The influence of a 4-week treadmill training using unstable shoes in patients with low back pain

Stegen, Cordula Mareike; Schelldorfer, Sarah; Bauer, Christoph; Kool, Jan

Publication type:	Conference other
Type of review:	Not specified
Title:	The influence of a 4-week treadmill training using unstable shoes in patients with low back pain
Authors:	Stegen, Cordula Mareike Schelldorfer, Sarah Bauer, Christoph Kool, Jan
Proceedings:	Book of Abstracts of the 17th Annual Congress of the European College of Sport Science
Conference details:	17th Annual Congress of the European College of Sport Science (ECSS), Bruges, Belgium, 4-7 July 2012
Issue Date:	Jul-2012
Publisher / Ed. Institution:	European College of Sport Science
ISBN:	978-90902686-8-2
Language:	English
Subjects:	Low back pain; Unstable shoes; Treadmill training
Subject (DDC):	615.82: Physical therapy 617.5: Orthopaedic surgery
Abstract:	Introduction: Low back pain (LBP) is one of the major health and socio-economic problems in western countries (Hoy et al. 2010/12), generating an enormous amount of direct and indirect costs for health care systems (Hoy et al. 2010/4). The working-age population is frequently affected. Lifetime prevalence is between 60-80% (Krismer and Tulder 2007). Unstable shoes, such as MBT shoes, claim to have the potential to stimulate muscle activity. LBP reduction after wearing MBT shoes was shown in a study with golf players suffering from LBP (Nigg et al. 2009). The purpose of this study was to investigate the effect on pain and disability of a four week treadmill training comparing jogging in unstable shoes and sport shoes in patients with LBP. Methods: A randomized controlled trial in 22 patients suffering from LBP was conducted. Subjects were randomly assigned to two training groups. Both groups received the same supervised treadmill training sessions, two times a week for four weeks. One group wore unstable shoes during the training, as well as during daily activities; the other group performed the training with normal sport shoes. Outcomes were disability (Roland Morris Questionnaire, RM) and individual main complaints (patient specific functional scale, PSFS). We used SPSS 19 and analysed within group differences before and after treatment with the Wilcoxon-test, and between group differences with the Mann-Whitney-U-test. Alpha was set at 0.05. Results: A significant reduction in disability (RM) was shown after the training in both groups. The individual main complaints (PSFS) showed a significant improvement and less pain. Differences between groups were not significant. Discussion: High intensity aerobic training alleviated pain, disability and psychological strain in patients with chronic LBP (Chatzitheodorou et al. 2007). Treadmill training could influence pain reduction in patients with non-specific LBP positively. The non-significant between group differences might be caused by insufficient power in this pilot study. An alternative explanation is that the effect of treadmill training is much stronger than the effect of the unstable shoes. Further investigations are needed to evaluate the effect of wearing unstable shoes on pain reduction in patients with LBP.
URI:	https://digitalcollection.zhaw.ch/handle/11475/8904
Fulltext version:	Published version
License (according to publishing contract):	Licence according to publishing contract
Departement:	School of Health Sciences
Appears in collections:	Publikationen Gesundheit

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Stegen, C. M., Schelldorfer, S., Bauer, C., & Kool, J. (2012, July). The influence of a 4-week treadmill training using unstable shoes in patients with low back pain. Book of Abstracts of the 17th Annual Congress of the European College of Sport Science.

Stegen, C.M. et al. (2012) ‘The influence of a 4-week treadmill training using unstable shoes in patients with low back pain’, in Book of Abstracts of the 17th Annual Congress of the European College of Sport Science. European College of Sport Science.

C. M. Stegen, S. Schelldorfer, C. Bauer, and J. Kool, “The influence of a 4-week treadmill training using unstable shoes in patients with low back pain,” in Book of Abstracts of the 17th Annual Congress of the European College of Sport Science, Jul. 2012.

STEGEN, Cordula Mareike, Sarah SCHELLDORFER, Christoph BAUER und Jan KOOL, 2012. The influence of a 4-week treadmill training using unstable shoes in patients with low back pain. In: Book of Abstracts of the 17th Annual Congress of the European College of Sport Science. Conference presentation. European College of Sport Science. Juli 2012. ISBN 978-90902686-8-2

Stegen, Cordula Mareike, Sarah Schelldorfer, Christoph Bauer, and Jan Kool. 2012. “The Influence of a 4-Week Treadmill Training Using Unstable Shoes in Patients with Low Back Pain.” Conference presentation. In Book of Abstracts of the 17th Annual Congress of the European College of Sport Science. European College of Sport Science.

Stegen, Cordula Mareike, et al. “The Influence of a 4-Week Treadmill Training Using Unstable Shoes in Patients with Low Back Pain.” Book of Abstracts of the 17th Annual Congress of the European College of Sport Science, European College of Sport Science, 2012.