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- Title
[Increase in strength after active therapy in chronic low back pain (CLBP) patients: muscular adaptations and clinical relevance].
- Authors
Mannion, A F; Dvorak, J; Taimela, S; Müntener, M
- Abstract
Active treatments are advocated for the management of non-specific chronic low back pain (CLBP), although few studies have documented the relative efficacy of differing types of programme. A number of the available treatments comprise exercise routines on specially designed training machines, which are ostensibly better disposed to reverse the compromised trunk muscle function displayed by these patients than are 'free exercise' programmes. However, in using these muscle-training programmes, the physiological or anatomical adaptations that might account for the improved performance are rarely investigated, let alone identified. This is an important issue, because if the 'newly-acquired strength' is mostly specific to performance on the devices on which the patient has trained and been tested, and reflects the skill in executing these particular tasks, this will not necessarily assist the patient during performance of his/her everyday activities. The aims of the present study were (1) to quantify the changes in back muscle performance in chronic LBP patients following 3 months active therapy, and (2) to analyse the corresponding changes in activation and cross-sectional area of the paraspinal muscles.
- Publication
Schmerz (Berlin, Germany), 2001, Vol 15, Issue 6, p468
- ISSN
0932-433X
- Publication type
Journal Article
- DOI
10.1007/s004820100034