PT  - JOURNAL ARTICLE
AU  - Leo Ng
AU  - J P Cañeiro
AU  - Amity Campbell
AU  - Anne Smith
AU  - Angus Burnett
AU  - Peter O'Sullivan
TI  - Cognitive functional approach to manage low back pain in male adolescent rowers: a randomised controlled trial
AID  - 10.1136/bjsports-2014-093984
DP  - 2015 Sep 01
TA  - British Journal of Sports Medicine
PG  - 1125--1131
VI  - 49
IP  - 17
4099  - http://bjsm.bmj.com/content/49/17/1125.short
4100  - http://bjsm.bmj.com/content/49/17/1125.full
SO  - Br J Sports Med2015 Sep 01; 49
AB  - Background Low back pain (LBP) is prevalent among adolescent rowers. This study evaluated the efficacy of a cognitive functional approach to reduce LBP in this population. Methods Thirty-six adolescent male rowers reporting LBP participated. Nineteen were randomly allocated to the intervention group to receive a cognitive functional approach targeting cognitions, movement patterns, conditioning and lifestyle factors relevant to each rower for 8 weeks. The active control group (n=17) received usual care from their coaches (rowing skills and conditioning exercises). The primary outcome of the study was pain intensity as measured by the Numeric Pain Rating Scale during a 15 min ergometer trial preintervention and postintervention. Disability (Patient Specific Functional Scale and Roland Morris Disability Questionnaire) was measured preintervention/postintervention and at 12 weeks follow-up. Isometric muscle endurance of the back extensors and lower limb muscles, usual sitting posture and regional lumbar kinematic data during a 15 min ergometer row were measured preintervention/postintervention. Results Compared with the control group, the intervention group reported significantly less pain during ergometer rowing (Numeric Pain Rating Scale −2.4, p=0.008) and reduced disability (Patient Specific Functional Scale (4.1, p=0.01); Roland Morris Disability Questionnaire (−1.7, p=0.003)) following the intervention, and at 12 weeks follow-up. They also demonstrated greater lower limb muscle endurance (20.9 s, p=0.03) and postured their lower lumbar spine in greater extension during static sitting (−9.6°, p=0.007). No significant differences were reported in back muscle endurance and regional lumbar kinematics during ergometer rowing. Conclusion Cognitive functional approach was more effective than usual care in reducing pain and disability in adolescent male rowers. Clinical Trial Registry Number Australian and New Zealand Clinical Trial Registry Number 12609000565246.