PHYS THER
Vol. 89, No. 12, December 2009, pp. 1287-1289
DOI: 10.2522/ptj.20090218.ic
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Right arrow Injuries and Conditions: Low Back
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Invited Commentary

Julie M. Fritz

J.M. Fritz, PT, PhD, ATC, is Associate Professor, Department of Physical Therapy, University of Utah, Salt Lake City, Utah, and Clinical Outcomes Research Scientist, Intermountain Healthcare, Salt Lake City, Utah.

Address all correspondence to Dr Fritz at: julie.fritz@hsc.utah.edu.


Because this article has no abstract, we have provided an extract of the full text and any section headings.

Motor control exercise has become an increasingly popular approach for physical therapists in the management of low back pain (LBP). The study by Costa and colleagues1 is the latest of several clinical trials examining motor control exercise published since initial descriptions of the treatment approach approximately 15 years ago. As Costa and colleagues observe, their study is the first to compare motor control exercise with a placebo intervention. The selection of a comparison group in a randomized clinical trial examining a new treatment, such as motor control exercise, is critical to the interpretation of the study results. Previous studies that examined motor control exercise used comparison groups of subjects who received alternative treatments (eg, spinal manipulation), surgery, or other forms of exercise, or no treatment (or minimal intervention) controls.2 Costa and colleagues propose that their use of a placebo-control comparison may offer unique insights into the efficacy of motor control . . . [Full Text of this Article]


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D. L. Hart and M. W. Werneke
On "Motor control exercise for chronic low back pain..." Costa LOP, Maher CG, Latimer J, et al. Phys Ther. 2009;89:1275-1286.
Physical Therapy, February 1, 2010; 90(2): 308 - 310.
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L. O.P. Costa, C. G. Maher, J. Latimer, P. W. Hodges, R. D. Herbert, K. M. Refshauge, J. H. McAuley, and M. D. Jennings
Author Response
Physical Therapy, December 1, 2009; 89(12): 1289 - 1291.
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