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Auteur Jacek Cholewicki
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Ajouter le résultat dans votre panier Affiner la rechercheCan Biomechanics Research Lead to More Effective Treatment of Low Back Pain? A Point-Counterpoint Debate / Jacek Cholewicki in Journal of Orthopaedic & Sports Physical Therapy, vol. 49, 6 (Juin 2019)
[article]
in Journal of Orthopaedic & Sports Physical Therapy > vol. 49, 6 (Juin 2019) . - p. 425-436
Titre : Can Biomechanics Research Lead to More Effective Treatment of Low Back Pain? A Point-Counterpoint Debate Type de document : article de périodique Auteurs : Jacek Cholewicki ; [et al.], Auteur Année de publication : 2019 Article en page(s) : p. 425-436 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus HELB]:Paramédical:biomécanique
[Thésaurus HELB]:Paramédical:colonne lombaire
[Thésaurus Mesh]LombalgieRésumé : Although biomechanics plays a role in the development and perhaps the persistent or recurrent nature of low back pain (LBP), whether biomechanics alone can provide the basis for intervention is debated. Biomechanics, which refers to the mechanics of the body, including its neuromuscular control, has been studied extensively in LBP. But, can gains be made in understanding LBP by research focused on this component of biology in the multifactorial biopsychosocial problem of LBP? This commentary considers whether biomechanics research has the potential to advance treatment of LBP, and how likely it is that this research will lead to better treatment strategies. A point-counterpoint format is taken to present both sides of the argument. First, the challenges faced by an approach that considers biomechanics in isolation are presented. Next, we describe 3 models that place substantial emphasis on biomechanical factors. Finally, reactions to each point are presented as a foundation for further research and clinical practice to progress understanding of the place for biomechanics in guiding treatment of LBP. Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité J Périodique Erasme - périodiques Périodiques Disponible J Périodique Erasme - périodiques Périodiques Disponible Model Simulations Challenge Reductionist Research Approaches to Studying Chronic Low Back Pain / Jacek Cholewicki in Journal of Orthopaedic & Sports Physical Therapy, vol. 49, 6 (Juin 2019)
[article]
in Journal of Orthopaedic & Sports Physical Therapy > vol. 49, 6 (Juin 2019) . - p. 477-481
Titre : Model Simulations Challenge Reductionist Research Approaches to Studying Chronic Low Back Pain Type de document : article de périodique Auteurs : Jacek Cholewicki ; [et al.], Auteur Année de publication : 2019 Article en page(s) : p. 477-481 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]Essai clinique
[Thésaurus Mesh]Facteurs de risque
[Thésaurus Mesh]LombalgieRésumé : Background
Traditionally, low back pain (LBP) is studied using a reductionist approach, in which the factors contributing to the clinical presentation of LBP are studied in isolation to identify the primary pathology or condition linked to LBP. We argue that reductionism may not be suitable for studying LBP, considering the complex, multifactorial nature of this condition.
Objectives
To quantify the likelihood of successfully subclassifying patients with LBP and effectively targeting treatment based on a single dominant factor contributing to LBP.
Methods
Both analytical and numerical simulations (Monte Carlo) of 1 million patients with LBP were performed. Several factors contributing to LBP were randomly assigned to each individual. The following outcome measures were computed, as a function of the number of factors: the percentage of individuals who could be subclassified by identifying a single factor exceeding a certain threshold, and the average reduction in LBP when treatment eliminates the largest contributing factor versus a multimodal treatment that eliminates a number of the randomly selected factors.
Results
With an increasing number of factors, the probability of subclassifying an individual to a subgroup based on a single factor tends toward zero. A multimodal treatment arbitrarily addressing any 2 or more factors was more effective than diagnosing and treating a single factor that maximally contributed to LBP.
Conclusion
Results suggest that reductionism is not appropriate for subclassifying patients with LBP or for targeting treatment. The use of reductionist approaches may explain some of the challenges when creating LBP classification systems and designing effective treatment interventions.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité J Périodique Erasme - périodiques Périodiques Disponible J Périodique Erasme - périodiques Périodiques Disponible Time to Reflect on the Role of Motor Control in Low Back Pain / Paul Hodges in Journal of Orthopaedic & Sports Physical Therapy, vol. 49, 6 (Juin 2019)
[article]
in Journal of Orthopaedic & Sports Physical Therapy > vol. 49, 6 (Juin 2019) . - p. 367-369
Titre : Time to Reflect on the Role of Motor Control in Low Back Pain Type de document : article de périodique Auteurs : Paul Hodges ; Jaap Van Dieën ; Jacek Cholewicki Année de publication : 2019 Article en page(s) : p. 367-369 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]Lombalgie
[Thésaurus Mesh]Performance psychomotriceRésumé : The articles in this special issue on low back pain are the outcome of work undertaken by a series of working parties established during the meeting, “State-of-the-Art in Motor Control and Low Back Pain: International Clinical and Research Expert Forum,” held in Chicago in October 2015. This multidisciplinary meeting provided an opportunity for discussion of key issues that interconnect motor control, pain, and the spine. What started as a relatively straightforward objective to summarize the field subsequently developed into an extensive process of literature review and discussion that culminated in the commentaries and articles presented in this special issue. We hope that the up-to-date information and in-depth insights into pain, motor control, and rehabilitation provide novel insights and a clear trajectory for future work and form the foundation for ongoing lively discussion. Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité J Périodique Erasme - périodiques Périodiques Disponible J Périodique Erasme - périodiques Périodiques Disponible