1,720,981 research outputs found
High-Intensity Training Telerehabilitation for Persons with Chronic Low Back Pain: A Pilot Clinical Trial
No full textBackground/Objectives: High-intensity training (HIT) has been shown to enhance physical fitness and reduce functional impairments in persons with moderately disabling chronic nonspecific low back pain (CNSLBP). However, sustaining these improvements post-rehabilitation remains a challenge. To address this, a home-based, technology-supported HIT program utilizing telerehabilitation can be implemented at home. This study assesses the feasibility and clinical effectiveness of a telerehabilitation HIT program for persons with CNSLBP. Methods: The pilot clinical trial (NCT05234008) recruited 15 persons with CNSLBP. Participants completed a 6-week multimodal HIT intervention with 12 bi-weekly sessions. The first four sessions were organized at REVAL Research Center, followed by eight home-based sessions using the Physitrack® platform. Assessments were conducted at baseline (PRE), two weeks into the intervention (MID), and immediately post-intervention (POST). Outcome measures included maximal oxygen uptake (VO2max) testing, disease-related outcomes, feasibility, motivation assessed via questionnaires, and system usability and adherence tracked through Physitrack® technology. Results: Fourteen participants (seven females; age: 45.9 years) successfully completed the program without adverse events. Based on PRE–POST comparisons, motivation levels remained high (Motivation Visual Analog Scale: −1.2 ± 0.9, p = 0.043) despite reduced motivation at POST. Improvements were also observed in pain (Numeric Pain Rating Scale: −1.8 ± 0.2, p = 0.026), disability (Modified Oswestry Disability Index: −12.1 ± 10.2, p = 0.002), fear-avoidance (Fear-Avoidance Components Scale: −10.1 ± 5.8, p = 0.005), and exercise capacity (VO2max: 4.4 ± 1.6, p = 0.048). Conclusions: The HITHOME study is the first to investigate the feasibility and effectiveness of a telerehabilitation HIT program for persons with CNSLBP. The results underscore the feasibility of implementing a home-based HIT program to support adherence to vigorous exercise programs and improve clinical outcomes in this population. Additionally, the findings emphasize technology’s potential importance in enhancing home-based exercise therapy and lay the groundwork for future studies on blended care and telerehabilitation using HIT in CNSLBP
The influence of exercise intensity on psychosocial outcomes in musculoskeletal disorders: a systematic review
No full textBreathing therapies in patients with spinal pain: a systematic review
No full textIntroduction
Spinal pain is often associated with alterations in respiratory functioning, such as greater diaphragm fatiguability, more pronounced thoracic breathing, and decreased ventilation. Although beneficial effects of breathing interventions on spinal pain may be presumed, their clinical effectiveness remains unclear.
Aim
We aimed to investigate the effect of breathing interventions on pain and disability in individuals with spinal pain.
Methods
After study registration (CRD42020199471), six databases were searched until August 2023. Studies investigating the effect of breathing interventions, whether or not compared with a control group, on pain or disability in individuals with spinal pain were included. Risk of bias was assessed with the Downs and Black checklist. Both within- and between-group differences were extracted.
Results
Fourteen studies related to low back pain (LBP) and six to neck pain (NP). Seventeen of them received a fair to good quality score (50-85%). Breathing interventions included, but were not limited to, slow deep breathing, inspiratory muscle training, and breathing awareness. In the LBP population, breathing interventions significantly decreased pain and disability in respectively 13/13 and 8/10 studies. When compared with an intervention group, pain and disability significantly decreased in respectively 5/12 and 4/11 studies. In the NP population, breathing interventions significantly decreased pain and disability in respectively 6/6 and 3/4 studies. When compared with an intervention group, pain and disability significantly decreased in respectively 4/4 and 1/2 studies.
Relevance
Breathing therapies may be a beneficial treatment modality for LBP and NP.
Conclusion
Breathing interventions may decrease pain and disability in individuals with LBP and NP, but it remains inconclusive whether breathing interventions are more effective than routine physiotherapy or other control treatments in LBP and NP.
