Sensor-based postural feedback is more effective than conventional feedback to improve lumbopelvic movement control in patients with chronic low back pain: a randomised controlled trial.
Thomas Matheve, Simon Brumagne, Christophe Demoulin and 1 others
PMID 30253807WHAT IT FOUND
Sensor-based avatar feedback during one lumbopelvic movement control session produced larger immediate lumbar and hip movement control gains than mirror or no feedback in adults with chronic low back pain and healthy adults.
Long-term effects were not tested.
Key findings
01Sensor feedback improved immediate movement control more than mirror or no feedback in both healthy participants and patients with chronic low back pain.
02Patients with chronic low back pain were as capable as healthy participants of improving lumbopelvic movement control during the session.
03Participants did not perform worse when feedback was removed, indicating no immediate dependence on sensor or mirror feedback.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
The study tested only one exercise session and measured movement control immediately after, so it does not show whether the improvement lasts or applies to activities outside the two tested tasks. Motor learning was assessed only by a transfer test, not by a retention test. Ten patients with chronic low back pain and seven healthy participants were excluded after the session because of baseline movement control performance. Participants had to have baseline lumbar range of motion above 10 degrees, so people with very restricted lumbar movement at baseline were excluded. Lower limb joint mobility was not measured at baseline, and the sensors did not capture thoracic spine compensation. The primary outcomes were kinematic movement control measures, not pain, disability, or patient-important function.
The easy way to misread this
Do not conclude that sensor-based feedback treats chronic low back pain or produces lasting motor learning. This trial measured only immediate lumbar and hip movement control after one session, and it did not show long-term retention or changes in pain and disability.