Core stabilization exercise and movement system impairment approaches for patients with movement control impairment: a review article
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Published:
Dec 18, 2015
Keywords:
Movement control impairment Core stabilization Movement system impairment approach
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Abstract
Treatment-based and movement system impairment-based classifications have been widely used to identify movement control impairment (MCI) in patients with non-specific low back pain. Clinical observation of aberrant movement patterns is an essential aspect of the examination to identify patients with MCI. The treatment of these patients is a therapeutic exercise that involves static and dynamic stability of core stabilizing muscles. Although exercise prescriptions for these patients are similar, intervention may vary based upon its concept. Interventions include the core stabilization exercise (CSE) approach based upon stabilizing system model, and movement system impairment (MSI) approach based upon kinesiopathologic model. CSE focuses on neuromuscular function to compensate for impairment of intervertebral disc and joints, whereas MSI emphasizes movement correction and enhances movement efficiency to prevent injury and impairment. Both approaches seem equally effective in reducing pain and disability for the MCI group. Therefore, clinicians can utilize either approach for rehabilitating patients with MCI. However, if differences in effectiveness are found when utilizing these different approaches we should explore if the MCI classification needs further definition. In addition, further study needs to investigate the underlying mechanisms in patients with MCI, and the ability of each approach to change those mechanisms.
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How to Cite
Wattananona, P., Sakulsriprasert, P., & Limpasutirachata, K. (2015). Core stabilization exercise and movement system impairment approaches for patients with movement control impairment: a review article. Asia-Pacific Journal of Science and Technology, 20(4), 480–492. https://doi.org/10.14456/kkurj.2015.40
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Review Articles
References
[1] Delitto A, George SZ, Van Dillen LR, Whitman JM, Sowa G, Shekelle P, et al. Low back pain. J Orthop Sports Phys Ther. 2012;42(4):A1-A57.
[2] Waddell G. 1987 Volvo award in clinical sciences: A new clinical model for the treatment of low back pain. Spine. 1987;12(7):632-44.
[3] Carey TS, Garrett JM, Jackman AM. Beyond the good prognosis: Examination of an inception cohort of patients with chronic low back pain. Spine. 2000;25(1):115-20.
[4] Hayden JA, van Tulder MW, Malmivaara A, Koes BW. Exercise therapy for treatment of non-specific low back pain. Cochrane Database Syst Rev. 2005;3.
[5] Heymans MW, van Tulder MW, Esmail R, Bombardier C, Koes BW. Back schools for non-specific low-back pain. Cochrane Database Syst Rev. 2004(4):Cd000261.
[6] Rubinstein SM, Terwee CB, Assendelft WJ, de Boer MR, van Tulder MW. Spinal manipulative therapy for acute low-back pain. Cochrane Database Syst Rev. 2012;9:Cd008880.
[7] Dankaerts W, O’Sullivan PB, Burnett AF, Straker LM. The use of a mechanism-based classification system to evaluate and direct management of a patient with non-specific chronic low back pain and motor control impairment--A case report. Man Ther. 2007;12(2):181-91.
[8] Flynn TW, Fritz JM, Whitman JM, Wainner RS, Magel JS, Rendeiro DG, et al. A clinical prediction rule for classifying patients with low back pain who demonstrate short-term improvement with spinal m a n i p u l a t i o n . S p i n e . 2002;27(24):2835-43.
[9] Hicks GE, Fritz JM, Delitto A, McGill SM. Preliminary development of a clinical prediction rule for determining which patients with low back pain will respond to a stabilization exercise program. Arch Phys Med Rehabil. 2005;86(9):1753-62.
[10] O’Sullivan PB. Diagnosis and classification of chronic low back pain disorders: Maladaptive movement and motor control impairments as underlying mechanism. Man Ther. 2005;10(4):242-55.
[11] Van Dillen LR, Sahrmann SA, Norton BJ, Caldwell CA, McDonnell MK, Bloom NJ. Movement system impairment-based categories for low back pain: Stage 1 validation. J Orthop Sports Phys Ther. 2003;33(3):126-42.
[12] Delitto A, Erhard RE, Bowling RW. A treatment-based classification approach to low back syndrome: Identifying and staging patients for conservative treatment. Phys Ther. 1995;75(6):470-85.
[13] Biely SA, Silfies SP, Smith SS, Hicks GE. Clinical observation of standing trunk movements: what do the aberrant movement patterns tell us? J Orthop Sports Phys Ther. 2014;44(4):262-72.
[14] Panjabi MM. Clinical spinal instability and low back pain. J Electromyogr Kinesiol. 2003;13(4):371-9.
[15] Rabin A, Shashua A, Pizem K, Dickstein R, Dar G. A clinical prediction rule to identify patients with low back pain who are likely to experience short-term success following lumbar stabilization exercises: a randomized controlled validation study. J Orthop Sports Phys Ther. 2014;44(1):6-B13.
