Skip to main content
Top
Published in: BMC Musculoskeletal Disorders 1/2016

Open Access 01-12-2016 | Research article

The effects of an 8-week stabilization exercise program on lumbar movement sense in patients with low back pain

Authors: Jean-Alexandre Boucher, Richard Preuss, Sharon M. Henry, Jean-Pierre Dumas, Christian Larivière

Published in: BMC Musculoskeletal Disorders | Issue 1/2016

Login to get access

Abstract

Background

Lumbar stabilization exercises have gained popularity and credibility in patients with non-acute low back pain. Previous research provides more support to strength/resistance and coordination/stabilisation programs. Some authors also suggest adding strength/resistance training following motor control exercises. However, the effect of such a lumbar stabilization program on lumbar proprioception has never been tested so far. The present study investigated the effects of an 8-week stabilization exercise program on lumbar proprioception in patients with low back pain (LBP) and assessed the 8-week test-retest reliability of lumbar proprioception in control subjects.

Methods

Lumbar proprioception was measured before and after an 8-week lumbar stabilization exercise program for patients with LBP. Control subjects participated in the same protocol but received no treatment.

Results

The lumbar proprioception measure showed moderate reliability. Patients with LBP and control subjects demonstrated no differences in lumbar proprioception at baseline. Participants from both groups showed better proprioception following the 8-week interval, demonstrating the presence of learning between testing days.

