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Volume 7, Issue 5

J Nov Physiother, an open access journal

ISSN: 2165-7025

Novel Physio 2017

August 21-22, 2017

International Conference and Expo on

August 21-22, 2017 | Birmingham, UK

Novel Physiotherapies

J Nov Physiother 2017, 7:5(Suppl)

DOI: 10.4172/2165-7025-C1-018

Efficacy of movement control exercise versus general exercise on recurrent sub-acute low back pain

in a sub-group of patients with movement control impairment: a randomized controlled trial

Lehtola Vesa

, Luomajoki Hannu

, Leinonen Villed

, Gibbons Sean

and

Airaksinen Olavi

University of Eastern Finland, Finland

Zürich University of Applied Sciences, Switzerland

SMARTERehab, Canada

Background:

Clinical guidelines recommend research on sub-groups of low back pain (LBP), but only few studies have been

published. One sub-group of LBP is movement control impairment (MCI) and clinical tests to identify this sub-group have

been developed. As a whole, general exercise seems to be beneficial for management of chronic LBP (CLBP), but very little is

known about the management of a sub-acute LBP.

Methods:

A randomized controlled trial (RCT) was conducted to compare the effects of general exercise versus specific

movement control exercise (SMCE) on disability and function in patients with MCI within recurrent sub-acute LBP.

Participants attended for up to five treatment sessions of manual therapy and either specific or general exercise. The primary

outcome was disability assessed by the Roland-Morris Disability Questionnaire (RMDQ). The measurements were taken at

baseline, immediately after three months intervention and at twelve months follow-up.

Results:

Seventy patients met the inclusion criteria and were eligible for the trial. Measurements of 61 patients (SMCE n=30

and general exercises n=31) were completed by twelve months (drop-out rate: 12.9%). Both groups significantly improved with

their respective therapeutic interventions. Mean changes of groups in the RMDQ from baseline to twelve months measurement

showed significantly superior improvement for SMCE group -1.7 points (-3.9 to -0.5) 95% (CI).

Conclusion:

Combination of manual therapy and SMCE is likely to be superior to manual therapy and general exercise

following the intervention and twelve moths follow-up for subjects with non-specific recurrent sub-acute LBP with movement

control impairment.