Learning Transversus Abdominis Activation in Older Adults with Chronic Low Back Pain Using an Ultrasound-Based Wearable: A Randomized Controlled Pilot Study

被引:0
作者
Perotti, Luis [1 ,2 ,3 ]
Stamm, Oskar [1 ,2 ,3 ]
Strohm, Hannah [4 ]
Jenne, Juergen [4 ]
Fournelle, Marc [5 ]
Lahmann, Nils [1 ,2 ,3 ]
Mueller-Werdan, Ursula [1 ,2 ,3 ]
机构
[1] Charite Univ med Berlin, Dept Geriatr & Med Gerontol, D-13347 Berlin, Germany
[2] Free Univ Berlin, D-13347 Berlin, Germany
[3] Humboldt Univ, D-13347 Berlin, Germany
[4] Fraunhofer Inst Digital Med MEVIS, D-28359 Bremen, Germany
[5] Fraunhofer Inst Biomed Engn, Dept Ultrasound, D-66280 Sulzbach, Germany
关键词
chronic low back pain; biofeedback; segmental stabilization; ultrasound imaging; preferential activation ratio; real-time; deep learning; EXERCISE; STABILIZATION; DISABILITY; STABILITY; PEOPLE;
D O I
10.3390/jfmk10010014
中图分类号
G8 [体育];
学科分类号
04 ; 0403 ;
摘要
Background/Objectives: Chronic low back pain (CLBP) is prevalent among older adults and leads to significant functional limitations and reduced quality of life. Segmental stabilization exercises (SSEs) are commonly used to treat CLBP, but the selective activation of deep abdominal muscles during these exercises can be challenging for patients. To support muscle activation, physiotherapists use biofeedback methods such as palpation and ultrasound imaging. This randomized controlled pilot study aimed to compare the effectiveness of these two biofeedback techniques in older adults with CLBP. Methods: A total of 24 participants aged 65 years or older with CLBP were randomly assigned to one of two groups: one group performed self-palpation biofeedback, while the other group used real-time ultrasound imaging to visualize abdominal muscle activation. Muscle activation and thickness were continuously tracked using a semi-automated algorithm. The preferential activation ratio (PAR) was calculated to measure muscle activation, and statistical comparisons between groups were made using ANOVA. Results: Both groups achieved positive PAR values during all repetitions of the abdominal-draw-in maneuver (ADIM) and abdominal bracing (AB). Statistical analysis revealed no significant differences between the groups in terms of PAR during ADIM (F(2, 42) = 0.548, p = 0.58, partial eta 2 = 0.025) or AB (F(2, 36) = 0.812, p = 0.45, partial eta 2 = 0.043). Both groups reported high levels of exercise enjoyment and low task load. Conclusions: In conclusion, both palpation and ultrasound biofeedback appear to be effective for guiding older adults with CLBP during SSE. Larger studies are needed to confirm these results and examine the long-term effectiveness of these biofeedback methods.
引用
收藏
页数:15
相关论文
共 50 条
  • [31] YOGA FOR CHRONIC LOW BACK PAIN IN A PREDOMINANTLY MINORITY POPULATION: A PILOT RANDOMIZED CONTROLLED TRIAL
    Saper, Robert B.
    Sherman, Karen J.
    Cullum-Dugan, Diana
    Davis, Roger B.
    Phillips, Russell S.
    Culpepper, Larry
    ALTERNATIVE THERAPIES IN HEALTH AND MEDICINE, 2009, 15 (06) : 18 - 27
  • [32] Experiences of community-dwelling older adults with chronic low back pain in Hong Kong and Switzerland - A qualitative study
    Schoeb, Veronika
    Misteli, Marceau
    Kwan, Crystal
    Wong, Chris W. Y.
    Kan, Mandy M. P.
    Opsommer, Emmanuelle
    Wong, Arnold Y. L.
