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Vordagskrá Fræðslunefndar: Paul Hodges: Training motor control in low back pain: Which patients, when and how?
Hádegisfyrirlestur
Föstudaginn 5. mars nk, á þeim degi sem hefði verið Dagur sjúkraþjálfunar, mun Paul Hodges halda 45-60 mín hádegisfyrirlestur fyrir félagsmenn í Félagi sjúkraþjálfara.
Fyrirlesturinn hefst kl. 12:00 og það er tilvalið tækifæri fyrir vinnustaði að koma saman eins og hægt er, jafnvel snæða hádegismat saman og fylgjast með þessum hádegisfyrirlestri
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Training motor control in low back pain: Which patients, when and how?
Professor Paul Hodges, PhD MedDr DSc BPhty(Hons) FACP FAHMS FQA FAA
School of Health and Rehabilitation Sciences, The University of Queensland,
Australia
People in pain move differently. Training motor control for people with low back pain has been shown to be effective but is more helpful for some patients than others.
The mechanisms that underpin the changes in the movement system in pain are critical to consider and are beginning to be understood. Recent work highlights extensive rewiring (neuroplasticity) at multiple sites in the nervous system from the sensory and motor regions of the cortex to spinal cord circuitry, in the presence of pain and/or injury. Changes in people with low back pain can also involve changes in the health of the spinal muscles (atrophy, fat infiltration and fibrosis) as a consequence of neural effects, immune system response and disuse. Intervention must be personalised for each patient and targeted to the mechanisms that are present in that patient. The mechanisms will influence selection of the type of exercise, dose and target. It is also critical to consider the possible pain mechanisms involved to determine what intervention is most appropriate. It is critical to consider which patients benefit from motor control exercise, when is it likely to be helpful and how should it be applied.
