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Efficacy of six months neuromuscular exercise on lumbar movement variability - A randomized controlled trial

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Article (1.440Mb)
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Date
2019
Author(s)
Bauer, CM
Kankaanpää, MJ
Meichtry, A
Rissanen, SM
Suni JH
Unique identifier
10.1016/j.jelekin.2019.06.008
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Self-archived article

Citation
Bauer, CM. Kankaanpää, MJ. Meichtry, A. Rissanen, SM. Suni JH. (2019). Efficacy of six months neuromuscular exercise on lumbar movement variability - A randomized controlled trial.  Journal of electromyography and kinesiology, 48, 84-93. 10.1016/j.jelekin.2019.06.008.
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© Elsevier Ltd.
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CC BY-NC-ND https://creativecommons.org/licenses/by-nc-nd/4.0/
Abstract

Introduction
Lumbar movement variability during heavy, repetitive work may be a protective mechanism to diminish the progression of lumbar disorders and maintain neuromuscular functional integrity. The effect of neuromuscular exercise (NME) on the variability of lumbar movement is still to be determined.

Methods
A randomised controlled trial was conducted on a population of nursing personnel with subacute LBP. Following randomization, the NME group participants completed an NME program of six months duration. The participants in the control group only attended the assessment sessions. The outcomes were assessed at: baseline; after six months intervention; 12 months. The primary outcome was lumbar movement variability based on angular displacement and velocity.

Results
A positive treatment effect on lumbar movement variability was seen after six months of NME intervention. Angular displacement improved, and angular velocity remained constant. At the 12-month follow up, however, the effect faded in the NME group. Lumbar movement variability worsened in the control group over all time periods.

Conclusion
NME may improve lumbar movement variability in the short term and may indicate improved neuromuscular functional integrity. The design of an optimal NME program to achieve long-term improvement in lumbar movement variability is a subject worthy of further research.

Subjects
low back pain   nonlinear dynamics   exercise movement techniques   randomized controlled trial   recurrence quantification analysis   
URI
https://erepo.uef.fi/handle/123456789/7690
Link to the original item
http://dx.doi.org/10.1016/j.jelekin.2019.06.008
Publisher
Elsevier BV
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  • Luonnontieteiden ja metsätieteiden tiedekunta [1109]
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