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Motor control learning in chronic low back pain [with consumer summary]
Magnusson ML, Chow DH, Diamandopoulos Z, Pope MH
Spine 2008 Jul 15;33(16):E532-E538
clinical trial
3/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: No. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

STUDY DESIGN: A randomized prospective cohort study of participants with chronic low back pain, seeking physical therapy, with follow-up at weeks 6 and 28. Effects of conventional physiotherapy and physiotherapy with the addition of postural biofeedback were compared. OBJECTIVE: To evaluate the benefits of postural biofeedback in chronic low back pain participants. SUMMARY OF BACKGROUND DATA: Biofeedback using electromyographic signals has been used in chronic low back pain with mixed results. Postural feedback had not been previously used. METHODS: Demographic and psychological baseline data along with range of motion were analyzed from a sample of 47 chronic participants with low back pain randomized into conventional physiotherapy with or without the addition of postural biofeedback. RESULTS: After 6 months, there were 21 dropouts. The participants with biofeedback had markedly improved status in visual analog pain scales, short form-36, and range of motion. CONCLUSION: The study strongly suggests that postural feedback is a useful adjunct to conventional physiotherapy of chronic low back pain participants.
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