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Specific movement control exercises should be encouraged
in patients with low back pain as it significantly improved function and
reduced disability compared to general exercises.
Impaired movement control leads to chronic lower back pain.
Patients with impaired movement control face difficulties in controlling their
lower back position while sitting down, standing or doing back bending. An
earlier episode of back pain often become a cause of impaired movement control.
This situation can be a problematic one because patients don’t realize that
their incorrect back position can lead to pain. Only 15% of patients suffering from lower
back pain get a specific diagnosis, whereas 85% of patients have to settle for
a non-specific one. Many international care guidelines favor further research
which address the different subgroups of patients with lower back pain.
Previous studies were unable to reveal that which specific
exercises should be recommended to which patiet groups. So, a new study was
conducted in the University of Eastern Finland revealed that the combination of
manual therapy and exercise appears to be an excellent way to treat movement
control impairment in the lower back. This combination has effectively improved
the functional disability of patients by reducing their disability. The study
analyzed whether a personally tailored exercise program would be a better
treatment for alleviating non-specific lower back disability, or a generic
exercise programme for targeting movement control. Patients who had undergone
three-month physical therapy was analyzed after 12 months. Patients had given
five physical therapy sessions, including personally tailored and generic
exercises. Each session included a brief manual therapy. After completing
physical therapy sessions, a questionnaire was filled by patients describing
the level of disability caused by their back pain. A total of 70 patients with
movement control impairment participated in the study. The results indicated
that a three-month physical therapy period significantly improved the
functional ability of both groups, and the results persisted at a 12-month
follow-up.
A personally tailored exercise programme was statistically and clinically more beneficial for patients than a generic one with regard to level of disability and improvement of functional ability. The treatment results persist at a 12-month follow-up.
University of Eastern Finland
Personalised physical therapy brings relief for lower back pain
Vesa Lahtola et al.
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