1. |
|
|
2. |
-
14th NOLAMP Conference : The 14th Nordic Laser Materials Processing Conference, August 26th – 28th 2013, Gothenburg, Sweden
- 2013
-
Samlingsverk (redaktörskap) (övrigt vetenskapligt/konstnärligt)abstract
- Laser is a key element in obtaining a sustainable economy in Europe. Innovative laser processes will play a significant role in future green manufacturing as they provide a precise, well-controlled and highly effective energy deposition to the workpiece. Future challenges are to increase the spectrum of laser manufacturing technologies in all sectors where the laser can offer innovative product solutions, higher product quality, less environmental impact, higher productivity and in turn cost benefits.The NOLAMP conferences address all aspects of laser materials processing from fundamental science to industrial applications. The first NOLAMP conference took place in Oslo in 1987 in a period of intense development of the laser processes and their industrial applications. The NOLAMP has continued on a biannual cycle ever since, strengthening the Nordic laser community by encouraging knowledge transfer and networking. Now, 26 years later, in the forthcoming 14th NOLAMP, the research and development of processes like laser welding, laser hybrid welding, laser cutting and laser surface treatment is still very important, as well as the development of industrial applications and equipment for laser material processing. This time the NOLAMP Conference will be held in Gothenburg, Sweden. In this highly industrialized region of Sweden and with the close distance to Denmark, Norway and Finland, we hope to attract a strong participation from industry and the scientific community. On behalf of the Nordic laser community and Luleå University of Technology, it is our great pleasure to invite you to the 14th NOLAMP conference.
|
|
3. |
|
|
4. |
|
|
5. |
-
7 koncept för bättre ergonomi
- 2016
-
Samlingsverk (redaktörskap) (populärvet., debatt m.m.)abstract
- Fokus för ergonomi inom teknisk design är att se till att all design, oavsett vilket system det avser, kompletterar människans styrkor och förmågor. Vi ska kort och gott se till att arbetsuppgifter, utrustning, apparater, processer, miljöer och organisationer utformas med människan som utgångspunkt istället för att tvinga människan att anpassa sig med olika former av överbelastning som möjlig påföljd. För att uppnå det som kallas användarvänlighet behöver vi förstå och designa för den variation som vi människor representerar: vi är olika, vi har olika åldrar, storlek, styrka, kognitiv förmåga, tidigare erfarenheter, förväntningar och mål. Att tillämpa ergonomisk design betyder att studera hur människor interagerar med produkter, processer, miljöer och system för att förbättra dem, dvs. göra dem enklare, säkrare, bekvämare och effektivare att använda. För att kunna göra det behöver vi kunskap om människans förutsättningar och behov. Ergonomisk design kan exempelvis innebära: - Att designa produkter och utrustning som är enkla och tillförlitliga att använda med utgångspunkt i kunskap om kognitiv ergonomi, antropometri - och belastningsergonomiska analyser- Att designa säkra och effektiva tillverkningsprocesser med utgångspunkt i kunskap om kognitiv ergonomi och belastningsergonomiska analyser- Att designa organisationer utifrån kunskap om arbetslivsfysiologi och organisationsergonomi- Att designa arbetsuppgifter utifrån kunskap om kognitiv ergonomi, biomekanik och belastningsergonomiska analyserAtt designa enkla och användarvänliga gränssnitt med utgångspunkt i kognitiv ergonomiErgonomisk design av en produkt eller en arbetsmiljö kan exempelvis handla om att se till att produkten, systemet eller miljön inte bidrar till att människan använder kroppen på ett sätt som kan bidra till skador eller sjukskrivning. Det kan handla om att minimera fysisk belastning när en uppgift utförs eller att försäkra att den utförs på ett sätt som inte gör att skador uppstår. Det kan även handla om att se till att sensorisk input från olika system är utformad på ett sätt som upplevs som enkelt för användaren och därmed inte bidrar till mental belastning i form av stress. Det kan även handla om att designa organisationen eller hela produktionssystemet