Effects of whole-body electromyostimulation on chronic nonspecific low back pain in adults : a randomized controlled study
|Title translated into German:||Auswirkungen der Ganzkörper-Elektromyostimulation auf chronische unspezifische Schmerzen im unteren Rückenbereich bei Erwachsenen : eine randomisierte kontrollierte Studie|
|Author:||Weissenfels, Anja; Teschler, Marc; Willert, Sebastian; Hettchen, Michael; Fröhlich, Michael; Kleinöder, Heinz; Kohl, Matthias; Stengel, Simon von; Kemmler, Wolfgang|
|Published in:||Journal of pain research|
|Published:||11 (2018), S. 1949-1957, Lit.|
|Format:||Publications (Database SPOLIT)|
|Publication Type:||Journal article|
|Media type:||Electronic resource (online)|
Purpose: Low back pain (LBP) is one of the most frequent chronic conditions worldwide. Data from a recent meta-analysis indicated that whole-body electromyostimulation (WB-EMS), a time-effective, joint–friendly, and highly individualized training technology, demonstrated promising effects on LBP; however, methodologic limitations prevent definitive evidence for this result. Thus, the aim of this study was to conduct a randomized controlled WB-EMS trial to determine the corresponding effect on chronic, nonspecific LBP in people with chronic LBP.
Patients and methods: Thirty LBP patients, 40–70 years old, were randomly assigned into two groups (WB-EMS: 15; control [CG]: 15). While the nonactive CG maintained their lifestyle, the WB-EMS group completed a 12-week WB-EMS protocol (1×20 min/week) with slight movements, specifically dedicated to LBP. Pain intensity and frequency were determined by a 4-week pain diary before and during the last 4 weeks of intervention. Primary study endpoint was average pain intensity at the lumbar spine.
Results: At baseline, no group differences apart from nonregular exercise were observed. Mean intensity of LBP decreased significantly in the WB-EMS group (P=0.002) and remained unchanged in the CG (P=0.730), with a significant difference between both groups (P=0.027). Maximum isometric trunk extensors improved significantly in the WB-EMS group (P=0.005), while no significant difference was seen in the CG (P=0.683). In contrast to the significant difference between WB-EMS group and CG for the latter parameter (P=0.038), no intergroup difference was determined for maximum isometric trunk flexors (P=0.091). The WB-EMS group showed a significant increase of this parameter (P=0.003), while no significant change was determined in the CG (P=0.563).
Conclusion: WB-EMS is a time-effective training method for reducing chronic nonspecific LBP and increasing maximum trunk strength in people with such complaints. After this promising comparison with a nonactive CG, research needs to be extended to include comparisons with active groups (WB-Vibration, conventional back strengthening).