Journal of Manipulative and Physiological Therapeutics
Volume 23, Issue 2 , Pages 115-117 , February 2000

Motor control problems in patients with spinal pain: a new direction for therapeutic exercise

Received 29 June 1999

References 

  1. Richardson CA, Jull GA, Hodges PW, Hides JA. Therapeutic exercise for spinal segmental stabilization in low back pain. Scientific basis and clinical approach. Edinburgh: Churchill Livingstone; 1999;
  2. Panjabi MM. The stabilising system of the spine. Part 1. Function, dysfunction, adaption, and enhancement. J Spinal Disord. 1992;5:383–389
  3. Bergmark A. Stability of the lumbar spine. A study in mechanical engineering. Acta Orthop Scand Suppl. 1989;230(suppl):20–24
  4. Cresswell AG. Responses of intra abdominal pressure and abdominal muscle activity during dynamic trunk loading in man. Eur J Appl Physiol. 1993;66:315–320
  5. Cresswell AG, Oddsson L, Thorstensson A. The influence of sudden perturbations on trunk muscle activity and intra-abdominal pressure while standing. Exp Br Res. 1994;98:336–341
  6. Cholewicki J, McGill SM. Mechanical stability of the in vivo lumbar spine: implications for injury and low back pain. Clin Biomech. 1996;11:1–15
  7. Hodges PW, Richardson CA. Inefficient muscular stabilization of the lumbar spine associated with low back pain: a motor control evaluation of transversus abdominis. Spine. 1996;21:2640–2650
  8. Hodges PW, Richardson CA. Feedforward contraction of transversus abdominis is not influenced by the direction of arm movement. Exp Br Res. 1997;114:362–370
  9. Hodges PW, Cresswell AG, Thorstensson A. Three dimensional preparatory trunk motion precedes asymmetrical upper limb movement. Gait Posture. In press.
  10. Hodges PW, Richardson CA. Transversus abdominis and the superficial abdominal muscles are controlled independently in postural tasks. Neurosci Lett. 1999;265:91–94
  11. Hides JA, Stokes M, Saide M, Jull GA, Cooper D. Evidence of lumbar multifidus wasting ipsilateral to symptoms in patients with acute/subacute low back pain. Spine. 1994;19:165–177
  12. Hides JA, Richardson CA, Jull GA. Multifidus muscle recovery is not automatic following acute first episode low back pain. Spine. 1996;21:2763–2769
  13. Hodges PW, Richardson CA. Delayed postural contraction of transversus abdominis in low back pain associated with movements of the lower limb. J Spinal Disord. 1998;11:46–56
  14. O'Sullivan PB, Twomey LT, Allison GT. Evaluation of specific stabilizing exercise in the treatment of chronic low back pain with radiologic diagnosis of spondylosis or spondylolisthesis. Spine. 1997;22:2959–2967
  15. O'Sullivan PB, Twomey LT, Allison GT, Taylor J. Specific stabilizing exercise in the treatment of chronic low back pain with a clinical and radiological diagnosis of lumbar segmental instability. In: Proceedings 10th Biennial Conference Manipulative Physiotherapists Association of Australia; 1997 Nov 26–28; Melbourne, Australia. Melbourne: Manipulative Physiotherapists Association of Australia; 1997;
  16. Jull GA, Scott Q, Richardson CA, Henry S, Hides JA. New concepts for the control of pain in the lumbopelvic region. In: Proceedings of the 3rd Interdisplinary World Conference on Low Back and Pelvic Pain; 1998 Nov 19–21; Vienna, Austria. Rotterdam: European Conference Organizers; 1998;p. 128–131
  17. Hodges PW, Butler JE, McKenzie D, Gandevia SC. Contraction of the human diaphragm during postural adjustments. J Physiol. 1997;505:239–248
  18. Hodges PW. Changes in the central motor programming of transversus abdominis in people with low back pain highlighted by changes in movement preparation. In: Proceedings of the 6th International Conference of the International Federation of Orthopaedic Manipulative Therapists; 1996; Lillehammer, Norway. Oslo: Norske Fysioterapeuters forbund v/ faggruppen for manuell terapi; 1996;p. 36
  19. Richardson CA, Jull GA, Hides JA. A new clinical model of the muscle dysfunction linked to the disturbance of spinal stabilization. In: Twomey LT, Taylor J, editors. Physical therapy of the lumbar spine. 3rd ed. New York: Churchill Livingstone. In press.
  20. Hodges PW, Richardson CA, Jull GA. Evaluation of the relationship between the findings of a laboratory and clinical test of transversus abdominis function. Physiother Res Int. 1996;1:30–40

☆ Submit reprint requests to: Gwendolen A. Jull, MPhty, FACP, or Carolyn A. Richardson, BPhty, PhD, Department of Physiotherapy, The University of Queensland, Brisbane, Queensland 4072, Australia.

PII: S0161-4754(00)90079-4

doi: 10.1016/S0161-4754(00)90079-4

Journal of Manipulative and Physiological Therapeutics
Volume 23, Issue 2 , Pages 115-117 , February 2000

Article Tools