    FRONTIERS IN REHABILITATION SCIENCES, 2022, 3
  • [33] The ESCAPE trial for older people with chronic low back pain: Protocol of a randomized controlled trial
    Silva, Hytalo de Jesus
    Fonseca, Leticia Soares
    Mascarenhas, Rodrigo Oliveira
    de Miranda, Julio Pascoal
    Almeida, Paulo Andre
    Souza, Mateus Bastos
    Pereira, Leani Souza Maximo
    Oliveira, Murilo Xavier
    Oliveira, Vinicius Cunha
    PLOS ONE, 2022, 17 (05):
  • [34] The effectiveness of Swedish massage with aromatic ginger oil in treating chronic low back pain in older adults: A randomized controlled trial
    Sritoomma, Netchanok
    Moyle, Wendy
    Cooke, Marie
    O'Dwyer, Siobhan
    COMPLEMENTARY THERAPIES IN MEDICINE, 2014, 22 (01) : 26 - 33
  • [35] Effects of acceptance and commitment therapy plus exercise for older adults with chronic low back pain: A preliminary cluster randomized controlled trial with qualitative interviews
    Liu, Jae Q. J.
    Mak, Yim Wah
    Tang, Aled L. Y.
    Kwan, Crystal
    Al Zoubi, Fadi
    Wong, Timmy K. T.
    Tsang, Gordon S. H.
    Kwong, Heidi C. W.
    Lai, Sabrina W. T.
    Sze, Sam P. S.
    Hui, Kelvin T. K.
    Cheung, Chelsia K. C.
    Samartzis, Dino
    Chow, Karen K. S.
    Wong, Arnold Y. L.
    JOURNAL OF PAIN, 2025, 30
  • [36] Multicenter Randomized Controlled Trial to Evaluate the Effect of Home-Based Exercise on Patients With Chronic Low Back Pain The Japan Low Back Pain Exercise Therapy Study
    Shirado, Osamu
    Doi, Tokuhide
    Akai, Masami
    Hoshino, Yuichi
    Fujino, Keiji
    Hayashi, Kunihiko
    Marui, Eiji
    Iwaya, Tsutomu
    SPINE, 2010, 35 (17) : E811 - E819
  • [37] Preliminary Characterization of Age and Chronic Low Back Pain Effects on Multimodal Pain Sensitivity: A Comparison Study in Older Adults with and Without Chronic Low Back Pain
    Knox, Patrick J.
    Simon, Corey B.
    Hicks, Gregory E.
    JOURNAL OF PAIN, 2024, 25 (08)
  • [38] Effectiveness of Massage Therapy and Abdominal Hypopressive Gymnastics in Nonspecific Chronic Low Back Pain: A Randomized Controlled Pilot Study
    Bellido-Fernandez, L.
    Jimenez-Rejano, J. J.
    Chillon-Martinez, R.
    Gomez-Benitez, M. A.
    De-La-Casa-Almeida, M.
    Rebollo-Salas, M.
    EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE, 2018, 2018
  • [39] Effectiveness of mobilization with movement on conditioned pain modulation, mechanical hyperalgesia, and pain intensity in adults with chronic low back pain: A randomized controlled trial
    Pozas, Oliver Martinez
    Cuenca-Zaldivar, Juan Nicolas
    Gonzalez-Alvarez, M. Elena
    Sarzo, Francisco Jose Selva
    Beltran-Alacreu, Hector
    Carnero, Josue Fernandez
    Romero, Eleuterio A. Sanchez
    MUSCULOSKELETAL SCIENCE AND PRACTICE, 2025, 75
  • [40] A Mind-Body Program for Older Adults With Chronic Low Back Pain A Randomized Clinical Trial
    Morone, Natalia E.
    Greco, Carol M.
    Moore, Charity G.
    Rollman, Bruce L.
    Lane, Bridget
    Morrow, Lisa A.
    Glynn, Nancy W.
    Weiner, Debra K.
    JAMA INTERNAL MEDICINE, 2016, 176 (03) : 329 - 337