Bryan M. Bond, BSc, BS, DC, MS, PhD
AUDIO LECTURE OUTLINE
- Introduction
- Scope of low back pain
- Clinical practice guidelines for low back pain
- Exercise in General for Chronic Care Management
- Disuse syndrome
- Fear-avoidance cycle
- Walking speed
- Exercise for Low Back Pain
- Clinical prediction rules (CPR)
- CPR for low back pain
- Rehabilitation exercise
- Conclusion
Low/moderate EMG activation (0 – 40% MVIC) for neurological re-education |
Higher-level EMG activation (41 – 60% MVIC) for strength gain |
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Low/moderate EMG activation (0 – 40% MVIC) for neurological re-education |
Higher-level EMG activation (41 – 60% MVIC) for strength gain |
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|
REFERENCES
- Berry JW, Lee TS, Foley HD, Lewis CL. Resisted Side Stepping: The Effect of Posture on Hip Abductor Muscle Activation. J Orthop Sports Phys Ther. 2015 Sep;45(9):675-682.
- Buettner D, Skemp S. Blue Zones: Lessons From the World’s Longest Lived. Am J Lifestyle Med. 2016 July 7;10(5):318-321.
- Bussières AE, Stewart G, Al-Zoubi F, et al. Spinal Manipulative Therapy and Other Conservative Treatments for Low Back Pain: A Guideline From the Canadian Chiropractic Guideline Initiative. J Manipulative Physiol Ther. 2018 May;41(4):265-293.
- Choi SA, Cynn HS, Yi CH, et al. Isometric Hip Abduction Using a Thera-Band Alters Gluteus Maximus Muscle Activity and the Anterior Pelvic Tilt Angle during Bridging Exercise. J Electromyogr Kinesiol. 2015 Apr;25(2):310-315.
- Ehrlich GE. Back Pain. J Rheumatol Suppl. 2003 Aug;67:26-31.
- Fernández-Rodríguez R, Álvarez-Bueno C, Cavero-Redondo I, et al. Best Exercise Options for Reducing Pain and Disability in Adults with Chronic Low Back Pain: Pilates, Strength, Core-Based, and Mind-Body. A Network Meta-Analysis. J Orthop Sports Phys Ther. 2022 Aug;52(8):505-521.
- Frymoyer JW, Cats-Baril WL. An Overview of the Incidences and Costs of Low Back Pain. Orthop Clin North Am. 1991 Apr;22(2):263-271.
- Globe G, Farabaugh RJ, Hawk C, et al Clinical Practice Guideline: Chiropractic Care for Low Back Pain. J Manipulative Physiol Ther. 2016 Jan;39(1):1-22.
- Glynn PE, Weisbacj C. Clinical Prediction Rules: A Physical Therapy Reference Manual. Jones & Bartlett Learning (Sudbury, MA); 2010.
- Haneline MT. Evidence-Based Chiropractic Practice. Jonest & Bartlett Learning (Sudbury, MA); 2007.
- Hicks GE, Fritz JM, Delitto A, McGill SM. Preliminary Development of a Clinical Prediction Rule for Determining which Patients with Low Back Pain Will Respond to a Stabilization Exercise Program. Arch Phys Med Rehabil. 2005 Sep;86(9):1753-1762.
- Hush JM, Lin CC, Michaleff ZA, et al. Prognosis of Acute Idiopathic Neck Pain is Poor: A Systematic Review and Meta-Analysis. Arch Phys Med Rehabil. 2011 May;92(5):824-829.
- Itz CJ, Geurts JW, van Kleef M, Nelemans P. Clinical Course of Non-Specific Low Back Pain: A Systematic Review of Prospective Cohort Studies Set in Primary Care. Eur J Pain. 2013 Jan;17(1):5-15.
- Jeong UC, Sim JH, Kim CY, et al. The Effects of Gluteus Muscle Strengthening Exercise and Lumbar Stabilization Exercise on Lumbar Muscle Strength and Balance in Chronic Low Back Pain Patients. J Phys Ther Sci. 2015 Dec;27(12):3813-3816.
