Article

Low back pain (LBP) is associated with dysfunction of global and local muscle
systems, feedback and feedforward postural control mechanisms. Physiotherapists
include the use of feedback as part of treatment protocols. Such feedback can
focus on a variety of neuromuscular impairments, although the literature related
to feedback on the management of LBP has focused mainly on local muscle system
impairments. Furthermore, there are various characteristics of feedback that can
lead to motor control enhancement or deterioration. The aim of this manuscript is
to present a rationale for feedback provision as a rehabilitation tool on the
management of LBP. Feedback provision should focus on the main neuromuscular
impairment presented by the patient. The suggested rationale describes
decision-making stages for the use and progress of feedback interventions. Local
muscle system impairment might benefit more from parameter feedback provision,
while global muscle system and feedback mechanism impairments may benefit better
from program feedback. The described rationale has the potential to help
clinicians select the appropriate feedback for the treatment of their patients.
Additionally, the presented rationale could be used by researchers to assess how
different forms of feedback provision impact on clinical outcomes.
CI - Copyright (c) 2011 Elsevier Ltd. All rights reserved.

Langue : ANGLAIS