Evaluation of motor control disorders in patients with non-specific low back pain in general practitioner surgery Nearly every individual at least

Česká verzia

Authors: P. Hradilová; K. Neumannová
Authors place of work: Vedoucí: PhDr. David Smékal, PhD. ; Fakulta tělesné kultury ; Katedra fyzioterapie ; Univerzita Palackého v Olomouci
Published in the journal: Prakt. Lék. 2020; 100(5): 233-239
Category: Of different specialties

Summary

Nearly every individual at least once in their lives is affected by an episode of back pain, which often subsides spontaneously. However, in more than half of these cases, the problem becomes chronic. Chronic back pain is a serious health problem, not only in specific case of an individual, but also due to the number of cases of incapacity for work and its duration, society wide. More than 80% of cases of back pain are non-specific pain, i.e. pain without an obvious patho-morphological finding, or pain whose character and intensity does not correspond to the finding detected by imaging techniques. The causes of non-specific back pain are multifactorial. Besides some minor structural findings in the spine or pelvis and psychosocial aspects, so-called motor control disorders are expected to play an important role in the development and chronicity of these problems. These disorders can be objectively assessed in clinical practice by specific functional motor tests. This assessment may help to choose the appropriate therapeutic procedure and can also be helpful in assessing the efficacy of the indicated therapy. The aim of this article is to inform about motor control disorders in patients with non-specific low back pain, possibilities of their evaluation in clinical practice and a brief overview of therapeutic techniques that can effectively help to solve them.

Keywords:

low back pain – motor control – Physiotherapy

Zdroje

1. Battié MC, Videman T, Levalahti E, et al. Heritability of low back pain and the role of disc degeneration. Pain 2007; 131(3): 272–280.

2. Bener A, Verjee M, Dafeeah E, et al. Psychological factors: anxiety, depression, and somatization symptoms in low back pain patients. J Pain Res 2013; 6: 95–101.

3. Brumagne S, Janssens L, Knapen S, et al. Persons with recurrent low back pain exhibit a rigid postural control strategy. Eur Spine J 2008; 17(9): 1177–1184.

4. Carlsson H, Rasmussen-Barr E. Clinical screening tests for assessing movement control in non-specific low-back pain. Man Ther 2013; 18(2): 103–110.

5. Čápová J. Od posturální ontogeneze k terapeutickému konceptu. Ostrava: Repronis 2016.

6. Dankaerts W, O’Sullivan PB, Straker LM, et al. The inter-examiner reliability of a classification method for non-specific chronic low back pain patients with motor control impairment. Man Ther 2006; 11(1): 28–39.

7. Dario AB, Ferreira ML, Refshauge KM, et al. The relationship between obesity, low back pain, and lumbar disc degeneration when genetics and the environment are considered. Spine J 2015; 15(5): 1106–1117.

8. D’Hooge R, Hodges P, Tsao H, et al. Altered trunk muscle coordination during rapid trunk flexion in people in remission of recurrent low back pain. J Electromyogr Kinesiol 2013; 23(1): 173–181.

9. Feng Y, Egan B, Wang J. Genetic factors in intervertebral disc degeneration. Genes Dis 2016; 3(3): 178–185.

10. Gupta N, Christiansen CS, Hallman DM, et al. Is objectively measured sitting time associated with low back pain? PLoS One 2015; 10(3): e0121159.

11. Heneweer H, Vanhees L, Picavet HSJ. Physical activity and low back pain: a U-shaped relation? Pain 2009; 143(1−2): 21–25.

12. Kalichman L, Hunter DJ. The genetics of intervertebral disc degeneration. Joint Bone Spine 2008; 75(4): 388–396.

13. Janda V, Vávrová M. Senzomotorická stimulace. Základy metodiky proprioceptivního cvičení. Rehabilitácia 1992; 25(3): 14–34.

14. Kirkesola G. Neurac – a new treatment method for long-term musculoskeletal pain. J Fysioterapeuten 2009; 76(12): 16–25.