på ett sätt som utgår från användaren: människan i systemet. Med kunskaper om människans behov, preferenser, begränsningar, olikheter, erfarenheter och förmågor som utgångspunkt kan vi designa bättre lösningar. Det i sin tur bidrar till säkrare arbetsmiljöer, färre sjukskrivningar och användarvänligare produkter och system. Med mer kunskap kan vi uppnå att produkter, system och miljöer i vår omvärld fungera väl för människan – det är social och ekonomisk hållbar utveckling. Tvärvetenskap är ett begrepp som syftar på olika kunskaper, metoder och expertis från olika vetenskapsområden samverkar. Kursen Ergonomi II vid Luleå tekniska universitet är just tvärvetenskaplig, eftersom både innehåll och projekt i kursen omfattar kunskaper, metoder och tekniker från designvetenskap, hälsovetenskap och arbetsvetenskap. Lärarna i kursen var våren 2016 Daniel Öhrling som har förmedlat kunskap om design i allmänhet och prototypande som en designmetod i synnerhet, Agneta Larsson som har ansvarat för moment inom arbetslivsfysiologi, Ulrik Röijezon som ansvarat för momenten ergonomiska analyser och mätningar i rörelselabbet och Therese Öhrling som med stor kunskap och vilja att utveckla området ergonomisk design har ansvarat för ergonomi och arbetsvetenskap. I bokens första kapitel ges en inblick i belastningsergonomiska problem för målare. Måleriyrket omfattar många olika moment som ger belastning på handleder, rygg, axlar och nacke. I den inledande förstudien har Fanny Åkertröm och Hani Benjnouh fördjupat sig i målares vardag och därefter utvecklat två individuella koncept som syftar till att lösa de identifierade problemen. Lösningen blev två olika designkoncept som ska bidra till färre belastningsrelaterade sjukdomar. Den andra kontext som behandlas är frisöryrket. Frisörer arbetar ofta i arbetsställningar som kan bidra till belastningsergonomiska problem i nacke, rygg, axlar och handleder. Händerna befinner sig ofta i positioner som ger en hög belastning på kroppen. Gustaf Jörnelius, Linnea Stenman och Viktor Berglund har fördjupat sig i frisörers kontext och sedan utvecklat tre individuella designkoncept som kan bidra till bättre välmående för yrkesgrupppen. Joel Lantz och Christina Trång har tittat närmre på personer som arbetar med varuhantering. Denna yrkeskategori kan innebära belastningsergonomiska problem i och med lyft över huvudhöjd, sneda vinklingar i låga positioner och stäckningar i trånga lägen. Joel och Christina har sedan utvecklat två designkoncept som ska bidra till färre belastningsergonomiska skador.
|
|
6. |
|
|
7. |
|
|
8. |
- A., Trubetskaya, et al.
(författare)
-
The Effect of Wood Composition and Supercritical CO2 Extraction on the Charcoal Production
- 2019
-
Ingår i: 2019 AIChE Annual Meeting proceedings. - : American Institute of Chemical Engineers.
-
Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- This work demonstrated that the coupling of supercritical carbon dioxide extraction with slow pyrolysis is effective to remove over half of extractives from low quality wood and to generate biochar from remaining solid wood fractions. The high yields of extractives from supercritical carbon dioxide extraction illustrates the potential utilizing of low quality wood as an alternative feedstock for the sustainable production of value-added chemicals. Results showed that supercritical carbon dioxide extraction has neither a strong impact on the physical properties of original wood nor on the yield of solid biochar. These results are promising as they show that the biochar obtained for this renewable feedstock could be used as an alternative to fossil-based coke in applications including ferroalloy industries. Moreover, the heat treatment temperature and supercritical carbon dioxide extraction had a significant impact on the tar yields, leading to the increase in naphthalene, polycyclic aromatic hydrocarbons, aromatic and phenolic fractions with the greater temperature. The differences in gasification reactivity and dielectric properties of solid biochars, composition and yields of liquid products of non-treated pinewood and extracted wood fraction emphasize the impact of supercritical carbon dioxide extraction on the pyrolysis process.
|
|
9. |
- Aakjær, Mia, et al.
