Does movement change when low back pain changes? A systematic review

Review written by Dr Mary O'Keeffe info

Key Points

  1. Managing movement in people with low back pain (LBP) is often seen as important to help reduce pain and activity limitation levels.
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BACKGROUND & OBJECTIVE

Movement matters to physiotherapists. Problems with movement are widely seen as a contributor to low back pain. This is an understandable view as many individuals with low back pain say that movement is painful and say they are moving differently to their pain-free states. But, when an individual’s low back pain improves, was it the management of their movement that mattered?

This systematic review examined the relationship between changes in volitional spinal movement (including muscle activity) and changes in pain or activity limitation at the individual level in people with non-specific low back pain (NSLBP).

Problems with movement are widely seen as a contributor to low back pain.
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Success observed with targeting movement may not be related to the specific objective changes in kinematics or muscle activity, but simply to changes in the perceived threat value of movement.

METHODS

Study design: Systematic review

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