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Br J Sports Med. 2015 Sep;49(17):1125-31. doi: 10.1136/bjsports-2014-093984. Epub 2015 Jan 24.

Cognitive functional approach to manage low back pain in male adolescent rowers: a randomised controlled trial.

Author information

1
School of Physiotherapy and Exercise Science, Curtin University, Western Australia, Australia.
2
School of Physiotherapy and Exercise Science, Curtin University, Western Australia, Australia Body Logic Physiotherapy, Perth, Western Australia, Australia.
3
ASPETAR, Qatar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.

Abstract

BACKGROUND:

Low back pain (LBP) is prevalent among adolescent rowers. This study evaluated the efficacy of a cognitive functional approach to reduce LBP in this population.

METHODS:

Thirty-six adolescent male rowers reporting LBP participated. Nineteen were randomly allocated to the intervention group to receive a cognitive functional approach targeting cognitions, movement patterns, conditioning and lifestyle factors relevant to each rower for 8 weeks. The active control group (n=17) received usual care from their coaches (rowing skills and conditioning exercises). The primary outcome of the study was pain intensity as measured by the Numeric Pain Rating Scale during a 15 min ergometer trial preintervention and postintervention. Disability (Patient Specific Functional Scale and Roland Morris Disability Questionnaire) was measured preintervention/postintervention and at 12 weeks follow-up. Isometric muscle endurance of the back extensors and lower limb muscles, usual sitting posture and regional lumbar kinematic data during a 15 min ergometer row were measured preintervention/postintervention.

RESULTS:

Compared with the control group, the intervention group reported significantly less pain during ergometer rowing (Numeric Pain Rating Scale -2.4, p=0.008) and reduced disability (Patient Specific Functional Scale (4.1, p=0.01); Roland Morris Disability Questionnaire (-1.7, p=0.003)) following the intervention, and at 12 weeks follow-up. They also demonstrated greater lower limb muscle endurance (20.9 s, p=0.03) and postured their lower lumbar spine in greater extension during static sitting (-9.6°, p=0.007). No significant differences were reported in back muscle endurance and regional lumbar kinematics during ergometer rowing.

CONCLUSION:

Cognitive functional approach was more effective than usual care in reducing pain and disability in adolescent male rowers.

CLINICAL TRIAL REGISTRY NUMBER:

Australian and New Zealand Clinical Trial Registry Number 12609000565246.

KEYWORDS:

Adolescent; Lumbar spine; Physiotherapy; Randomised controlled trial; Rowing

PMID:
25618890
DOI:
10.1136/bjsports-2014-093984
[Indexed for MEDLINE]

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