1. Multimedia Instructions for Motor Control Exercises in Patients With Chronic Nonspecific Low Back Pain.
- Author
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Berberoğlu, Utku and Ülger, Özlem
- Subjects
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CHRONIC pain , *LUMBAR pain , *STATISTICAL power analysis , *MULTIMEDIA systems , *TEACHING methods , *PSYCHOLOGY of movement , *EVIDENCE-based medicine , *TREATMENT effectiveness , *RANDOMIZED controlled trials , *PRE-tests & post-tests , *COMPARATIVE studies , *DESCRIPTIVE statistics , *PATIENT education , *STATISTICAL sampling , *PATIENT compliance , *DATA analysis software , *EXERCISE therapy - Abstract
Background: Low back pain (LBP) is one of the top 3 diseases that may lead to disability. Current treatment guidelines define exercise as a first-line treatment for nonspecific LBP (NSLBP). There are various evidence-based exercise approaches for treating NSLBP, and many of them include motor control principles. Motor control exercises (MCEs) are better than general exercises that do not include motor control principles. Many patients find learning these exercises complex and challenging, in that MCE exercises have no standard teaching method. The researchers of this study developed multimedia instructions for an MCE program to make teaching MCE easier; thus, more effective. Methods: The participants were randomized into multimedia or standard (face-to-face) instruction groups. We applied the same treatments to both groups at the same dosage. The only differences between groups were the exercise instruction methods. The multimedia group learned MCE from multimedia videos; the control group learned MCE from a physiotherapist with face-to-face instructions. Treatment lasted 8 weeks. We evaluated patients' exercise adherence with Exercise Adherence Rating Scale (EARS), pain with the Visual Analog Scale, and disability with Oswestry Disability Index. Evaluations were made before and after treatment. Follow-up evaluations were carried out 4 weeks after the end of treatment. Results: There was no statistically significant interaction between the group and time on pain, F2,56 = 0.068, P = .935, partial η² = .002 and Oswestry Disability Index scores, F2,56 = 0.951, P = .393, partial η² = .033. Also, there was no statistically significant interaction between the group and time on Exercise Adherence Rating Scale total scores F1,20 = 2.343, P = .142, partial η² = .105. Conclusions: This study showed that multimedia instructions for MCE have similar effects to standard (face-to-face) instructions on pain, disability, and exercise adherence in patients with NSLBP. To our knowledge, with these results, the developed multimedia instructions became the first free, evidence-based instructions that have objective progression criteria and a Creative Commons license. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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