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 - 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 -