Prentice, C., Milanese, S., Massy-Westropp, N., and Flavell, C. (2023) Exercise for improving lateral abdominal muscle impairments: a feasibility study protocol. In: IGNITE 2023 Abstract Book. p. 456. From: Ignite 2023 Physiotherapy Conference, 5-7 October 2023, Brisbane, QLD, Australia.

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Abstract

Aim: To outline a research protocol to evaluate feasibility of an exercise framework designed to improve lateral abdominal muscle impairments.

Design: Feasibility study protocol developed from reviews, clinical practice guidelines, and a Delphi study consulting expert clinicians.

Method: Persistent lower back pain participants with lateral abdominal muscle impairments will be randomised to an intervention or active control group. Both groups will complete a clinically reasoned individualised 12-week exercise rehabilitation intervention. This will be prescribed by a physiotherapist based on a recently developed framework using a combined motor control, resistance, and cardiovascular focus. Additionally, the intervention group will incorporate individual participants’ activity preferences into their prescription.

Results: The primary feasibility outcomes will consider recruitment rates, attrition, compliance and satisfaction with the program (using a survey and semi-structured interviews). Secondary outcomes will consider the program’s effect on lateral abdominal muscle thickness and activation (ultrasound imaging, pressure biofeedback, deep muscle contraction scale, muscle endurance test battery), pain (numeric rating scale), disability (Roland Morris disability questionnaire), physical activity (International physical activity questionnaire short form), function (pain specific functional scale) and lumbar instability (lumbar instability questionnaire).

Conclusion: This study will provide preliminary insights into the effect of patient activity preference on prescribed physiotherapy and will inform the feasibility of conducting a large scale randomised controlled trial.

Key practice points: • Current evidence indicates therapeutic exercise should incorporate patient preferences • This study will test patient satisfaction and compliance with incorporating patient preferred exercise • A protocol for individualising exercise for patients with lateral abdominal muscle is described

Item ID:	81019
Item Type:	Conference Item (Poster)
Related URLs:	Organisation
Funders:	University of Adelaide
Date Deposited:	15 Nov 2023 00:24
FoR Codes:	42 HEALTH SCIENCES > 4201 Allied health and rehabilitation science > 420106 Physiotherapy @ 100%
SEO Codes:	20 HEALTH > 2001 Clinical health > 200105 Treatment of human diseases and conditions @ 100%
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