Implications
By December 2023, we aim to elucidate which components of breathing interventions (e.g., rate, volume, resistance) determine their clinical effectiveness in individuals with spinal pain
BREATHE-(H)IT Trial protocol: High-intensity training to improve diaphragm functioning in persons with chronic nonspecific low back pain
No full textBREATHE-(H)IT Trial: High-intensity training to improve diaphragm function in persons with chronic nonspecific low back pain
No full textThe value of extra-diaphragmatic inspiratory muscle surface electromyography during postural control tasks in patients with chronic obstructive pulmonary disease
No full textConcurrent dysfunctions in postural control and diaphragm are observed in patients with chronic obstructive pulmonary disease (COPD). Measuring diaphragm activation traditionally involves transesophageal diaphragm electromyography (EMG(di)), which is costly and relatively invasive. Extra-diaphragmatic inspiratory muscle surface electromyography may serve as a useful physiological marker for EMG(di). This study compared EMG(di) amplitude with surface EMG amplitude of other inspiratory muscles, including sternocleidomastoid (sEMG(scm)), scalene (sEMG(scal)), and parasternal intercostal muscles (sEMG(ic)) during postural control tasks in nine patients with COPD (5 males; age: 65 +/- 6 years; forced expiratory volume in the first second: 60 +/- 27 % predicted). Simultaneous recordings of EMG(di), sEMG(scm), sEMG(scal), and sEMG(ic) amplitudes were obtained during six postural control tasks involving upright standing with ballistic arm movements under different conditions of support surface (stable/foam), arm movement frequency (single/repetitive), and breathing modes (normal/breath-hold at end-expiration). EMG amplitudes were normalized to each muscle's maximum voluntary contraction. A linear mixed model with Bonferroni-Holm post-hoc tests and Bland-Altman analyses were performed. There was a significant EMG-by-task interaction (p = 0.0223). The amplitude of EMG(di) was significantly lower than sEMG(ic) across all tasks (p < 0.0001 to 0.0007), while no significant differences were observed between EMG(di) and sEMG(scm) or EMG(di) and sEMG(scal) after Bonferroni-Holm correction (p = 0.019-0.858). Bland-Altman analyses indicated reasonable agreement between EMG(di) and both sEMG(scm) and sEMG(scal) (mean biases: 1.8 % and -3.7 %), while sEMG(ic) had a significantly higher overall bias of -20.7 %. These findings suggest that both sEMG(scal) and sEMG(scm) can serve as useful physiological markers for EMG(di) in postural control assessments in patients with COPD.Research support: This work was supported by Special Research Fund (BOF), Hasselt University (Grant Number: BOF21DOC15) and Special Research Fund (C2-projects), KU Leuven (Grant Number: C22/ 15/035). Relationships: There are no additional relationships to disclose. Patents and Intellectual Property: There are no patents to disclose. Other activities: There are no additional activities to disclose
Breathing therapies in patients with spinal pain: a systematic review
No full textIntroduction
Spinal pain is often associated with alterations in respiratory functioning, such as greater diaphragm fatiguability, more pronounced thoracic breathing, and decreased ventilation. Although beneficial effects of breathing interventions on spinal pain may be presumed, their clinical effectiveness remains unclear.
Aim
We aimed to investigate the effect of breathing interventions on pain and disability in individuals with spinal pain.
Methods
After study registration (CRD42020199471), six databases were searched until August 2023. Studies investigating the effect of breathing interventions, whether or not compared with a control group, on pain or disability in individuals with spinal pain were included. Risk of bias was assessed with the Downs and Black checklist. Both within- and between-group differences were extracted.
Results
Fourteen studies related to low back pain (LBP) and six to neck pain (NP). Seventeen of them received a fair to good quality score (50-85%). Breathing interventions included, but were not limited to, slow deep breathing, inspiratory muscle training, and breathing awareness. In the LBP population, breathing interventions significantly decreased pain and disability in respectively 13/13 and 8/10 studies. When compared with an intervention group, pain and disability significantly decreased in respectively 5/12 and 4/11 studies. In the NP population, breathing interventions significantly decreased pain and disability in respectively 6/6 and 3/4 studies. When compared with an intervention group, pain and disability significantly decreased in respectively 4/4 and 1/2 studies.
Relevance
Breathing therapies may be a beneficial treatment modality for LBP and NP.
Conclusion
Breathing interventions may decrease pain and disability in individuals with LBP and NP, but it remains inconclusive whether breathing interventions are more effective than routine physiotherapy or other control treatments in LBP and NP.
Implications
By December 2023, we aim to elucidate which components of breathing interventions (e.g., rate, volume, resistance) determine their clinical effectiveness in individuals with spinal pain
Effectiveness of a high intensity training program on quality of life in persons with chronic nonspecific low back pain
No full textUsing surface electromyography to quantify diaphragm muscle activation during postural control in chronic nonspecific low back pain: Protocol for a validation study
No full textIntroduction: Impaired postural control and diaphragm dysfunction have been shown in chronic nonspecific low back pain (CNSLBP). Transesophageal diaphragmatic electromyography (EMGdi,es) is considered as the golden standard for measuring diaphragm activation during postural control tasks. However, this method is expensive and relatively invasive. Surface diaphragmatic electromyography (EMGdi,sur) can possibly serve as an alternative
The influence of exercise intensity on psychosocial outcomes in musculoskeletal disorders: a systematic review
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