Conclusions

The improvement of lumbar proprioception seen in both groups was ascribed to motor learning of the test itself. The effect of lumbar stabilization exercises on lumbar proprioception remains unknown because the LBP group did not show lumbar proprioception impairments.
Appendix
Available only for authorised users
Literature
1.
go back to reference Smidt N, de Vet HC, Bouter LM, Dekker J, Arendzen JH, de Bie RA, et al. Effectiveness of exercise therapy: a best-evidence summary of systematic reviews. Aust J Physiother. 2005;51:71–85.PubMedCrossRef Smidt N, de Vet HC, Bouter LM, Dekker J, Arendzen JH, de Bie RA, et al. Effectiveness of exercise therapy: a best-evidence summary of systematic reviews. Aust J Physiother. 2005;51:71–85.PubMedCrossRef
2.
go back to reference Hayden JA, van Tulder MW, Tomlinson G. Systematic review: strategies for using exercise therapy to improve outcomes in chronic low back pain. Ann Intern Med. 2005;142:776–85.PubMedCrossRef Hayden JA, van Tulder MW, Tomlinson G. Systematic review: strategies for using exercise therapy to improve outcomes in chronic low back pain. Ann Intern Med. 2005;142:776–85.PubMedCrossRef
3.
go back to reference Searle A, Spink M, Ho A, Chuter V. Exercise interventions for the treatment of chronic low back pain: A systematic review and meta-analysis of randomised controlled trials. Clin Rehabil. 2015;29:1155-67. Searle A, Spink M, Ho A, Chuter V. Exercise interventions for the treatment of chronic low back pain: A systematic review and meta-analysis of randomised controlled trials. Clin Rehabil. 2015;29:1155-67.
4.
5.
go back to reference Riemann BL, Lephart SM. The sensorimotor system, Part I: The physiologic basis of functional joint stability. J Athl Train. 2002;37:71–9.PubMedPubMedCentral Riemann BL, Lephart SM. The sensorimotor system, Part I: The physiologic basis of functional joint stability. J Athl Train. 2002;37:71–9.PubMedPubMedCentral
6.
go back to reference Holm S, Indahl A, Solomonow M. Sensorimotor control of the spine. J Electromyogr Kinesiol. 2002;12:219–34.PubMedCrossRef Holm S, Indahl A, Solomonow M. Sensorimotor control of the spine. J Electromyogr Kinesiol. 2002;12:219–34.PubMedCrossRef
7.
go back to reference Brumagne S, Cordo P, Lysens R, Verschueren S, Swinnen S. The role of paraspinal muscle spindles in lumbosacral position sense in individuals with and without low back pain. Spine. 2000;25:989–94.PubMedCrossRef Brumagne S, Cordo P, Lysens R, Verschueren S, Swinnen S. The role of paraspinal muscle spindles in lumbosacral position sense in individuals with and without low back pain. Spine. 2000;25:989–94.PubMedCrossRef
8.
go back to reference Taimela S, Kankaanpaa M, Luoto S. The effect of lumbar fatigue on the ability to sense a change in lumbar position. A controlled study. Spine. 1999;24:1322–7.PubMedCrossRef Taimela S, Kankaanpaa M, Luoto S. The effect of lumbar fatigue on the ability to sense a change in lumbar position. A controlled study. Spine. 1999;24:1322–7.PubMedCrossRef
9.
go back to reference Solomonov M. Sensory-motor control of ligaments and associated neuromuscular disorders. J Electromyogr Kinesiol. 2006;16:549–67.CrossRef Solomonov M. Sensory-motor control of ligaments and associated neuromuscular disorders. J Electromyogr Kinesiol. 2006;16:549–67.CrossRef
10.
go back to reference Danneels LA, Vanderstraeten GG, Cambier DC, Witvrouw EE, De Cuyper HJ. CT imaging of trunk muscles in chronic low back pain patients and healthy control subjects. Eur Spine J. 2000;9:266–72.PubMedPubMedCentralCrossRef Danneels LA, Vanderstraeten GG, Cambier DC, Witvrouw EE, De Cuyper HJ. CT imaging of trunk muscles in chronic low back pain patients and healthy control subjects. Eur Spine J. 2000;9:266–72.PubMedPubMedCentralCrossRef
11.
go back to reference Lariviere C, Bilodeau M, Forget R, Vadeboncoeur R, Mecheri H. Poor back muscle endurance is related to pain catastrophizing in patients with chronic low back pain. Spine. 2010;35:E1178–1186.PubMedCrossRef Lariviere C, Bilodeau M, Forget R, Vadeboncoeur R, Mecheri H. Poor back muscle endurance is related to pain catastrophizing in patients with chronic low back pain. Spine. 2010;35:E1178–1186.PubMedCrossRef
12.
go back to reference Koumantakis GA, Watson PJ, Oldham JA. Trunk muscle stabilization training plus general exercise versus general exercise only: randomized controlled trial of patients with recurrent low back pain. Phys Ther. 2005;85:209–25.PubMed Koumantakis GA, Watson PJ, Oldham JA. Trunk muscle stabilization training plus general exercise versus general exercise only: randomized controlled trial of patients with recurrent low back pain. Phys Ther. 2005;85:209–25.PubMed
13.
go back to reference Shoukri MM. Sample size requirements for the design of reliability study: review and results. Stat Methods Med Res. 2004;13:251–71. Shoukri MM. Sample size requirements for the design of reliability study: review and results. Stat Methods Med Res. 2004;13:251–71.
14.
go back to reference Lee AS, Cholewicki J, Reeves NP, Zazulak BT, Mysliwiec LW. Comparison of trunk proprioception between patients with low back pain and healthy controls. Arch Phys Med Rehabil. 2010;91:1327–31.PubMedCrossRef Lee AS, Cholewicki J, Reeves NP, Zazulak BT, Mysliwiec LW. Comparison of trunk proprioception between patients with low back pain and healthy controls. Arch Phys Med Rehabil. 2010;91:1327–31.PubMedCrossRef
15.
