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Trunk Muscle Training Augmented With Neuromuscular Electrical Stimulation Appears to Improve Function in Older Adults With Chronic Low Back Pain
| Content Provider | Scilit |
|---|---|
| Author | Hicks, Gregory E. Sions, Jaclyn M. Velasco, Teonette O. Manal, Tara J. |
| Copyright Year | 2016 |
| Description | Journal: The Clinical journal of pain Objectives: To assess the feasibility of a trial to evaluate a trunk muscle training program augmented with neuromuscular electrical stimulation (TMT+NMES) for the rehabilitation of older adults with chronic low back pain (LBP) and to preliminarily investigate whether TMT+NMES could improve physical function and pain compared with a passive control intervention. Materials and Methods: We conducted a single-blind, randomized feasibility trial. Patients aged 60 to 85 years were allocated to TMT+NMES (n=31) or a passive control intervention (n=33), consisting of passive treatments, that is, heat, ultrasound, and massage. Outcomes assessed 3- and 6-month postrandomization included Timed Up and Go Test, gait speed, pain, and LBP-related functional limitation. Results: Feasibility was established by acceptable adherence (≥80%) and attrition (2 points on a numeric pain rating scale during the course of the trial. But, only the TMT+NMES group had clinically important improvements in both performance-based and self-reported measures of function. In terms of the participants’ global rating of functional improvement at 6 months, the TMT+NMES group improved by 73.9% and the passive control group improved by 56.7% compared with baseline. The between-group difference was 17.2% (95% confidence interval, 5.87-28.60) in favor of TMT+NMES. Discussion: It seems that a larger randomized trial investigating the efficacy of TMT+NMES for the purpose of improving physical function in older adults with chronic LBP is warranted. |
| Related Links | http://europepmc.org/articles/pmc4935645?pdf=render https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4935645/pdf |
| Ending Page | 906 |
| Page Count | 9 |
| Starting Page | 898 |
| ISSN | 07498047 |
| e-ISSN | 15365409 |
| DOI | 10.1097/ajp.0000000000000348 |
| Journal | The Clinical journal of pain |
| Issue Number | 10 |
| Volume Number | 32 |
| Language | English |
| Publisher | Ovid Technologies (Wolters Kluwer Health) |
| Publisher Date | 2016-10-01 |
| Access Restriction | Open |
| Subject Keyword | Journal: The Clinical journal of pain Integrative and Complementary Medicine Low Back Pain, Exercise, Electrical Stimulation, Older Adults |
| Content Type | Text |
| Resource Type | Article |
| Subject | Neurology (clinical) Anesthesiology and Pain Medicine |