(författare)
-
Surveillance of Antidepressant Safety (SADS) : Active Signal Detection of Serious Medical Events Following SSRI and SNRI Initiation Using Big Healthcare Data
- 2021
-
Ingår i: Drug Safety. - : Springer. - 0114-5916 .- 1179-1942. ; 44, s. 1215-1230
-
Tidskriftsartikel (refereegranskat)abstract
- Introduction The current process for generating evidence in pharmacovigilance has several limitations, which often lead to delays in the evaluation of drug-associated risks.Objectives In this study, we proposed and tested a near real-time epidemiological surveillance system using sequential, cumulative analyses focusing on the detection and preliminary risk quantification of potential safety signals following initiation of selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs).Methods We emulated an active surveillance system in an historical setting by conducting repeated annual cohort studies using nationwide Danish healthcare data (1996–2016). Outcomes were selected from the European Medicines Agency's Designated Medical Event list, summaries of product characteristics, and the literature. We followed patients for a maximum of 6 months from treatment initiation to the event of interest or censoring. We performed Cox regression analyses adjusted for standard sets of covariates. Potential safety signals were visualized using heat maps and cumulative hazard ratio (HR) plots over time.Results In the total study population, 969,667 new users were included and followed for 461,506 person-years. We detected potential safety signals with incidence rates as low as 0.9 per 10,000 person-years. Having eight different exposure drugs and 51 medical events, we identified 31 unique combinations of potential safety signals with a positive association to the event of interest in the exposed group. We proposed that these signals were designated for further evaluation once they appeared in a prospective setting. In total, 21 (67.7%) of these were not present in the current summaries of product characteristics.Conclusion The study demonstrated the feasibility of performing epidemiological surveillance using sequential, cumulative analyses. Larger populations are needed to evaluate rare events and infrequently used antidepressants.
|
|
10. |
- Aalipour, Mojgan
(författare)
-
Human Factors Approach for Maintenance Improvement
- 2015
-
Licentiatavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The purpose of this research work is to explore and describe human factors affectingmaintenance execution. To achieve the purpose of this study, the influencing factors have been identified using a literature survey. They have been categorized into four main groups namely organizational, workplace, job and individual factors. The Analytical Hierarchy Process (AHP) method is employed on data questionnaires to rank the priority of the factors. The interrelationships between these factors have been recognized by theInterpretive Structural Modelling (ISM) model. In the present case studies, MICMAC1analysis technique is also implemented for identifying the driving, dependent, linkage and autonomous factors. The data was collected through a questionnaire survey involving the participation of 16 and 25 maintenance staff and 10 mining experts in Swedish and Iranian mines, respectively. Within the study, it has been identified that the temperature, work layout, tools design and tools availability are the most important factors in both mines related to these categories. However, the significant factors in the organizational and individual categories are different in the selected mines. The effect of workplace factors on the maintainability of mining equipment is discussed and thereafter a methodology for maintainability management in the design and operation phases is developed. In the thirdcase study HEART2 is applied to estimate the probability of human error occurring duringmaintenance execution in an Iranian cable company. This research supports maintenance management to gain knowledge of human factors that affect maintenance execution. Further, this understanding could be useful in the development of strategies to improve the execution of maintenance.Keywords: Human Factors, Maintenance Management, Human Reliability, HumanPerformance, AHP, ISM, MICMAC, HEART
|
|
11. |
- Aalipour, Mojgan, et al.
(författare)
-
Human reliability assessment (HRA) in maintenance of production process : a case study
- 2016
-
Ingår i: International Journal of Systems Assurance Engineering and Management. - : Springer Science and Business Media LLC. - 0975-6809 .- 0976-4348. ; 7:2, s. 229-238
-
Tidskriftsartikel (refereegranskat)abstract
- Human reliability makes a considerable contribution to the maintenance performance, safety, and cost-efficiency of any production process. To improve human reliability, the causes of human errors should be identified and the probability of human errors should be quantified. Analysis of human error is very case-specific; the context of the field should be taken into account. The aim of this study is to identify the causes of human errors and improve human reliability in maintenance activities in the cable manufacturing industry. The central thrust of this paper is to employ the three most common HRA techniques—human error assessment and reduction technique, standardized plant analysis risk-human reliability, and Bayesian network—for estimating human error probabilities and then to check the consistency of the results obtained. The case study results demonstrated that the main causes of human error during maintenance activities are time pressure, lack of experience, and poor procedure. Moreover, the probabilities of human error, obtained by employing the three techniques, are similar and consistent
|
|
12. |
- Aalipour, Mojgan, et al.
