TY  - JOUR
A1  - Kaiser, Moritz
A1  - Brambrink, Sara
A1  - Benditz, Achim
A1  - Achenbach, Leonard
A1  - Gehentges, Matthias
A1  - König, Matthias Alexander
T1  - Increase in lower limb strength after multimodal pain management in patients with low back pain
JF  - Medicina
N2  - Background and Objectives: The aim of the present study was to evaluate the efficacy of a multimodal pain therapy (MPM) regarding the objective parameter muscle strength of segment-dependent lower limb muscle groups before and after such a treatment. Materials and Methods: 52 patients with a history of low back pain and/or leg pain received standardized multimodal pain management. Strength of segment indicating lower limb muscles were assessed for each patient before and after ten days of treatment by handheld dynamometry. Results: Overall strength increased significantly from 23.6 kg ± 6.6 prior to treatment to 25.4 ± 7.3 after treatment, p ≤ 0.001. All muscle groups significantly increased in strength with exception of great toe extensors. Conclusions: Despite lower basic strength values at the beginning of treatment, all investigated muscle groups, except for the great toe extensors, showed a significant increase of overall strength after completion of the multimodal pain management concept. Increased overall strength could help with avoiding further need of medical care by supporting patients’ autonomy in daily life activities, as well as maintaining working abilities. Thus, our study is the first to show a significant positive influence on lower limb strength in patients with low back pain after a conservative MPM program.
KW  - multimodal pain management
KW  - low back pain
KW  - muscle strength
KW  - dynamometer
Y1  - 2022
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-284264
SN  - 1648-9144
VL  - 58
IS  - 7
ER  -