Use of real-time biomechanical biofeedback to retrain posture and reduce pain: a randomized controlled trial

Paper


Josey, Lorraine, Broome, Kieran and Gray, Marion. 2015. "Use of real-time biomechanical biofeedback to retrain posture and reduce pain: a randomized controlled trial." Occupational Therapy Australia 26th National Conference and Exhibition. Melbourne, Australia 01 - 03 Jul 2015 Australia. https://doi.org/10.1111/1440-1630.12212_1
Paper/Presentation Title

Use of real-time biomechanical biofeedback to retrain posture and reduce pain: a randomized controlled trial

Presentation TypePaper
AuthorsJosey, Lorraine (Author), Broome, Kieran (Author) and Gray, Marion (Author)
Journal or Proceedings TitleAustralian Occupational Therapy Journal, v. 62
Journal Citation62 (Suppl 1), p. 80
Number of Pages1
Year2015
Place of PublicationAustralia
Digital Object Identifier (DOI)https://doi.org/10.1111/1440-1630.12212_1
Web Address (URL) of Paperhttps://onlinelibrary.wiley.com/doi/10.1111/1440-1630.12212_1
Conference/EventOccupational Therapy Australia 26th National Conference and Exhibition
Event Details
Occupational Therapy Australia 26th National Conference and Exhibition
Parent
Conference on Occupational Therapy Australia
Delivery
In person
Event Date
01 to end of 03 Jul 2015
Event Location
Melbourne, Australia
Abstract

Introduction: Although posture is a known contributor to musculoskeletal pain, existing efforts to improve posture and reduce pain have achieved mixed results. Emerging evidence suggests that biomechanical biofeedback has potential for retraining posture but its use has not been tested widely.

Objectives: This project aims to evaluate the effectiveness of real-time, biomechanical biofeedback to retrain spinal posture and reduce musculoskeletal pain in computer users.

Methods: 42 computer-users with pain were assessed, matched to pairs and randomly allocated to one of two, three-week equivalent intensity interventions. One group received a workplace-based postural education program. The other group received a real-time, biomechanically-based, postural biofeedback program utilizing the BackTone â biofeedback device. Pain, in-task postural angles and opinions about posture were measured using Visual Analogue Scales and lateral marker imaging. Participants were evaluated at baseline (T0), end of intervention (T1) and 12 weeks follow-up (T2).

Results: The biofeedback group achieved improvements in upper-thoracic and cervical spine angles at T1 (P = 0.034, P = 0.018) and the improvements persisted at T2 (P = 0.041, P = 0.020). The education group achieved improvement in upper-thoracic angle at T1 (P = 0.008), but the improvement did not persist at T2. There was no improvement in education group cervical angles. Average biofeedback group pain improvement (63%, SD = 55.95%) was greater than average education group pain improvement (35.6%, SD = 38.6%) at T1 (P = 0.022) and at T2 (BF 78.1% SD = 57.6%; ED 40.3% SD = 50.5%) (P = 0.048). Conclusion: Use of real-time biomechanical biofeedback will enhance outcomes for treatment of computer-users with musculoskeletal pain.

Keywordsmusculoskeletal pain, biomechanical biofeedback, spinal posture, computer users, clinical sciences, public health; health services
ANZSRC Field of Research 2020320299. Clinical sciences not elsewhere classified
420699. Public health not elsewhere classified
Public Notes

Abstract #0183.

Byline AffiliationsUniversity of the Sunshine Coast
Institution of OriginUniversity of Southern Queensland
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