PMID- 31254095
OWN - NLM
STAT- MEDLINE
DCOM- 20200729
LR  - 20210215
IS  - 1432-0932 (Electronic)
IS  - 0940-6719 (Linking)
VI  - 28
IP  - 11
DP  - 2019 Nov
TI  - Predicting a beneficial response to motor control training in patients with low 
      back pain: a longitudinal cohort study.
PG  - 2462-2469
LID - 10.1007/s00586-019-06045-7 [doi]
AB  - PURPOSE: Exercise therapy such as motor control training (MCT) has been shown to 
      reduce pain and disability in people with low back pain (LBP). It is unknown 
      which patients are most likely to benefit. This longitudinal cohort study aimed 
      to: (1) retrospectively examine records from a large cohort of patients who 
      received MCT treatment, (2) identify potentially important predictors of response 
      to MCT and (3) test the predictors on an independent (split) sample derived from 
      the original cohort of patients, using one group to identify the predictors and 
      the other to test them. METHODS: The response of 775 patients with LBP to MCT was 
      classified as 'improved' or 'not improved' based on self-reported change in pain 
      levels and symptoms. Measures were examined for associations with improvement and 
      entered into a logistic regression model to classify patients as low, medium or 
      high benefits of improvement with MCT. The model was tested on an independent 
      sample. RESULTS: A positive response was seen in patients with: no evidence of 
      scoliosis [OR  = 4.0, 95% CI (1.7, 9.6)], LBP without associated groin pain [OR = 
      2.2, 95% CI (1.0, 5.0)], LBP which was chronic recurrent in nature [OR = 3.1, 95% 
      CI (1.8, 5.3)] and poor results on muscle testing of the multifidus muscle [OR = 
      2.0, 95% CI (1.1, 3.7)]. Testing on an independent sample confirmed that patients 
      could be classified into benefit groups. CONCLUSIONS: This study provides a first 
      step towards assisting clinicians to select patients most likely to respond to 
      MCT. These slides can be retrieved under Electronic Supplementary Material.
FAU - Hides, Julie A
AU  - Hides JA
AUID- ORCID: 0000-0002-1830-8121
AD  - School of Allied Health Sciences, Griffith University, Nathan Campus, 170 Kessels 
      Road, Nathan, Brisbane, QLD, 4111, Australia. J.Hides@griffith.edu.au.
AD  - Mater Back Stability Research Clinic, Mater Health, South Brisbane, QLD, 4101, 
      Australia. J.Hides@griffith.edu.au.
FAU - Murphy, Michael
AU  - Murphy M
AD  - Mater Research, The University of Queensland, Brisbane, QLD, 4101, Australia.
AD  - Physiotherapy Department, Mater Health, South Brisbane, QLD, 4101, Australia.
FAU - Jang, Ellen
AU  - Jang E
AD  - Mater Back Stability Research Clinic, Mater Health, South Brisbane, QLD, 4101, 
      Australia.
AD  - Physiotherapy Department, Mater Health, South Brisbane, QLD, 4101, Australia.
FAU - Blackwell, Linda
AU  - Blackwell L
AD  - Mater Back Stability Research Clinic, Mater Health, South Brisbane, QLD, 4101, 
      Australia.
AD  - Physiotherapy Department, Mater Health, South Brisbane, QLD, 4101, Australia.
FAU - Sexton, Margot
AU  - Sexton M
AD  - School of Allied Health Sciences, Griffith University, Nathan Campus, 170 Kessels 
      Road, Nathan, Brisbane, QLD, 4111, Australia.
FAU - Sexton, Christopher
AU  - Sexton C
AD  - School of Dentistry, The University of Queensland, Herston, QLD, 4006, Australia.
FAU - Mendis, M Dilani
AU  - Mendis MD
AUID- ORCID: 0000-0002-0533-2587
AD  - School of Allied Health Sciences, Griffith University, Nathan Campus, 170 Kessels 
      Road, Nathan, Brisbane, QLD, 4111, Australia.
AD  - Physiotherapy Department, Mater Health, South Brisbane, QLD, 4101, Australia.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20190627
PL  - Germany
TA  - Eur Spine J
JT  - European spine journal : official publication of the European Spine Society, the 
      European Spinal Deformity Society, and the European Section of the Cervical Spine 
      Research Society
JID - 9301980
SB  - IM
CIN - Eur Spine J. 2019 Oct;28(10):2431. PMID: 31446494
CIN - Eur Spine J. 2019 Oct;28(10):2432. PMID: 31451962
MH  - Cohort Studies
MH  - Exercise Therapy/*methods
MH  - Female
MH  - Humans
MH  - Longitudinal Studies
MH  - Low Back Pain/*therapy
MH  - Male
MH  - Retrospective Studies
MH  - Visual Analog Scale
OTO - NOTNLM
OT  - Exercise therapy
OT  - Low back pain
OT  - Multifidus muscle
OT  - Prognostic factors
OT  - Rehabilitation
EDAT- 2019/06/30 06:00
MHDA- 2020/07/30 06:00
CRDT- 2019/06/30 06:00
PHST- 2019/01/23 00:00 [received]
PHST- 2019/06/18 00:00 [accepted]
PHST- 2019/04/24 00:00 [revised]
PHST- 2019/06/30 06:00 [pubmed]
PHST- 2020/07/30 06:00 [medline]
PHST- 2019/06/30 06:00 [entrez]
AID - 10.1007/s00586-019-06045-7 [pii]
AID - 10.1007/s00586-019-06045-7 [doi]
PST - ppublish
SO  - Eur Spine J. 2019 Nov;28(11):2462-2469. doi: 10.1007/s00586-019-06045-7. Epub 
      2019 Jun 27.