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Logo of bmcmudisBioMed Centralsearchsubmit a manuscriptregisterthis articleBMC Musculoskeletal Disorders
 
BMC Musculoskelet Disord. 2012; 13: 55.
Published online Apr 11, 2012. doi:  10.1186/1471-2474-13-55
PMCID: PMC3353835
Efficacy of movement control exercises versus general exercises on recurrent sub-acute nonspecific low back pain in a sub-group of patients with movement control dysfunction. protocol of a randomized controlled trial
Vesa Lehtola,corresponding author1 Hannu Luomajoki,2 Ville Leinonen,3 Sean Gibbons,4 and Olavi Airaksinen5
1Department of Physical and Rehabilitation Medicine, Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland
2Zürich University of Applied Sciences ZHAW, Institut for Physiotherapy, Winterthur, Switzerland
3Neurosurgery of NeuroCenter, Kuopio University Hospital, Kuopio, Finland
4SMARTERehab, Neuromuscular Rehabilitation Institute, Newfoundland, Canada
5Department of Physical and Rehabilitation Medicine, University of Eastern Finland, Institute of Clinical Medicine and Kuopio University Hospital, Kuopio, Finland
corresponding authorCorresponding author.
Vesa Lehtola: vesa.lehtola/at/omt.org; Hannu Luomajoki: luom/at/zhaw.ch; Ville Leinonen: ville.leinonen/at/kuh.fi; Sean Gibbons: stabilityphysio/at/gmail.com; Olavi Airaksinen: olavi.airaksinen/at/kuh.fi
Received February 23, 2012; Accepted April 11, 2012.
Abstract
Background
Practice guidelines recommend various types of exercise for chronic back pain but there have been few head-to-head comparisons of these interventions. General exercise seems to be an effective option for management of chronic low back pain (LBP) but very little is known about the management of a sub-acute LBP within sub-groups.
Recent research has developed clinical tests to identify a subgroup of patients with chronic non-specific LBP who have movement control dysfunction (MD).
Method/Design
We are conducting a randomized controlled trial (RCT) to compare the effects of general exercise and specific movement control exercise (SMCE) on disability and function in patients with MD within recurrent sub-acute LBP. The main outcome measure is the Roland Morris Disability Questionnaire.
Discussion
European clinical guideline for management of chronic LBP recommends that more research is required to develop tools to improve the classification and identification of specific clinical sub-groups of chronic LBP patients. Good quality RCTs are then needed to determine the effectiveness of specific interventions aimed at these specific target groups. This RCT aims to test the hypothesis whether patients within a sub-group of MD benefit more through a specific individually tailored movement control exercise program than through general exercises.
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