TY  - JOUR
A1  - Engel, Tilman
A1  - Niederer, Daniel
A1  - Arampatzis, Adamantios
A1  - Banzer, Winfried
A1  - Beck, Heidrun
A1  - Flößel, Philipp
A1  - Haag, Thore
A1  - Müller, Steffen
A1  - Schiltenwolf, Marcus
A1  - Schmidt, Hendrik
A1  - Schneider, Christian
A1  - Stengel, Dirk
A1  - Stoll, Josefine
A1  - Wippert, Pia-Maria
A1  - Mayer, Frank
T1  - Sensorimotor stabilization exercises with and without behavioral treatment in low back pain: Feasibility and effects of a multicenter randomized controlled trial
T2  - Archives of Rehabilitation Research and Clinical Translation
N2  - Objectives: To investigate the feasibility and effects of a sensorimotor stabilization exercise intervention with and without behavioral treatment in nonspecific low back pain.

Design: A three-armed multicenter randomized controlled trial.

Setting: Five study sites across Germany (3 orthopedic university outpatient clinics, 1 university sports medicine department, and 1 clinical institution).

Participants: Six hundred and sixty-two volunteers (N=662) (59% females, age 39±13y) with low back pain.

Interventions: Sensorimotor training (SMT), sensorimotor training with behavioral therapy (SMT+BT), and usual care group (UCG; continuation of the already ongoing individual treatment regime). Intervention groups performed a 12-week (3wk center-based, 9wk home-based) program.

Main Outcome Measures: Adherence, dropout rates, adverse events, and intervention effects on pain intensity, disability, and trunk torque (gain scores, repeated measures analysis of variance, α-level<0.05).

Results: In total, 220 participants received SMT, 222 received SMT+BT, and 170 were analyzed as UCG. Dropout rates were 10% for SMT and SMT+BT at week 3, 31% and 30% at week 4, and 49% and 50% at week 12. Adherence rates above 80% were reached in both interventions; 134 adverse events occurred. Intervention effects compared to UCG were found for pain intensity (SMT, P=.011, effect size d=0.41), disability (SMT+BT, P=.020, d=0.41), and peak torque (SMT, P=.045, d=0.38; SMT+BT, P=.019, d=0.44), with overall small effect sizes.

Conclusions: Participants were highly adherent to the sensorimotor exercise, but showed increased dropout rates, particularly during home-based training. Both interventions proved to be feasible, and although only SMT showed an increased effect on pain intensity compared to UCG, the SMT+BT showed positive effects on disability. Both interventions led to increases in strength, indicative of a neuromuscular adaptation.
KW  - Adherence
KW  - Back pain
KW  - Behavioral
KW  - Behavioral intervention
KW  - Disability
KW  - Exercise
KW  - Exercise intervention
KW  - Exercise therapy
KW  - Feasibility
KW  - Functional assessment
KW  - Pain intensity
KW  - Peak force
KW  - Rehabilitation
KW  - Sensorimotor
KW  - Stabilization
KW  - Kreuzschmerz
KW  - Bewegungstherapie
KW  - Rehabilitatives Training
KW  - Sensomotorik
KW  - Stabilisierung
KW  - Kontrollierte klinische Studie
Y1  - 2025
UR  - https://hst.opus.hbz-nrw.de/frontdoor/index/index/docId/1036
UR  - https://nbn-resolving.org/urn:nbn:de:hbz:tr5-10362
VL  - 7
IS  - 1
SP  - 1
EP  - 11
PB  - Elsevier
ER  -