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Type:	Artigo de Periódico
Title:	Association between clinical tests related to motor control dysfunction and changes in pain and disability after lumbar stabilization exercises in individuals with chronic low back pain
Authors:	Crystian Bitencourt Soares de Oliveira Rafael Zambelli de Almeida Pinto Siobhan Schabrun Marcia Rodrigues Costa Franco Priscila Kalil Morelhão Fernanda Gonçalves Silva Tatiana Machado de Mattos Damato Ruben de Faria Negrão Filho
Abstract:	Objective: 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. Study Design: A prospective cohort study. Setting: Outpatient physical therapy university clinic. Participants: Seventy people with chronic nonspecific LBP were recruited, and 64 completed the exercise program (N=64). Interventions: 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. Results: 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. Conclusion: 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.
Subject:	Dor lombar Exercícios terapêuticos Avaliação de resultados (Cuidados de Saúde) Reabilitação
language:	eng
metadata.dc.publisher.country:	Brasil
Publisher:	Universidade Federal de Minas Gerais
Publisher Initials:	UFMG
metadata.dc.publisher.department:	EEF - DEPARTAMENTO DE FISIOTERAPIA
Rights:	Acesso Restrito
metadata.dc.identifier.doi:	https://doi.org/10.1016/j.apmr.2019.01.019
URI:	http://hdl.handle.net/1843/41504
Issue Date:	Jul-2019
metadata.dc.url.externa:	https://www.sciencedirect.com/science/article/pii/S000399931930111X?via%3Dihub
metadata.dc.relation.ispartof:	Archives of Physical Medicine and Rehabilitation
Appears in Collections:	Artigo de Periódico

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