Effects of a multidisciplinary programme on postural stability in patients with chronic recurrent low back pain: preliminary findings

Eur Spine J. 2016 Apr;25(4):1219-25. doi: 10.1007/s00586-015-4293-3. Epub 2015 Oct 22.

Abstract

Purpose: This longitudinal study investigated the effects of a multidisciplinary rehabilitation programme on postural stability in patients with low back pain. While the consequences of such rehabilitation programme have been described for pain, mobility, strength, and functional disability, the effects on postural stability have not been examined so far.

Methods: Thirty-four patients suffering from chronic low back pain were included to participate in a multidisciplinary rehabilitation programme. We assessed postural stability, pain, strength of the lumbar extensor muscles, and functional disability. The examinations were performed before the intervention, after 20 training sessions ("half-way point"), and at the end of the rehabilitation programme.

Results: All outcome measures improved significantly from baseline to the first follow-up evaluation and remained constant until completion of the rehabilitation programme.

Conclusions: A multidisciplinary outpatient rehabilitation programme may improve postural stability, muscle strength, pain, and functional disability in patients with chronic low back pain.

Keywords: Balance; Functional Reach Test; Posturography; Sensorimotor training; Sensory organization test.

MeSH terms

  • Activities of Daily Living*
  • Adult
  • Back Muscles / physiopathology*
  • Female
  • Humans
  • Longitudinal Studies
  • Low Back Pain / physiopathology
  • Low Back Pain / rehabilitation*
  • Male
  • Middle Aged
  • Muscle Strength*
  • Pain Measurement
  • Patient Care Team
  • Postural Balance*
  • Treatment Outcome