To investigate whether clinical tests used to detect motor control dysfunction can predict improvements in pain and disability in patients with chronic nonspecific low back pain (LBP) who have undergone an 8-week lumbar stabilization exercise program.
A prospective cohort study.
Outpatient physical therapy university clinic.
Seventy people with chronic nonspecific LBP were recruited, and 64 completed the exercise program (N=64).
The lumbar stabilization program was provided twice a week for 8 weeks.
Main Outcome Measures
Pain intensity (11-point numerical rating scale) and disability (Roland Morris Disability Questionnaire) and clinical tests, such as the Deep Muscle Contraction (DMC) scale, Clinical Test of Thoracolumbar Dissociation (CTTD), and Passive Lumbar Extension (PLE) test. Univariate and multivariate linear regression models were used in the prediction analysis.
Mean changes in pain intensity and disability following the 8-week stabilization program were −3.8 (95% confidence interval [CI], −3.2 to −4.4) and −7.4 (95% CI, −6.3 to −8.5), respectively. Clinical test scores taken at baseline did not predict changes in pain and disability at 8-week follow-up.
Our findings revealed that the DMC scale, CTTD, PLE test, clinical tests used to assess motor control dysfunction, do not predict improvements in pain and disability in patients with chronic nonspecific LBP following an 8-week lumbar stabilization exercise program.
List of abbreviations:BMI (body mass index), CTTD (Clinical Test of Thoracolumbar Dissociation), DMC (Deep Muscle Contraction), LBP (low back pain), PLE (Passive Lumbar Extension)
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Published online: February 26, 2019
Disclosures: S.M.S. receives salary support from The National Health and Medical Research Council of Australia (1105040). The other authors have nothing to disclose.
Clinical Trial Registration No.: NCT02398760.
© 2019 by the American Congress of Rehabilitation Medicine