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  • Convergence and Divergence of Exercise-Based Approaches That Incorporate Motor Control for the Management of Low Back Pain

    Author(s)
    Hides, Julie A
    Donelson, Ronald
    Lee, Diane
    Prather, Heidi
    Sahrmann, Shirley A
    Hodges, Paul W
    Griffith University Author(s)
    Hides, Julie A.
    Year published
    2019
    Metadata
    Show full item record
    Abstract
    Many approaches for low back pain (LBP) management focus on modifying motor control, which refers to motor, sensory, and central processes for control of posture and movement. A common assumption across approaches is that the way an individual loads the spine by typical postures, movements, and muscle activation strategies contributes to LBP symptom onset, persistence, and recovery. However, there are also divergent features from one approach to another. This commentary presents key principles of 4 clinical physical therapy approaches, including how each incorporates motor control in LBP management, the convergence and ...
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    Many approaches for low back pain (LBP) management focus on modifying motor control, which refers to motor, sensory, and central processes for control of posture and movement. A common assumption across approaches is that the way an individual loads the spine by typical postures, movements, and muscle activation strategies contributes to LBP symptom onset, persistence, and recovery. However, there are also divergent features from one approach to another. This commentary presents key principles of 4 clinical physical therapy approaches, including how each incorporates motor control in LBP management, the convergence and divergence of these approaches, and how they interface with medical LBP management. The approaches considered are movement system impairment syndromes of the lumbar spine, Mechanical Diagnosis and Therapy, motor control training, and the integrated systems model. These were selected to represent the diversity of applications, including approaches using motor control as a central or an adjunct feature, and approaches that are evidence based or evidence informed. This identification of areas of convergence and divergence of approaches is designed to clarify the key aspects of each approach and thereby serve as a guide for the clinician and to provide a platform for considering a hybrid approach tailored to the individual patient.
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    Journal Title
    JOURNAL OF ORTHOPAEDIC & SPORTS PHYSICAL THERAPY
    Volume
    49
    Issue
    6
    DOI
    https://doi.org/10.2519/jospt.2019.8451
    Subject
    Clinical sciences
    Sports science and exercise
    Publication URI
    http://hdl.handle.net/10072/385864
    Collection
    • Journal articles

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