Cognitive Functional Therapy for the Management of Low Back Pain in an Adolescent Male Rower: A Case Report.
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Study Design: Case report. Background: Contemporary low back pain models propose that the experience of and responses to pain result from a complex interaction of biopsychosocial factors. This supports the need for a management approach that addresses the biological, psychological, and social components that may be related to the pain disorder. This case report demonstrates the application of, and outcomes associated with, a cognitive functional intervention that considers neurophysiological, physical, psychosocial, cognitive, and lifestyle dimensions for the management of a rower with nonspecific chronic low back pain. Case Description: An adolescent male club-level rower with nonspecific chronic low back pain was classified as having a motor control impairment with a lower lumbar compressive-loading pattern in flexion. Evaluation of this patient included ergometer rowing analysis (clinical and laboratory) before and after an 8-week intervention, and outcome measures at a 12-week follow-up. The intervention consisted of a cognitive functional approach that targeted optimization of movement behavior, providing the rower with alternative movement strategies to minimize sustained flexion loading.Outcomes: Reduced temporal summation of pain while ergometer rowing and reduced functional disability were observed preintervention to 12 weeks postintervention by changes in Roland-Morris Disability Questionnaire score (12/24 to 1/24) and the Patient-Specific Functional Scale (4/30 to 26/30), and associated improvements in lower-limb and back muscle endurance and changes in hip and spinopelvic kinematics during ergometer rowing. In particular, there was a greater use of available range of movement in the lumbar spine postintervention. Discussion: The cognitive functional intervention for this patient resulted in reduced pain and functional disability related to ergometer rowing, which was associated with a change in lumbar kinematics and improved lower-limb and back muscle endurance. The results suggest that providing the rower with greater use of his available range of movement may enhance load distribution during the drive phase of rowing.
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Cognitive functional approach to manage low back pain in male adolescent rowers: a randomised controlled trialNg, Leo; Cañeiro, JP; Campbell, Amity; Smith, Anne; Burnett, A.; O'Sullivan, Peter (2015)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 ...
Investigation into the prevalence, spinal kinematics and management of adolescent male rowers with low back painNg, Leo (2013)This thesis investigated back pain in adolescent rowers. A high prevalence of low back pain was found in adolescent male rowers. Differences in lumbar spine movement patterns during ergometer rowing were observed between ...
Spinal Kinematics of Adolescent Male Rowers With Back Pain in Comparison to Matched Controls During Ergometer Rowing.Ng, Leo; Campbell, Amity; Burnett, A.; Smith, Anne; O'Sullivan, Peter (2015)There is a high prevalence of low back pain (LBP) in adolescent male rowers. In this study, regional lumbar spinal kinematics and self-reported LBP intensity were compared between 10 adolescent rowers with moderate levels ...