PMID- 35739614
OWN - NLM
STAT- MEDLINE
DCOM- 20230113
LR  - 20230701
IS  - 2042-6186 (Electronic)
IS  - 1066-9817 (Print)
IS  - 1066-9817 (Linking)
VI  - 31
IP  - 1
DP  - 2023 Feb
TI  - Virtual McKenzie extension exercises for low back and leg pain: a prospective 
      pilot exploratory case series.
PG  - 46-52
LID - 10.1080/10669817.2022.2092822 [doi]
AB  - INTRODUCTION: Current evidence supports the inclusion of directional preference 
      exercises for a subgroup of patients with low back (LBP) and leg pain. Recent 
      pain neuroscience strategies have suggested that cortical restructuring 
      associated with movement activating the body map representation in the brain 
      might account for the observed improvement with the directional preference 
      approach. OBJECTIVES: To explore whether or not a motor imagery directional 
      preference approach would result in any changes in patients with LBP and leg 
      pain. METHODS: A consecutive convenience sample of patients with LBP and leg pain 
      were recruited at two outpatient physical therapy clinics. Measurements of LBP, 
      leg pain, fear-avoidance beliefs (FABQ), pain catastrophizing (PCS), active 
      lumbar flexion, and straight leg raise (SLR) were compared before and immediately 
      after a virtual (motor imagery) directional preference exercise. RESULTS: 
      Statistically significant differences for LBP, FABQ, PCS, active lumbar flexion, 
      and SLR were observed, but only SLR changes met or exceeded the minimally 
      clinically important difference (MCID). CONCLUSIONS: A brief virtual motor 
      imagery extension treatment yielded some immediate positive shifts in patients 
      presenting to physical therapy with LBP and leg pain. Our results indicate that 
      randomized comparison trials are needed to determine the effect of this 
      intervention on the short- and longer-term outcomes in patients with LBP and leg 
      pain.
FAU - Louw, Adriaan
AU  - Louw A
AD  - Department of Physical Therapy, Evidence in Motion, Story City, IA, USA.
FAU - Farrell, Kevin
AU  - Farrell K
AD  - Department of Physical Therapy Education, Residency Program, St. Ambrose 
      University, Health Sciences Center, Davenport, IA, USA.
FAU - Nielsen, Anthony
AU  - Nielsen A
AD  - Department of Physical Therapy, Rock Valley Physical Therapy, Bettendorf, IA, 
      USA.
FAU - O'Malley, Max
AU  - O'Malley M
AD  - Department of Physical Therapy, AMN Healthcare, Lincolnwood, IL, USA.
FAU - Cox, Terry
AU  - Cox T
AD  - Department of Physical Therapy, Southwest Baptist University, Bolivar, MO, USA.
FAU - Puentedura, Emilio J
AU  - Puentedura EJ
AD  - Doctor of Physical Therapy Program, Baylor University, Robbins College of Health 
      and Human Sciences, Waco, TX, USA.
LA  - eng
PT  - Journal Article
DEP - 20220623
PL  - England
TA  - J Man Manip Ther
JT  - The Journal of manual & manipulative therapy
JID - 9433812
SB  - IM
CIN - J Man Manip Ther. 2023 Feb;31(1):53-54. PMID: 36074006
MH  - Humans
MH  - *Low Back Pain/rehabilitation
MH  - Prospective Studies
MH  - Leg
MH  - Surveys and Questionnaires
MH  - Exercise Therapy/methods
PMC - PMC9848382
OTO - NOTNLM
OT  - Graded motor imagery
OT  - case series
OT  - directional preference
OT  - low back pain
COIS- No potential conflict of interest was reported by the author(s).
EDAT- 2022/06/24 06:00
MHDA- 2023/01/14 06:00
PMCR- 2023/06/23
CRDT- 2022/06/23 23:53
PHST- 2022/06/24 06:00 [pubmed]
PHST- 2023/01/14 06:00 [medline]
PHST- 2022/06/23 23:53 [entrez]
PHST- 2023/06/23 00:00 [pmc-release]
AID - 2092822 [pii]
AID - 10.1080/10669817.2022.2092822 [doi]
PST - ppublish
SO  - J Man Manip Ther. 2023 Feb;31(1):46-52. doi: 10.1080/10669817.2022.2092822. Epub 
      2022 Jun 23.