go back to reference Vogler D, Paillex R, Norberg M, de Goumoens P, Cabri J. Cross-cultural validation of the Oswestry disability index in French. Ann Readapt Med Phys. 2008;51:379–85.PubMedCrossRef Vogler D, Paillex R, Norberg M, de Goumoens P, Cabri J. Cross-cultural validation of the Oswestry disability index in French. Ann Readapt Med Phys. 2008;51:379–85.PubMedCrossRef
16.
go back to reference Ostelo RW, Deyo RA, Stratford P, Waddell G, Croft P, Von Korff M, et al. Interpreting change scores for pain and functional status in low back pain: towards international consensus regarding minimal important change. Spine. 2008;33:90–4.PubMedCrossRef Ostelo RW, Deyo RA, Stratford P, Waddell G, Croft P, Von Korff M, et al. Interpreting change scores for pain and functional status in low back pain: towards international consensus regarding minimal important change. Spine. 2008;33:90–4.PubMedCrossRef
17.
go back to reference Richardson C, Hodges PW, Hides JA. Therapeutic exercise for lumbopelvic stabilization: a motor control approach for the treatment and prevention of low back pain. In., 2nd edn. Sydney: 2nd ed. London: Churchill Livingstone; 2004. Richardson C, Hodges PW, Hides JA. Therapeutic exercise for lumbopelvic stabilization: a motor control approach for the treatment and prevention of low back pain. In., 2nd edn. Sydney: 2nd ed. London: Churchill Livingstone; 2004.
18.
go back to reference McGill S. Low Back Disorders. Evidence-based prevention and rehabilitation. 2nd ed. Champaign: Human Kinetics; 2002. p. 328. McGill S. Low Back Disorders. Evidence-based prevention and rehabilitation. 2nd ed. Champaign: Human Kinetics; 2002. p. 328.
19.
go back to reference Childs JD, Piva SR, Fritz JM. Responsiveness of the numeric pain rating scale in patients with low back pain. Spine. 2005;30:1331–4.PubMedCrossRef Childs JD, Piva SR, Fritz JM. Responsiveness of the numeric pain rating scale in patients with low back pain. Spine. 2005;30:1331–4.PubMedCrossRef
20.
go back to reference Silfies SP, Cholewicki J, Reeves NP, Greene HS. Lumbar position sense and the risk of low back injuries in college athletes: a prospective cohort study. BMC Musculoskelet Disord. 2007;8:129.PubMedPubMedCentralCrossRef Silfies SP, Cholewicki J, Reeves NP, Greene HS. Lumbar position sense and the risk of low back injuries in college athletes: a prospective cohort study. BMC Musculoskelet Disord. 2007;8:129.PubMedPubMedCentralCrossRef
21.
go back to reference Haynes RB, Taylor WD, Sackett DL. Compliance in health care. Baltimore: Johns Hopkins University Press; 1979. Haynes RB, Taylor WD, Sackett DL. Compliance in health care. Baltimore: Johns Hopkins University Press; 1979.
22.
go back to reference Shavelson RJ, Webb NM. Generalizability theory. A primer. London: SAGE Publications; 1991. Shavelson RJ, Webb NM. Generalizability theory. A primer. London: SAGE Publications; 1991.
23.
go back to reference Santos BR, Delisle A, Larivière C, Plamondon A, Imbeau D. Reliability of center of pressure summary measures of postural steadiness in healthy young adults. Gait Posture. 2008;27:408–15.PubMedCrossRef Santos BR, Delisle A, Larivière C, Plamondon A, Imbeau D. Reliability of center of pressure summary measures of postural steadiness in healthy young adults. Gait Posture. 2008;27:408–15.PubMedCrossRef
24.
go back to reference Fleiss RL. The design and analysis of clinical experiments. New York: John Wiley and Sons; 1986. Fleiss RL. The design and analysis of clinical experiments. New York: John Wiley and Sons; 1986.
25.
go back to reference Deyo RA, Dworkin SF, Amtmann D, Andersson G, Borenstein D, Carragee E, et al. Report of the NIH Task Force on Research Standards for Chronic Low Back Pain. Phys Ther. 2015;95:e1–e18.PubMedCrossRef Deyo RA, Dworkin SF, Amtmann D, Andersson G, Borenstein D, Carragee E, et al. Report of the NIH Task Force on Research Standards for Chronic Low Back Pain. Phys Ther. 2015;95:e1–e18.PubMedCrossRef
26.
go back to reference Gorgoni M, D’Atri A, Lauri G, Rossini PM, Ferlazzo F, De Gennaro L. Is sleep essential for neural plasticity in humans, and how does it affect motor and cognitive recovery? Neural Plast. 2013;3013:13. Gorgoni M, D’Atri A, Lauri G, Rossini PM, Ferlazzo F, De Gennaro L. Is sleep essential for neural plasticity in humans, and how does it affect motor and cognitive recovery? Neural Plast. 2013;3013:13.
27.
go back to reference Clark NC, Röijezen U, Treleaven J. Proprioception in musculoskeletal rehabilitation. Part 2: Clinical assessment and intervention. Man Ther. 2015;20:378–87.PubMedCrossRef Clark NC, Röijezen U, Treleaven J. Proprioception in musculoskeletal rehabilitation. Part 2: Clinical assessment and intervention. Man Ther. 2015;20:378–87.PubMedCrossRef
28.
go back to reference Röijezen U, Clark NC, Treleaven J. Proprioception in musculoskeletal rehabiliation. Part 1: Basic science and principles of assessment and clinical interventions. Man Ther. 2015;20:368–77.CrossRef Röijezen U, Clark NC, Treleaven J. Proprioception in musculoskeletal rehabiliation. Part 1: Basic science and principles of assessment and clinical interventions. Man Ther. 2015;20:368–77.CrossRef
Metadata
Title
The effects of an 8-week stabilization exercise program on lumbar movement sense in patients with low back pain
Authors
Jean-Alexandre Boucher
Richard Preuss
Sharon M. Henry
Jean-Pierre Dumas
Christian Larivière
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2016
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-016-0875-4

Other articles of this Issue 1/2016

BMC Musculoskeletal Disorders 1/2016 Go to the issue