{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T22:09:08Z","timestamp":1792534148115,"version":"4.5.0"},"reference-count":41,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2016,10,28]],"date-time":"2016-10-28T00:00:00Z","timestamp":1477612800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Musculoskeletal Care"],"published-print":{"date-parts":[[2017,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The role of exercise therapy in improving pain\u2010related clinical outcomes and trunk muscle activity in patients with chronic low back pain (CLBP) has been widely reported. There is little information on the effect of proprioceptive neuromuscular facilitation (PNF) training in patients with CLBP. The purpose of the present study was therefore to investigate the persistence of the effects of PNF training on pain intensity, functional disability, patient satisfaction, health\u2010related quality of life (HRQOL) and lower back muscle activity in patients with CLBP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Forty\u2010two participants with CLBP were randomly assigned either to 4\u2010week PNF training or to a control group receiving a Low back pain educational booklet. Pain\u2010related outcomes, including pain intensity, functional disability, patient satisfaction, HRQOL and lumbar erector spinae (LES) muscle activity, were measured before and after the intervention, and at a follow\u2010up session 12\u00a0weeks after the last intervention session.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Compared with the control group, after undergoing a 4\u2010week PNF training intervention, participants showed a significant reduction in pain intensity and functional disability, and improved patient satisfaction and HRQOL (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.01). These effects were still significant at the 12\u2010week follow\u2010up assessment (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.01). LES muscle activity in the PNF training group was significantly increased throughout the measurement periods compared with controls (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The study found that 4\u2010week PNF training has positive long\u2010term effects on pain\u2010related outcomes, and increases lower back muscle activity in patients with CLBP.<\/jats:p><\/jats:sec>","DOI":"10.1002\/msc.1165","type":"journal-article","created":{"date-parts":[[2016,10,28]],"date-time":"2016-10-28T09:49:19Z","timestamp":1477648159000},"page":"218-229","source":"Crossref","is-referenced-by-count":39,"title":["A randomized controlled trial on the long\u2010term effects of proprioceptive neuromuscular facilitation training, on pain\u2010related outcomes and back muscle activity, in patients with chronic low back pain"],"prefix":"10.1002","volume":"15","author":[{"given":"Pattanasin","family":"Areeudomwong","sequence":"first","affiliation":[{"name":"Department of Physical Therapy, School of Health Science Mae Fah Luang University  Chiang Rai Thailand"},{"name":"Research Center of Back, Neck, Other Joint Pain and Human Performance Khon Kaen University  Khon Kaen Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Witchayut","family":"Wongrat","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, School of Health Science Mae Fah Luang University  Chiang Rai Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nertnapa","family":"Neammesri","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, School of Health Science Mae Fah Luang University  Chiang Rai Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thanaporn","family":"Thongsakul","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, School of Health Science Mae Fah Luang University  Chiang Rai Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,10,28]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-34988-1"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)60610-7"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0031-9406(05)60579-2"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200012150-00003"},{"issue":"2","key":"e_1_2_7_6_1","first-page":"431","article-title":"Minimal clinically important difference. 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