[16] Richardson C, Hodges PW, Hides J, Physiotherapists MAoC. Therapeutic exercise for lumbopelvic stabilization: a motor control approach for the treatment and prevention of low back pain: Churchill Livingstone; 2004.
[17] Cholewicki J, McGill SM. Mechanical stability of the in vivo lumbar spine: Implications for injury and chronic low back pain. Clin Biomech. 1996;11(1):1-15.
[18] Hebert JJ, Koppenhaver SL, Magel JS, Fritz JM. The relationship of transversus abdominis and lumbar multifidus activation and prognostic factors for clinical success with a stabilization exercise program: a cross-sectional study. Arch Phys Med Rehabil. 2010;91(1):78-85.
[19] Hides JA, Jull GA, Richardson CA. Long-term effects of specific stabilizing exercises for first- episode low back pain. Spine. 2001;26(11):243-8.
[20] Hodges PW, Richardson CA. Inefficient muscular stabilization of the lumbar spine associated with low back pain: A motor control evaluation of transversus abdominis. Spine. 1996;21(22):2640-50.
[21] O’Sullivan PB, Twomey L, Allison GT, Sinclair J, Miller K. Altered patterns of abdominal muscle activation in patients with chronic low back pain. Aust J Physiother. 1997;43(2):91-8.
[22] Silfies SP, Bhattacharya A, Biely SA, Smith SS, Giszter S. Trunk control during standing reach: A dynamical system analysis of movement strategies in patients with mechanical low back pain. Gait Posture. 2009;29(3):370-6.
[23] Kjaer P, Bendix T, Sorensen JS, Korsholm L, Leboeuf-Yde C. Are MRI-defined fat infiltrations in the multifidus muscles associated with low back pain? BMC Med. 2007;5:2.
[24] Sahrmann SA. Diagnosis and treatment of movement impairment syndromes. Saint Louis, MO: Mosby Publishers; 2001.
[25] Gertzbein SD, Seligman J, Holtby R, Chan KH, Kapasouri A, Tile M, et al. Centrode patterns and segmental instability in degenerative disc disease. Spine. 1985;10(3):257-61.
[26] Taghipour-Darzi M, Takamjani EE, Salavati M, Mobini B, Zekavat H. The validity of vertebral translation and rotation in differentiating patients with lumbar segmental instability. Physiother Res Int. 2012;17(4):227-34.
[27] Yoshioka T, Tsuji H, Hirano N, Sainoh S. Motion characteristic of the normal lumbar spine in young adults: instantaneous axis of rotation and vertebral center motion analyses. J Spinal Disord. 1990;3(2):103-13.
[28] Van Dillen LR, Sahrmann SA, Wagner JM. Classification, intervention, and outcomes for a person with lumbar rotation with flexion syndrome. Phys Ther. 2005;85(4):336-51.
[29] Henry SM, Van Dillen LR, Ouellette-Morton RH, Hitt JR, Lomond KV, DeSarno MJ, et al. Outcomes are not different for patient-matched versus nonmatched treatment in subjects with chronic recurrent low back pain: a randomized clinical trial. The Spine Journal. in press.
[30] O’Sullivan PB, Phyty DM, Twomey LT, Allison GT. Evaluation of specific stabilizing exercise in the treatment of chronic low back pain with radiologic diagnosis of spondylolysis or spondylolisthesis. Spine. 1997;22(24):2959-67.
[2] Waddell G. 1987 Volvo award in clinical sciences: A new clinical model for the treatment of low back pain. Spine. 1987;12(7):632-44.
[3] Carey TS, Garrett JM, Jackman AM. Beyond the good prognosis: Examination of an inception cohort of patients with chronic low back pain. Spine. 2000;25(1):115-20.
[4] Hayden JA, van Tulder MW, Malmivaara A, Koes BW. Exercise therapy for treatment of non-specific low back pain. Cochrane Database Syst Rev. 2005;3.
[5] Heymans MW, van Tulder MW, Esmail R, Bombardier C, Koes BW. Back schools for non-specific low-back pain. Cochrane Database Syst Rev. 2004(4):Cd000261.
[6] Rubinstein SM, Terwee CB, Assendelft WJ, de Boer MR, van Tulder MW. Spinal manipulative therapy for acute low-back pain. Cochrane Database Syst Rev. 2012;9:Cd008880.
[7] Dankaerts W, O’Sullivan PB, Burnett AF, Straker LM. The use of a mechanism-based classification system to evaluate and direct management of a patient with non-specific chronic low back pain and motor control impairment--A case report. Man Ther. 2007;12(2):181-91.
[8] Flynn TW, Fritz JM, Whitman JM, Wainner RS, Magel JS, Rendeiro DG, et al. A clinical prediction rule for classifying patients with low back pain who demonstrate short-term improvement with spinal m a n i p u l a t i o n . S p i n e . 2002;27(24):2835-43.
