A. Caña-Pino , M.D. Apolo-Arenas , D. Falla , E. Lluch-Girbés , L. Espejo-Antúnez
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引用次数: 1
Abstract
Background
Among the most effective therapeutic interventions in non-specific chronic low back pain (NSCLBP), clinical practice guidelines highlight exercise therapy and patient education; However, regarding the combined intervention of exercise and Pain Neuroscience Education (PNE), there is no consensus on the most effective form of exercise.
Objetive
To find out what changes occurred after the application of two exercise modalities [Supervised Exercise (SE) and Laser-Guided Exercise (LGE)] and PNE on pain, pain pressure thresholds, disability, catastrophizing, kinesiophobia and lumbar proprioception in subjects with NSCLBP.
Methods
Single-blind randomized clinical controlled trial. 60 subjects with NSCLBP. Both groups performed a a total of 16 therapeutic exercise sessions and 8 Pain Neuroscience Education sessions. With the Laser-Guided Exercise Therapy group performing laser-guided exercises.
Results
A significant decrease was observed for pain intensity for both groups between baseline and post-intervention and the 3 month follow-up (p < 0.001). There was a significant between-group difference between baseline and post-intervention scores in terms of pain intensity and kinesiophobia in favour of the LGE group.
Conclusion
Supervised exercise with or without laser feedback, when combined with PNE, reduces pain intensity, disability, pain catastrophizing, kinesiophobia and improves proprioception and PPTs in patients with NSCLBP. At a 3-month follow-up, the combination of LGE plus PNE is most effective for reducing pain intensity.
期刊介绍:
Journal of Electromyography & Kinesiology is the primary source for outstanding original articles on the study of human movement from muscle contraction via its motor units and sensory system to integrated motion through mechanical and electrical detection techniques.
As the official publication of the International Society of Electrophysiology and Kinesiology, the journal is dedicated to publishing the best work in all areas of electromyography and kinesiology, including: control of movement, muscle fatigue, muscle and nerve properties, joint biomechanics and electrical stimulation. Applications in rehabilitation, sports & exercise, motion analysis, ergonomics, alternative & complimentary medicine, measures of human performance and technical articles on electromyographic signal processing are welcome.