Highlights
- •Low back pain continues to be a major cost and disability burden on the medical community.
- •Artificial intelligence guided exercise improved function and outcomes in low back pain patients.
- •Control patients failed to exhibit improvements over the 8-week period.
- •Artificial intelligence guided exercise offers a supplement to clinical care for low back pain.
Abstract
Background
Low back pain is an extremely prevalent issue with an extensive impact, ranging from
decreased quality of life to lost years of productivity. Many interventions have been
developed to alleviate chronic lower back pain, yet it remains a widespread problem.
The objective of this study was to examine the role of artificial intelligence guided
resistance training relative to clinical variables in subjects experiencing lower
back pain.
Methods
69 out of 108 enrolled and 92 accrued subjects completed the 8-week intervention.
Subjects were randomized into four groups (Control, Training, Clinical, or Combined).
The Training cohort received supervised artificial-intelligence-guided core-focused
resistance training while the Clinical group received clinical care. The Combined
group received both clinical care and artificial-intelligence-guided training and
the Control group received no treatment. Participants were evaluated using functional
testing and patient-reported outcomes at baseline, 4 weeks, and 8 weeks.
Findings
In the clinical tests, the Clinical and Combined cohorts showed increased total time
for isometric extensor endurance and the Clinical cohort increased total distance
traveled in the 6-min walk test at 8 weeks. The Training, Clinical, and Combined groups
showed improvements in Patient-reported outcomes after 8 weeks. Most of the significant
improvements were only seen at the 8-week evaluation for both the clinical evaluations
and Patient-reported outcomes. The Control group did not show significant improvements
in any outcome measures.
Interpretation
The present data indicate that core-focused interventions, including artificial-intelligence-guided
moderate-resistance exercise, can increase objective functional outcomes and patient
satisfaction using Patient-reported outcomes in individuals with lower back pain.
Keywords
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Article info
Publication history
Published online: February 15, 2023
Accepted:
January 30,
2023
Received:
July 28,
2022
Identification
Copyright
© 2023 Elsevier Ltd. All rights reserved.