Sports Orthopedics

Sports Orthopedics

Mostrar otras versiones (4)

Problem: Physical activity has an enormous relevance for the treatment of back pain (BP) in the clinical field. This paper givesa brief overview of the evidence of physical activity for the treatment of chronic back pain and summarizes the current approach of the German national project Medicine in...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Haag T, 3, Beck H, Korthals I, Handel M, Schneider C
Formato: article
Lenguaje:DE
EN
Publicado: Dynamic Media Sales Verlag 2018
Materias:
Sports medicine
RC1200-1245
Acceso en línea:https://doaj.org/article/63d15fa9bd044708a28a9c79b769578c
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:63d15fa9bd044708a28a9c79b769578c
record_format dspace
spelling oai:doaj.org-article:63d15fa9bd044708a28a9c79b769578c2021-11-16T19:01:41ZSports Orthopedics0344-59252510-526410.5960/dzsm.2018.337https://doaj.org/article/63d15fa9bd044708a28a9c79b769578c2018-06-01T00:00:00Zhttps://www.germanjournalsportsmedicine.com/archive/archive-2018/issue-7-8/the-evidence-of-physical-activity-and-training-for-the-therapy-of-chronic-non-specific-back-pain/https://doaj.org/toc/0344-5925https://doaj.org/toc/2510-5264Problem: Physical activity has an enormous relevance for the treatment of back pain (BP) in the clinical field. This paper givesa brief overview of the evidence of physical activity for the treatment of chronic back pain and summarizes the current approach of the German national project Medicine in Spine Exercise (MiSpEx: sensorimotor training (SMT) with perturbation).Methods: 35 literature reviews were screened for inclusion criteria concerning physical activity for the treatment of cBP. Of these, 16 systematic reviews and 2 guidelines were included following the criteria: systematic review in English, evaluating pain and disability in the context of physical activity for the treatment of back pain, published 2000-2017 and considering less than a third of RCTs without a subclassification of patients. We did not conduct a quantitative meta-analysis but a qualitative synthesis. Results: Exercise Therapy reduces pain and disability in cBP patients but there is still no evidence thatanyone specific approach isthe mostfavorable. Motor control exercises (MCE) seem to improve outcomes best, but SMT was mostly unconsidered.Conclusion: SMT further improves motor control by training the adjustment to unexpected stimuli incomplex tasks considering both: afferent and efferent workloads. Furthermore, additional perturbation may improve sensorimotor adaptations through higher demands on core stability and increase the precise stabilizing feedback in cBP patients.KEY WORDS: Exercise Therapy, Chronic Back Pain, Sensorimotor Training, ProprioceptionHaag T3Beck HKorthals IHandel MSchneider C3Dynamic Media Sales VerlagarticleSports medicineRC1200-1245DEENDeutsche Zeitschrift für Sportmedizin, Vol 69, Iss 7 (2018)
institution DOAJ
collection DOAJ
language DE
EN
topic Sports medicine
RC1200-1245
spellingShingle Sports medicine
RC1200-1245
Haag T
3
Beck H
Korthals I
Handel M
Schneider C
3
Sports Orthopedics
description Problem: Physical activity has an enormous relevance for the treatment of back pain (BP) in the clinical field. This paper givesa brief overview of the evidence of physical activity for the treatment of chronic back pain and summarizes the current approach of the German national project Medicine in Spine Exercise (MiSpEx: sensorimotor training (SMT) with perturbation).Methods: 35 literature reviews were screened for inclusion criteria concerning physical activity for the treatment of cBP. Of these, 16 systematic reviews and 2 guidelines were included following the criteria: systematic review in English, evaluating pain and disability in the context of physical activity for the treatment of back pain, published 2000-2017 and considering less than a third of RCTs without a subclassification of patients. We did not conduct a quantitative meta-analysis but a qualitative synthesis. Results: Exercise Therapy reduces pain and disability in cBP patients but there is still no evidence thatanyone specific approach isthe mostfavorable. Motor control exercises (MCE) seem to improve outcomes best, but SMT was mostly unconsidered.Conclusion: SMT further improves motor control by training the adjustment to unexpected stimuli incomplex tasks considering both: afferent and efferent workloads. Furthermore, additional perturbation may improve sensorimotor adaptations through higher demands on core stability and increase the precise stabilizing feedback in cBP patients.KEY WORDS: Exercise Therapy, Chronic Back Pain, Sensorimotor Training, Proprioception
format article
author Haag T
3
Beck H
Korthals I
Handel M
Schneider C
3
author_facet Haag T
3
Beck H
Korthals I
Handel M
Schneider C
3
author_sort Haag T
title Sports Orthopedics
title_short Sports Orthopedics
title_full Sports Orthopedics
title_fullStr Sports Orthopedics
title_full_unstemmed Sports Orthopedics
title_sort sports orthopedics
publisher Dynamic Media Sales Verlag
publishDate 2018
url https://doaj.org/article/63d15fa9bd044708a28a9c79b769578c
work_keys_str_mv AT haagt sportsorthopedics
AT 3 sportsorthopedics
AT beckh sportsorthopedics
AT korthalsi sportsorthopedics
AT handelm sportsorthopedics
AT schneiderc sportsorthopedics
AT 3 sportsorthopedics
_version_ 1718426178162786304

Ejemplares similares