- Kovacs FM, Abraira V, Zamora J, Fernández C. The Transition from Acute to Subacute and Chronic Low Back Pain: A Study Based on Determinants of Quality of Life and Prediction of Chronic Disability. Spine (Phila Pa 1976). 2005 Aug 1;30(15):1786-1792.
- Luo X, Pietrobon R, Sun SX, et al. Estimates and Patterns Of Direct Health Care Expenditures among Individuals with Back Pain in the United States. Spine (Phila Pa 1976). 2004 Jan 1;29(1):79-86.
- Marcuzzi A, Dean CM, Wrigley PJ, Hush JM. Early Changes in Somatosensory Function in Spinal Pain: A Systematic Review and Meta-Analysis. Pain. 2015 Feb;156(2):203-214.
- Martin BI, Deyo RA, Mirza SK, et al. Expenditures and Health Status among Adults with Back and Neck Problems. JAMA. 2008 Feb 13;299(6):656-664.
- McGill S. Low Back Disorders: Evidence-Based Prevention and Rehabilitation. Human Kinetics. 2015 Nov 17.
- Middleton A, Fritz SL, Lusardi M. Walking Speed: The Functional Vital Sign. J Aging Phys Act. 2015 Apr;23(2):314-322.
- Moore G, Durstine JL, Painter P, et al. ACSM’s Exercise Management for Persons with Chronic Diseases and Disabilities, 4th Human Kinetics. 2016.
- National Board of Chiropractic Examiners. Practice Analysis of Chiropractic 2015. https://www.nbce.org/nbce-news/analysis-2015/.
- National Guideline Centre (UK). Low Back Pain and Sciatica in Over 16s: Assessment and Management. London: National Institute for Health and Care Excellence (NICE); 2016 Nov.
- Oliveira CB, Maher CG, Pinto RZ, et al. Clinical Practice Guidelines for the Management of Non-Specific Low Back Pain In Primary Care: An Updated Overview. Eur Spine J. 2018 Nov;27(11):2791-2803.
- Qaseem A, Wilt TJ, McLean RM, et al. Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline from the American College of Physicians. Ann Intern Med. 2017 Apr 4;166(7):514-530.
- Rabin A, Shashua A, Pizem K, et al. A Clinical Prediction Rule to Identify Patients with Low Back Pain who are Likely to Experience Short-Term Success following Lumbar Stabilization Exercises: A Randomized Controlled Validation Study. J Orthop Sports Phys Ther. 2014 Jan;44(1):6-B13.
- Reiman MP, Bolgla LA, Loudon JK. A Literature Review of Studies Evaluating Gluteus Maximus and Gluteus Medius Activation during Rehabilitation Exercises. Physiother Theory Pract. 2012 May;28(4):257-268.
- Sadler S, Cassidy S, Peterson B, et al. Gluteus Medius Muscle Function in People with and without Low Back Pain: A Systematic Review. BMC Musculoskelet Disord. 2019 Oct 22;20(1):463.
- Selkowitz DM, Beneck GJ, Powers CM. Which Exercises Target the Gluteal Muscles while Minimizing Activation of the Tensor Fascia Lata? Electromyographic Assessment Using Fine-Wire Electrodes. J Orthop Sports Phys Ther. 2013 Feb;43(2):54-64.
- Teyhen DS, Flynn TW, Childs JD, Abraham LD. Arthrokinematics in a Subgroup of Patients Likely to Benefit from a Lumbar Stabilization Exercise Program. Phys Ther. 2007 Mar;87(3):313-325.
- Vasseljen O, Woodhouse A, Bjørngaard JH, Leivseth L. Natural Course of Acute Neck and Low Back Pain in the General Population: The HUNT Study. Pain. 2013 Aug;154(8):1237-1244.
- Yetley EA, MacFarlane AJ, Greene-Finestone LS, et al. Options for Basing Dietary Reference Intakes (DRIs) on Chronic Disease Endpoints: Report from a Joint US-/Canadian-Sponsored Working Group. Am J Clin Nutr. 2017 Jan;105(1):249S-285S.