Home > Journals > European Journal of Physical and Rehabilitation Medicine > Past Issues > European Journal of Physical and Rehabilitation Medicine 2013 August;49(4) > European Journal of Physical and Rehabilitation Medicine 2013 August;49(4):517-25

CURRENT ISSUE
 

ARTICLE TOOLS

Reprints

EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

A Journal on Physical Medicine and Rehabilitation after Pathological Events


Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,827


eTOC

 

ORIGINAL ARTICLES  FREEfree


European Journal of Physical and Rehabilitation Medicine 2013 August;49(4):517-25

Copyright © 2013 EDIZIONI MINERVA MEDICA

language: English

Perceptive rehabilitation of patients with non-specific chronic low back pain: the role of body midline. A randomized controlled trial

Vetrano M. 1, Pournajaf S. 1, Vulpiani M. C. 1, Santoboni F. 1, Paolucci T. 2, Spadini E. 3, Ferretti A. 1, Saraceni V. M. 1, 2

1 Physical Medicine and Rehabilitation Unit, La Sapienza University of Rome, Sant’Andrea Hospital, Rome, Italy; 2 Physical Medicine and Rehabilitation Unit, La Sapienza University of Rome, Policlinico Umberto I, Rome, Italy; 3 Physical Medicine and Rehabilitation Unit, San Filippo Neri Hospital, Rome, Italy


FULL TEXT  


Background: Surface for perceptive rehabilitation (Su-Per treatment) is a hopeful therapeutic system in the treatment of non-specific chronic low back pain (CLBP). During treatment, some patients poorly tolerate the presence of the less elastic cones at the back midline.
Aim: To assess the importance of an increased awareness of body midline through higher stimulus at interspinous line during Su-Per treatment for non-specific CLBP.
Design: Single-blind, randomized, controlled trial.
Setting: Outpatient academic hospital.
Population: Forty patients with non-specific CLBP, for at least 12 weeks before treatment.
Methods: The patients were distributed in 2 groups: Group A (20 patients) received standard Su-Per treatment; Group B (20 patients) received Su-Per treatment without higher stimulus at interspinous line. Pain was assessed using the Visual Analogue Scale and the Present Pain Intensity and Pain Rating Index of the McGill Pain Questionnaire. Disability was evaluated using the Oswestry Disability Index.
Results: In both groups, a significant reduction of pain and disability scores was observed at the first follow-up (end of treatment), and was maintained at later evaluations (4-weeks, and 12-weeks follow up). No significant difference was observed between the two groups in all outcome measures at all time points (P>0.05 for all).
Conclusion: Su-Per treatment is a valid modality in a cognitive-perceptive therapeutic concept for non-specific CLBP. It does not necessarily require external stimulation of the body midline to be effective.
Clinical rehabilitation impact: Modifying the standard distribution of the cones, without less deformable cones along interspinous line, makes the Su-Per treatment more acceptable to patients.

top of page

Publication History

Cite this article as

Corresponding author e-mail

mariovetrano@gmail.com