Motor control in chronic low back pain

Analysis of systematic reviews on motor control exercise and chronic non-specific low back pain

Chronic non-specific low back pain (NSLBP) is one of the most common musculoskeletal related issues faced by therapists. Motor control exercise (MCE) is commonly utilized to help activate and coordinate the deep and global trunk muscles to mitigate symptoms and manage pain. The authors of the current study systematically investigated the most current literature to determine the efficacy of MCE on NSLBP. Overall, it was shown that, when compared to minimal intervention (control or sham), MCE had low evidence of a clinically important difference. When comparing MCE to exercise plus electrophysical agents there was minimal evidence and when comparing MCE to manual therapy there was moderate to high evidence that there was no clinically importance difference.

Using pain and disability as an outcome, it was shown that there was little difference between MCE and electrophysical agents, general exercise and control interventions. It is interesting to note that there was moderate to strong evidence that MCE and manual therapy had similar outcomes. Despite the shortcomings in available literature, the current investigation emphasizes the point that, given the lack of conclusive evidence surrounding MCE, our treatment approach should be guided by our patients, experience, education and expertise.

> From: Saragiotto et al., Cochrane Database Syst Rev (2016-05-23 09:21:14) . All rights reserved to The Cochrane Collaboration. Click here for the online summary.

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