TY - JOUR
T1 - Can biomechanics research lead to more effective treatment of low back pain? A point-counterpoint debate
AU - Cholewicki, Jacek
AU - Breen, Alan
AU - Popovich, John M.
AU - Peter Reeves, N.
AU - Sahrmann, Shirley A.
AU - Van Dillen, Linda R.
AU - Vleeming, Andry
AU - Hodges, Paul W.
N1 - Funding Information:
1Center for Orthopedic Research, Michigan State University, Lansing, MI. 2Department of Osteopathic Surgical Specialties, Michigan State University, East Lansing, MI. 3Faculty of Science and Technology, Bournemouth University, Poole, United Kingdom. 4Sumaq Life LLC, East Lansing, MI. 5Program in Physical Therapy, Washington University School of Medicine, St Louis, MO. 6Department of Orthopaedic Surgery, Washington University School of Medicine, St Louis, MO. 7Department of Anatomy, College of Osteopathic Medicine, University of New England, Biddeford, ME. 8Department of Rehabilitation Sciences, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium. 9Clinical Centre for Research Excellence in Spinal Pain, Injury and Health, School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia. Drs Cholewicki, Reeves, and Popovich, Jr. were partially supported by National Center for Complementary and Integrative Health grant U19AT006057-01A1 from the US National Institutes of Health. Dr Reeves is the founder and president of Sumaq Life LLC. Dr Breen’s work is supported by the European Academy of Chiropractic, the UK Chiropractic Research Council, and the UK National Institute for Health Research. Dr Sahrmann receives book royalties from Elsevier. She receives honoraria, and her travel costs are reimbursed for teaching continuing education programs. Dr van Dillen was supported, in part, by funding from the National Center for Medical Rehabilitation Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, US National Institutes of Health (grant R01 HD047709). Dr Hodges receives book royalties from Elsevier. Professional and scientific bodies have reimbursed him for travel costs related to presentation of research on pain, motor control, and exercise therapy at scientific conferences/symposia. He has received fees for teaching practical courses on motor control training. He is also supported by a Senior Principal Research Fellowship from the National Health and Medical Research Council of Australia (APP1102905). The authors certify that they have no affiliations with or financial involvement in any organization or entity with a direct financial interest in the subject matter or materials discussed in the article. Address correspondence to Dr Jacek Cholewicki, Center for Orthopedic Research, Michigan State University, McLaren Orthopedic Hospital, 2727 South Pennsylvania Avenue, Lansing, MI 48910. E-mail: cholewic@msu.edu UUCopyright ©2019 Journal of Orthopaedic & Sports Physical Therapy®
Funding Information:
body of research was based, “State-of-the-Art in Motor Control and Low Back Pain: International Clinical and Research Expert Forum,” was supported by the National Health and Medical Research Council of Australia, in collaboration with the North American Spine Society. The forum was chaired by Dr Paul Hodges.
Publisher Copyright:
Copyright © 2019 Journal of Orthopaedic & Sports Physical Therapy®
PY - 2019/6
Y1 - 2019/6
N2 - 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.
AB - 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.
KW - Biomechanics
KW - Low back pain
KW - Lumbar spine
UR - http://www.scopus.com/inward/record.url?scp=85066434650&partnerID=8YFLogxK
U2 - 10.2519/jospt.2019.8825
DO - 10.2519/jospt.2019.8825
M3 - Review article
C2 - 31092123
AN - SCOPUS:85066434650
SN - 0190-6011
VL - 49
SP - 425
EP - 436
JO - Journal of Orthopaedic and Sports Physical Therapy
JF - Journal of Orthopaedic and Sports Physical Therapy
IS - 6
ER -