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Exercises for chronic low back pain: a clinical trial
F Johannsen1, L Remvig, P Kryger
1Department of Rheumatology, Bispebjerg Hospital, University of Copenhagen, Køobenhavn NV, Denmark.
The Journal of Orthopaedic and Sports Physical Therapy
|August 1, 1995
Summary
Coordination training is as effective as endurance training for chronic low back pain relief. Both methods improved pain and disability, showing that focusing on coordination alongside muscle strength offers comparable benefits for back pain management.
Area of Science:
- Rehabilitation Medicine
- Physical Therapy
- Musculoskeletal Disorders
Background:
- Chronic low back pain (CLBP) management lacks a consensus on optimal training models.
- Previous research focused on spinal mobility and back strength.
- The role of physiological parameters like coordination in CLBP treatment requires further investigation.
Purpose of the Study:
- To compare the effectiveness of intensive muscle endurance training versus combined muscle training and coordination training for CLBP.
- To evaluate the impact of different training models on pain, disability, spinal mobility, and muscle strength.
Main Methods:
- A randomized trial involving 40 patients with CLBP.
- Two training groups: 1) intensive muscle endurance, 2) muscle training with coordination.
- Training duration: 1 hour, twice weekly for 3 months.
Main Results:
- Both training groups showed significant improvements in pain score, disability score, and spinal mobility.
- No significant differences in pain, disability, or mobility were observed between the two groups.
- Intensive muscle endurance training uniquely improved isokinetic back muscle strength.
- Initial correlation between spinal mobility and dysfunction disappeared post-training.
Conclusions:
- Coordination training is equally effective as endurance training for improving pain and disability in CLBP patients.
- The findings suggest that incorporating coordination into training programs offers comparable benefits to traditional endurance-focused approaches for CLBP.
- Further research may explore the synergistic effects of combined training modalities.