title: A rationale for the provision of extrinsic feedback towards management of low back pain.
abstract: Low back pain (LBP) is associated with dysfunction of global and local muscle systems, feedback and feedforward postural control mechanisms. Physiotherapists include the use of feedback as part of treatment protocols. Such feedback can focus on a variety of neuromuscular impairments, although the literature related to feedback on the management of LBP has focused mainly on local muscle system impairments. Furthermore, there are various characteristics of feedback that can lead to motor control enhancement or deterioration. The aim of this manuscript is to present a rationale for feedback provision as a rehabilitation tool on the management of LBP. Feedback provision should focus on the main neuromuscular impairment presented by the patient. The suggested rationale describes decision-making stages for the use and progress of feedback interventions. Local muscle system impairment might benefit more from parameter feedback provision, while global muscle system and feedback mechanism impairments may benefit better from program feedback. The described rationale has the potential to help clinicians select the appropriate feedback for the treatment of their patients. Additionally, the presented rationale could be used by researchers to assess how different forms of feedback provision impact on clinical outcomes.
authors.affiliation: Centre for Physiotherapy Research, School of Physiotherapy, University of Otago, 325 Great King Street, PO Box 56, Dunedin 9016, New Zealand. daniel.cury.ribeiro@gmail.com
authors.forename: Daniel Cury
authors.initials: DC
authors.lastname: Ribeiro
authors.forename: Gisela
authors.initials: G
authors.lastname: Sole
authors.forename: J Haxby
authors.initials: JH
authors.lastname: Abbott
authors.forename: Stephan
authors.initials: S
authors.lastname: Milosavljevic
mesh_terms: D002908:Chronic Disease; D005246:Feedback; D005260:Female; D006801:Humans; D017116:Low Back Pain / Q000175:diagnosis* / Q000534:rehabilitation*; D008297:Male; D026201:Musculoskeletal Manipulations / Q000379:methods; D010147:Pain Measurement; D005791:Patient Care / Q000379:methods; D026741:Physical Therapy Modalities; D012720:Severity of Illness Index; D016896:Treatment Outcome