Sensor-based postural feedback is more effective than conventional feedback to improve lumbopelvic movement control in patients with chronic low back pain: a randomised controlled trial.
Sensor-based postural feedback is more effective than conventional feedback to improve lumbopelvic movement control in patients with chronic low back pain: a randomised controlled trial.
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DOI：
10.1186/s12984-018-0423-6
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发表时间：
2018-09-26
影响因子：
5.1
通讯作者：
Timmermans A
中科院分区：
文献类型：
--
作者：
Matheve T;Brumagne S;Demoulin C;Timmermans A
改善运动控制可能是慢性腰痛（CLBP）患者的一个重要治疗目标。虽然外部反馈是必不可少的，当学习新的运动技能，反馈提供CLBP患者的许多方面仍然是目前尚未探索。新的康复技术，如运动传感器，能够提供可靠和准确的反馈。因此，它们可能比传统的反馈更有效地改善运动控制。本研究的目的是（1）评估与来自镜子的反馈或无反馈相比，基于传感器的反馈是否更有效地改善慢性腰痛（CLBP）患者的腰盆运动控制，以及（2）评估CLBP患者与健康人相比是否同样能够改善腰盆运动控制。招募了54名健康参与者和54名慢性非特异性LBP患者。两个参与者组被随机分为三个亚组。在一个单一的锻炼会话，分组实行腰盆运动控制任务，同时接收不同类型的反馈，即从运动传感器的反馈，从镜子或没有反馈（=控制组）。在基线、干预期间和干预后立即获得腰椎和髋关节的运动学测量结果，以评估练习任务（性能评估）和转移任务（运动学习评估）的运动控制改善。基于传感器的反馈比来自镜子的反馈更有效（p < 0.0001）无反馈（p < 0.0001）改善腰盆运动控制性能（传感器与反射镜的估计差异为9.9°（95% CI 6.1°-13.7°），传感器与对照品的估计差异10.6°（95% CI 6.8°-14.3°））和运动学习（探头与反射镜的估计差异为7.2°（95% CI 3.8°-10.6°），探头与对照的估计差异为6.9°（95% CI 3.5°-10.2°））。与健康人相比，CLBP患者同样能够改善腰盆运动控制。基于传感器的反馈是改善CLBP患者腰盆运动控制的有效手段。未来的研究应该集中在长期保持效果的传感器为基础的反馈。clinicaltrials.gov NCT 02773160（追溯注册日期：2016年5月16日）。本文的在线版本（10.1186/s12984-018-0423-6）包含补充材料，可供授权用户使用。
Improving movement control can be an important treatment goal for patients with chronic low back pain (CLBP). Although external feedback is essential when learning new movement skills, many aspects of feedback provision in patients with CLBP remain currently unexplored. New rehabilitation technologies, such as movement sensors, are able to provide reliable and accurate feedback. As such, they might be more effective than conventional feedback for improving movement control. The aims of this study were (1) to assess whether sensor-based feedback is more effective to improve lumbopelvic movement control compared to feedback from a mirror or no feedback in patients with chronic low back pain (CLBP), and (2) to evaluate whether patients with CLBP are equally capable of improving lumbopelvic movement control compared to healthy persons. Fifty-four healthy participants and 54 patients with chronic non-specific LBP were recruited. Both participant groups were randomised into three subgroups. During a single exercise session, subgroups practised a lumbopelvic movement control task while receiving a different type of feedback, i.e. feedback from movement sensors, from a mirror or no feedback (=control group). Kinematic measurements of the lumbar spine and hip were obtained at baseline, during and immediately after the intervention to evaluate the improvements in movement control on the practised task (assessment of performance) and on a transfer task (assessment of motor learning). Sensor-based feedback was more effective than feedback from a mirror (p < 0.0001) and no feedback (p < 0.0001) to improve lumbopelvic movement control performance (Sensor vs. Mirror estimated difference 9.9° (95% CI 6.1°-13.7°), Sensor vs. Control estimated difference 10.6° (95% CI 6.8°-14.3°)) and motor learning (Sensor vs. Mirror estimated difference 7.2° (95% CI 3.8°-10.6°), Sensor vs. Control estimated difference 6.9° (95% CI 3.5°-10.2°)). Patients with CLBP were equally capable of improving lumbopelvic movement control compared to healthy persons. Sensor-based feedback is an effective means to improve lumbopelvic movement control in patients with CLBP. Future research should focus on the long-term retention effects of sensor-based feedback. clinicaltrials.gov NCT02773160, (retrospectively registered on May 16th, 2016). The online version of this article (10.1186/s12984-018-0423-6) contains supplementary material, which is available to authorized users.
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DOI：
10.1249/00005768-198205000-00012
发表时间：
1982-01-01
期刊：
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE
影响因子：
--
作者：
BORG, GAV
通讯作者：
BORG, GAV
影响因子：
2.3
作者：
Matheve, Thomas;De Baets, Liesbet;Timmermans, Annick
通讯作者：
Timmermans, Annick
影响因子：
--
作者：
Boudreau, Shellie A.;Farina, Dario;Falla, Deborah
通讯作者：
Falla, Deborah
影响因子：
3
作者：
Sheeran, Liba;van Deursen, Robert;Sparkes, Valerie
通讯作者：
Sparkes, Valerie
影响因子：
3.5
作者：
Matheve, Thomas;Claes, Guido;Timmermans, Annick
通讯作者：
Timmermans, Annick