The Performance Matrix

Single case study in Sport & Medicine

14th February 2012

Cognitive functional therapy intervention including biofeedback for LBP during cycling in Sport & Medicine October 2011 (4) 20 – 25

W. Van Hoof, K. volkaeris, K O’Sullivan, S. Verschueren, W. Dankaerts


Low back pain [LBP] is a common problem among cyclists. However, the efficacy of a specific rehabilitation approach for reducing LBP during cycling has not been evaluated. In this case study, a cognitive functional therapy [CFT] intervention including biofeedback was used to modify lumbo-pelvic posture and to reduce LBP during cycling. The cyclist had a clear “Flexion Pattern” LBP disorder and completed a two-hour outdoor cycling task before and after the CFT intervention. Lumbo-pelvic posture was measured using a wireless monitoring system [BodyGuardTM]. The numerical pain rating scale was used to measure the level of pain. The CFT intervention was provided over a one-month period. The use of CFT including biofeedback significantly reduced lumbo-pelvic flexion and the LBP reported during cycling [p=0.01]. The results from this case study suggest that a specific CFT intervention including biofeedback on lumbo-pelvic posture could be a useful rehabilitation strategy for reducing LBP in this subgroup of cyclists.

Sports & Medicine, the Flemish / Dutch Journal of sports medicine and sports science is a publication of the Flemish Society for Sports Medicine (VVS) and the Dutch Society for Sports Medicine (VSG).

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