15. Koes BW, van Tulder M, Lin CW, et al. An updated overview of clinical guidelines for the management of non-specific low back pain in primary care. Eur Spine J 2010; 19(12): 2075–2094.

16. Kolář P. Rehabilitace v klinické praxi. Praha: Galén 2009.

17. Luomajoki H, Kool J, de Bruin ED, Airaksinen O. Movement control tests of the low back; evaluation of the difference between patients with low back pain and healthy controls. BMC Musculoskelet Disord 2008; 9: 170.

18. Maher C, Underwood M, Buchbinder R. Non-specific low back pain. Lancet 2017; 389(10070): 736–747.

19. Moseley GL, Hodges P. Reduced variability of postural strategy prevents normalization of motor changes induced by back pain. Behav Neurosci 2006; 120(2): 474–476.

20. O’Sullivan PB, Burnett A, Floyd AN, et al. Lumbar repositioning deficit in a specific low back pain population. Spine 2003; 28(10): 1074–1079.

21. O’Sullivan P. Diagnosis and classification of chronic low back pain disorders. Manual Ther 2005; 10(4): 242–255.

22. O’Sullivan P. It’s time for change with the management of non-specific chronic low back pain. Br J Sports Med 2012; 46(4): 224–227.

23. Palaščáková-Špringrová I. Akrální koaktivační terapie: vycházející ze základních principů metody Roswithy Brunkow. Čelákovice: Rehaspring 2011.

24. Panjabi MM. The stabilizing system of the spine. Part I. Function, dysfunction, adaptation, and enhancement. J Spinal Disord 1992; 5(4): 383–383.

25. Poštulková K. Kořenový syndrom v ambulanci praktického lékaře. Prakt. Lék. 2010; 90(2): 104–106.

26. 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; 166(7): 514–530.

27. Rabey M, Slater H, O’Sullivan P, et al. Somatosensory nociceptive characteristics differentiate subgroups in people with chronic low back pain. Pain 2015; 156(10): 1874–1884.

28. Rezaee M, Ghasemi M. Prevalence of low back pain among nurses: predisposing factors and role of work place violence. Trauma Mon 2014; 19(4): e17926.

29. Shiri R, Karppinen J, Leino-Arjas P, Solovieva S. The association between obesity and low back pain. Am J Epidemiol 2009; 171(2): 135–154.

30. Tawa N, Rhoda A, Diener I. Accuracy of magmetic resonance imaging in detecting lumbo-sacral nerve root compromise: a systematic literature review. BMC Musculoskelet Disord 2016; 17(1): 386.

31. Thiese MS, Hegmann KT, Wood EM, et al. Prevalence of low back pain by anatomic location and intensity in an occupational population. BMC Musculoskelet Disord 2014; 15: 283.

32. Tong HC, Haig AJ, Nelson VS, et al. Low back pain in adult female caregivers of children with physical disabilities. Arch Pediatr Adolesc Med 2003; 157(11): 1128–1133.

33. Tsao H, Galea MP, Hodges PW. Reorganization of the motor cortex is associated with postural control deficits in recurrent low back pain. Brain 2008; 131(8): 2161–2171.

34. Turk DC, Monarch ES. Biopsychosocial perspective on chronic pain. In Turk DC, Gatchel RJ (Eds.). Psychological approaches to pain management: A practitioner’s handbook. 3^rd Ed. NewYork: The Guilford Press 2018.

35. Uebele M, Wolf T. Akrodynamik. Ganzheitliche Therapie nach dem Brunkow-Konzept. Berlin: Springer 2013.

36. ÚZIS. Ukončené případy pracovní neschopnosti pro nemoc a úraz 2017 [online]. Dostupné z: https://www.uzis.cz/sites/default/files/knihovna/uppn2017.pdf [cit. 2020-08-04].

37. Vos T, Abajobir AA, Abbafati C, et al. Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries 1990-2016. Lancet 2017; 390(10100): 1211–1259.

38. Wand BM, O’Connell NE. Chronic non-specific low back pain–sub-groups or a single mechanism? BMC Musculoskelet Disord 2008; 9: 11.