Cognitive functional approach to manage low back pain in male adolescent rowers: a randomised controlled trial
Background - Low back pain (LBP) is prevalent among adolescent rowers. This study evaluated the efficacy of a cognitive functional approach to reduce LBP in this population. Methods - Thirty-six adolescent male rowers reporting LBP participated. Nineteen were randomly allocated to the intervention g...
| Main Authors: | , , , , , |
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| Format: | Journal Article |
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BMJ Group
2015
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| Online Access: | http://hdl.handle.net/20.500.11937/3644 |
| _version_ | 1848744287832899584 |
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| author | Ng, Leo Cañeiro, JP Campbell, Amity Smith, Anne Burnett, A. O'Sullivan, Peter |
| author_facet | Ng, Leo Cañeiro, JP Campbell, Amity Smith, Anne Burnett, A. O'Sullivan, Peter |
| author_sort | Ng, Leo |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Background - Low back pain (LBP) is prevalent among adolescent rowers. This study evaluated the efficacy of a cognitive functional approach to reduce LBP in this population. Methods - Thirty-six adolescent male rowers reporting LBP participated. Nineteen were randomly allocated to the intervention group to receive a cognitive functional approach targeting cognitions, movement patterns, conditioning and lifestyle factors relevant to each rower for 8 weeks. The active control group (n=17) received usual care from their coaches (rowing skills and conditioning exercises). The primary outcome of the study was pain intensity as measured by the Numeric Pain Rating Scale during a 15 min ergometer trial preintervention and postintervention. Disability (Patient Specific Functional Scale and Roland Morris Disability Questionnaire) was measured preintervention/postintervention and at 12 weeks follow-up. Isometric muscle endurance of the back extensors and lower limb muscles, usual sitting posture and regional lumbar kinematic data during a 15 min ergometer row were measured preintervention/postintervention. Results - Compared with the control group, the intervention group reported significantly less pain during ergometer rowing (Numeric Pain Rating Scale −2.4, p=0.008) and reduced disability (Patient Specific Functional Scale (4.1, p=0.01); Roland Morris Disability Questionnaire (−1.7, p=0.003)) following the intervention, and at 12 weeks follow-up. They also demonstrated greater lower limb muscle endurance (20.9 s, p=0.03) and postured their lower lumbar spine in greater extension during static sitting (−9.6°, p=0.007). No significant differences were reported in back muscle endurance and regional lumbar kinematics during ergometer rowing. Conclusion - Cognitive functional approach was more effective than usual care in reducing pain and disability in adolescent male rowers. |
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| format | Journal Article |
| id | curtin-20.500.11937-3644 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T05:59:04Z |
| publishDate | 2015 |
| publisher | BMJ Group |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-36442017-09-13T15:54:07Z Cognitive functional approach to manage low back pain in male adolescent rowers: a randomised controlled trial Ng, Leo Cañeiro, JP Campbell, Amity Smith, Anne Burnett, A. O'Sullivan, Peter Background - Low back pain (LBP) is prevalent among adolescent rowers. This study evaluated the efficacy of a cognitive functional approach to reduce LBP in this population. Methods - Thirty-six adolescent male rowers reporting LBP participated. Nineteen were randomly allocated to the intervention group to receive a cognitive functional approach targeting cognitions, movement patterns, conditioning and lifestyle factors relevant to each rower for 8 weeks. The active control group (n=17) received usual care from their coaches (rowing skills and conditioning exercises). The primary outcome of the study was pain intensity as measured by the Numeric Pain Rating Scale during a 15 min ergometer trial preintervention and postintervention. Disability (Patient Specific Functional Scale and Roland Morris Disability Questionnaire) was measured preintervention/postintervention and at 12 weeks follow-up. Isometric muscle endurance of the back extensors and lower limb muscles, usual sitting posture and regional lumbar kinematic data during a 15 min ergometer row were measured preintervention/postintervention. Results - Compared with the control group, the intervention group reported significantly less pain during ergometer rowing (Numeric Pain Rating Scale −2.4, p=0.008) and reduced disability (Patient Specific Functional Scale (4.1, p=0.01); Roland Morris Disability Questionnaire (−1.7, p=0.003)) following the intervention, and at 12 weeks follow-up. They also demonstrated greater lower limb muscle endurance (20.9 s, p=0.03) and postured their lower lumbar spine in greater extension during static sitting (−9.6°, p=0.007). No significant differences were reported in back muscle endurance and regional lumbar kinematics during ergometer rowing. Conclusion - Cognitive functional approach was more effective than usual care in reducing pain and disability in adolescent male rowers. 2015 Journal Article http://hdl.handle.net/20.500.11937/3644 10.1136/bjsports-2014-093984 BMJ Group restricted |
| spellingShingle | Ng, Leo Cañeiro, JP Campbell, Amity Smith, Anne Burnett, A. O'Sullivan, Peter Cognitive functional approach to manage low back pain in male adolescent rowers: a randomised controlled trial |
| title | Cognitive functional approach to manage low back pain in male adolescent rowers: a randomised controlled trial |
| title_full | Cognitive functional approach to manage low back pain in male adolescent rowers: a randomised controlled trial |
| title_fullStr | Cognitive functional approach to manage low back pain in male adolescent rowers: a randomised controlled trial |
| title_full_unstemmed | Cognitive functional approach to manage low back pain in male adolescent rowers: a randomised controlled trial |
| title_short | Cognitive functional approach to manage low back pain in male adolescent rowers: a randomised controlled trial |
| title_sort | cognitive functional approach to manage low back pain in male adolescent rowers: a randomised controlled trial |
| url | http://hdl.handle.net/20.500.11937/3644 |