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Dr Amir Letafatkar, Faranak Amini, Bahram Sheikhi,
Volume 22, Issue 27 (8-2024)
Abstract

Introduction: The aim of this study was to compare the effectiveness of a combination of pain neuroscience education and targeted cognitive motor control training with targeted cognitive motor control training alone in patients with chronic low back pain.
Materials and Methods: Fifty-four chronic low back pain patients (pain neuroscience education with targeted cognitive motor control training group, n=27 and targeted cognitive motor control training only group, n=27) participated in this study. Pain, disability, central sensitization inventory, and kinesiophobia were assessed at baseline and eight weeks after interventions. Repeated measures analysis of variance and linear mixed models were used to examine between-group differences.
Results: A significant group×time interaction effect was found for pain (p=0.008), central sensitization inventory (p=0.002) and kinesiophobia (p<0.001) in the pain neuroscience education with targeted cognitive motor control training group compared to the targeted cognitive motor control training only group after eight weeks. Main effects of time were observed for pain, disability, and fear of movement after interventions (p<0.001). No significant group×time interaction effects was found for disability (p=0.50).
Conclusions: This study’s findings support the provision of pain neuroscience education as a clinically effective addition to targeted cognitive motor control training in chronic low back pain patients.

 
Saeed Arsham,
Volume 22, Issue 27 (8-2024)
Abstract

This study aimed to determine the underlying mechanisms of age-related differences in postural control of 7-18 years old girls by determining the differences between different age groups and adults in their sensory preferences for compensatory responses. 118 non-athlete girls aged 7 to 18 were selected by available sampling and divided into four age groups: 7-9 (n=31), 10-12 (n=32), 13-15 (n=28), and 16-18 (n=27). A reference group of adults (n=28, Mean= 27.9 years) was examined for comparison. Sensory organization test (SOT) with computerized dynamic posturography was used to manipulate sensory inputs. One-way analysis of variance and Tukey post hoc test showed a significant difference between all age groups in 6 test conditions (P<0.05). The use of somatosensory and vestibular sensory inputs to maintain balance was almost the same in different age groups, but significant differences were observed in the use of visual inputs. From the age of 13, the postural control performance of girls becomes similar to that of adults, which can be due to the delayed development of the visual system. In general, it seems that for perfect postural control, first the somatosensory sensory system and then the vestibular and visual systems mature.
 


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