No increase in 6-week treatment effect of Mechanical Diagnosis and Therapy with the use of the LUMOback in people with non-acute non-specific low back pain and a directional preference of extension: a pilot randomized controlled trial

Physiotherapy
Hiroshi TakasakiStephen May

Abstract

To pilot the methods for a randomized controlled trial (RCT) to investigate whether the treatment effect of Mechanical Diagnosis and Therapy (MDT) is enhanced with the LUMOback. Assessor blinded RCT with 3 and 6-week follow-ups. An outpatient clinic. Primary eligibility criteria were: a directional preference of lumbar extension, ≥18years of age, and non-specific low back pain lasting for ≥1month. The MDT group undertook extension exercises (10reps/3hour) and postural correction using a lumbar roll at home. The MDT+LUMOback group also wore the LUMOback daily, providing a vibration alert in a slouched posture. The Global Rating of Change Scale (GRCS) (0-6), recruitment rate per month, treatment sessions, compliance rate of wearing the LUMOback, participants' adherence with treatment, dropout rate and the stage of the MDT program at six weeks. Twenty-two participants were included for 20 months (a recruitment rate of 1.1 patient/month). Dropout rate was 9%. The mean (SD) of the GRCS of the MDT and MDT+LUMOback groups were 4.7 (0.8) and 4.7 (0.5) at the 3-week follow-up and were both 4.9 (0.5) at the 6-week follow-up. The patients undertook a mean of 6.7 sessions for six weeks and exercises with mean of 3.7set/day in each group. T...Continue Reading

Citations

Jan 9, 2020·Physiotherapy Theory and Practice·Alexi KuhnowRichard Rosedale
Mar 6, 2021·Journal of Electromyography and Kinesiology : Official Journal of the International Society of Electrophysiological Kinesiology·Hiroshi Takasaki, Shota Kawazoe
Mar 18, 2021·Journal of Exercise Rehabilitation·Hiroshi Takasaki, Shota Kawazoe
Jun 7, 2021·American Journal of Physical Medicine & Rehabilitation·Susan Armijo-OlivoJorge Fuentes

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