increased trunk velocity and reduced Pain (-0.81, 95%CI -0.98, -0.05), and reduced Disability (-0.77, 95%CI -0.95, -0.22). Moderate correlations were observed between increased trunk ROM and reduced Pain (-0.37, 95%CI -0.67, 0.04), and reduced Disability (-0.32, 95%CI -0.6, 0.03). It was not possible to establish temporal precedence as changes occurred concomitantly. Conclusions: Targeting forward bending may lead to reductions in chronic low back pain and disability. Alternatively, reduc- ing pain or disability via other treatment targets may improve forward bending. It is likely that Pain/Disability and movement outcomes may improve together due to reciprocity of effects which reinforces the importance of a person-centred focus for clinicians.
- Subjects
NORWAY; DISABILITIES; CHRONIC pain; BIOFEEDBACK training; TREATMENT effectiveness; CONFERENCES &; conventions; PAIN management; BODY movement; COGNITIVE therapy; PHYSICAL activity; LUMBAR pain; ACTIVITIES of daily living
- Publication
International Journal of Sports Physical Therapy, 2024, Vol 19, Issue 6, p775
- ISSN
2159-2896
- Publication type
Article