[9] Hicks GE, Fritz JM, Delitto A, McGill SM. Preliminary development of a clinical prediction rule for determining which patients with low back pain will respond to a stabilization exercise program. Arch Phys Med Rehabil. 2005;86(9):1753-62.
[10] O’Sullivan PB. Diagnosis and classification of chronic low back pain disorders: Maladaptive movement and motor control impairments as underlying mechanism. Man Ther. 2005;10(4):242-55.
[11] Van Dillen LR, Sahrmann SA, Norton BJ, Caldwell CA, McDonnell MK, Bloom NJ. Movement system impairment-based categories for low back pain: Stage 1 validation. J Orthop Sports Phys Ther. 2003;33(3):126-42.
[12] Delitto A, Erhard RE, Bowling RW. A treatment-based classification approach to low back syndrome: Identifying and staging patients for conservative treatment. Phys Ther. 1995;75(6):470-85.
[13] Biely SA, Silfies SP, Smith SS, Hicks GE. Clinical observation of standing trunk movements: what do the aberrant movement patterns tell us? J Orthop Sports Phys Ther. 2014;44(4):262-72.
[14] Panjabi MM. Clinical spinal instability and low back pain. J Electromyogr Kinesiol. 2003;13(4):371-9.
[15] Rabin A, Shashua A, Pizem K, Dickstein R, Dar G. A clinical prediction rule to identify patients with low back pain who are likely to experience short-term success following lumbar stabilization exercises: a randomized controlled validation study. J Orthop Sports Phys Ther. 2014;44(1):6-B13.
[16] Richardson C, Hodges PW, Hides J, Physiotherapists MAoC. Therapeutic exercise for lumbopelvic stabilization: a motor control approach for the treatment and prevention of low back pain: Churchill Livingstone; 2004.
[17] Cholewicki J, McGill SM. Mechanical stability of the in vivo lumbar spine: Implications for injury and chronic low back pain. Clin Biomech. 1996;11(1):1-15.
[18] Hebert JJ, Koppenhaver SL, Magel JS, Fritz JM. The relationship of transversus abdominis and lumbar multifidus activation and prognostic factors for clinical success with a stabilization exercise program: a cross-sectional study. Arch Phys Med Rehabil. 2010;91(1):78-85.
[19] Hides JA, Jull GA, Richardson CA. Long-term effects of specific stabilizing exercises for first- episode low back pain. Spine. 2001;26(11):243-8.
[20] Hodges PW, Richardson CA. Inefficient muscular stabilization of the lumbar spine associated with low back pain: A motor control evaluation of transversus abdominis. Spine. 1996;21(22):2640-50.
[21] O’Sullivan PB, Twomey L, Allison GT, Sinclair J, Miller K. Altered patterns of abdominal muscle activation in patients with chronic low back pain. Aust J Physiother. 1997;43(2):91-8.
[22] Silfies SP, Bhattacharya A, Biely SA, Smith SS, Giszter S. Trunk control during standing reach: A dynamical system analysis of movement strategies in patients with mechanical low back pain. Gait Posture. 2009;29(3):370-6.
[23] Kjaer P, Bendix T, Sorensen JS, Korsholm L, Leboeuf-Yde C. Are MRI-defined fat infiltrations in the multifidus muscles associated with low back pain? BMC Med. 2007;5:2.
[24] Sahrmann SA. Diagnosis and treatment of movement impairment syndromes. Saint Louis, MO: Mosby Publishers; 2001.
[25] Gertzbein SD, Seligman J, Holtby R, Chan KH, Kapasouri A, Tile M, et al. Centrode patterns and segmental instability in degenerative disc disease. Spine. 1985;10(3):257-61.
[26] Taghipour-Darzi M, Takamjani EE, Salavati M, Mobini B, Zekavat H. The validity of vertebral translation and rotation in differentiating patients with lumbar segmental instability. Physiother Res Int. 2012;17(4):227-34.
[27] Yoshioka T, Tsuji H, Hirano N, Sainoh S. Motion characteristic of the normal lumbar spine in young adults: instantaneous axis of rotation and vertebral center motion analyses. J Spinal Disord. 1990;3(2):103-13.
[28] Van Dillen LR, Sahrmann SA, Wagner JM. Classification, intervention, and outcomes for a person with lumbar rotation with flexion syndrome. Phys Ther. 2005;85(4):336-51.
[29] Henry SM, Van Dillen LR, Ouellette-Morton RH, Hitt JR, Lomond KV, DeSarno MJ, et al. Outcomes are not different for patient-matched versus nonmatched treatment in subjects with chronic recurrent low back pain: a randomized clinical trial. The Spine Journal. in press.
[30] O’Sullivan PB, Phyty DM, Twomey LT, Allison GT. Evaluation of specific stabilizing exercise in the treatment of chronic low back pain with radiologic diagnosis of spondylolysis or spondylolisthesis. Spine. 1997;22(24):2959-67.