A total of 24 participants with non-specific chronic low back pain (NSCLBP) sat for 2 h while their seated posture and low back discomfort (LBD) were analysed. A total of 16 pain developers (PDs), whose LBD increased by at least two points on the numeric rating scale, repeated
the procedure 1 week later, while receiving postural biofeedback. PDs were older (p = 0.018), more disabled (p = 0.021) and demonstrated greater postural variability (p < 0.001). The ramping up of LBD was reduced (p = 0.002)
on retesting, when sitting posture was less end-range (p < 0.001), and less variable (p = 0.032). Seated LBD appears to be related with modifiable characteristics such as sitting behaviour. Among people with sitting-related NSCLBP, the ramping up of LBD
was reduced by modifying their sitting behaviour according to their individual clinical presentation. The magnitude of change, while statistically significant, was small and no follow-up of participants was completed. Further research should examine integrating biofeedback into comprehensive
biopsychosocial management strategies for NSCLBP.
Practitioner Summary: The effect of real-time postural biofeedback on LBD was examined among people with LBP. Postural biofeedback matched to the individual clinical presentation significantly reduced LBD within a single session.
Further research should examine the long-term effectiveness of postural biofeedback as an intervention for LBP.
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Document Type: Research Article
Department of Clinical Therapies, University of Limerick, Limerick, Ireland
Department of Design and Manufacturing Technology, University of Limerick, Limerick, Ireland
School of Physiotherapy, Curtin University of Technology, Perth, WA, Australia
Department of Rehabilitation Sciences, University of Leuven, Leuven, Belgium
August 1, 2013
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