(författare)
-
Identification of Factors affecting Human performance in Mining Maintenance tasks
- 2014
-
Ingår i: Proceedings of the 3rd international workshop and congress on eMaintenance. - Luleå : Luleå tekniska universitet. - 9789174399721 - 9789174399738 ; , s. 71-76
-
Konferensbidrag (refereegranskat)abstract
- This paper investigates the factors affecting humanperformance in maintenance task in mining sector. Theobjective is identify various factors and to classify them asdriving (strong driving power and weak dependence) anddependent factors (weak driving power and strongdependence). The factors were identified through literaturesurvey and are ranked using mean score of data questionnaire.The reliability of measures is pretested by applyingCronbach’s alpha coefficient to responses to a questionnairegiven to maintenance personnel. The interrelationshipsbetween human factors have been recognized by interpretivestructural modeling (ISM). Further, these factors have beenclassified using matrice d'impacts croises-multiplicationappliqué à un classement (MICMAC) analysing. This casestudy will figure out the factors affecting human performancefor deriving maintenance management insights to improveproductivity in the mining sector. Further, this understandingmay be helpful in framing the policies and strategies formining industry. Temperature, lighting, documentation,communication and fitness are driving factors. Moreover,Work layout, tools availability, complex tasks, time pressure,safety, boss decisions, training, fatigue and motivation havestrong driving power as well as high dependencies and itcomes under the category of linkage factors.
|
|
13. |
- Aalipour, Mojgan, et al.
(författare)
-
Work place factors effect on maintainability in challenging operating conditions
- 2015
-
Ingår i: 2015 IEEE International Conference on Industrial Engineering and Engineering Management (IEEM). - Piscataway, NJ : IEEE Communications Society. - 9781467380669 - 9781467380669 ; , s. 767-771
-
Konferensbidrag (refereegranskat)abstract
- Some industries such as mining industry create complex and challenging work place for maintenance crews. For example in an underground mine, for some machines, heavy maintenance tasks must be performed on site in a limited workspace in a harsh environment, including dust and improper illumination. Such operating conditions can increase the health, safety, and environment (HSE) risk, reduce the availability of the machines and increase the life cycle cost of equipment. A review of current mining equipment design and maintenance procedure confirms that considerable reduction in HSE risk, as well as substantial cost savings, can be achieved by considering human factors. This study discusses the effect of workplace factors on the maintainability of mining equipment. It presents the results from questionnaires on the effect of work place factors on maintainability performance given to maintenance staff at two mines, one in northern Sweden and the other in Iran.
|
|
14. |
- Aaltonen, Harri, et al.
(författare)
-
A simulation environment for training a reinforcement learning agent trading a battery storage
- 2021
-
Ingår i: Energies. - : MDPI. - 1996-1073. ; 14:17
-
Tidskriftsartikel (refereegranskat)abstract
- Battery storages are an essential element of the emerging smart grid. Compared to other distributed intelligent energy resources, batteries have the advantage of being able to rapidly react to events such as renewable generation fluctuations or grid disturbances. There is a lack of research on ways to profitably exploit this ability. Any solution needs to consider rapid electrical phenomena as well as the much slower dynamics of relevant electricity markets. Reinforcement learning is a branch of artificial intelligence that has shown promise in optimizing complex problems involving uncertainty. This article applies reinforcement learning to the problem of trading batteries. The problem involves two timescales, both of which are important for profitability. Firstly, trading the battery capacity must occur on the timescale of the chosen electricity markets. Secondly, the real-time operation of the battery must ensure that no financial penalties are incurred from failing to meet the technical specification. The trading-related decisions must be done under uncertainties, such as unknown future market prices and unpredictable power grid disturbances. In this article, a simulation model of a battery system is proposed as the environment to train a reinforcement learning agent to make such decisions. The system is demonstrated with an application of the battery to Finnish primary frequency reserve markets.
|
|
15. |
- Aaltonen, Harri, et al.
(författare)
-
Bidding a Battery on Electricity Markets and Minimizing Battery Aging Costs: A Reinforcement Learning Approach
- 2022
-
Ingår i: Energies. - : MDPI. - 1996-1073. ; 15:14
-
Tidskriftsartikel (refereegranskat)abstract
- Battery storage is emerging as a key component of intelligent green electricitiy systems. The battery is monetized through market participation, which usually involves bidding. Bidding is a multiâobjective optimization problem, involving targets such as maximizing market compensation and minimizing penalties for failing to provide the service and costs for battery aging. In this article, battery participation is investigated on primary frequency reserve markets. Reinforcement learning is applied for the optimization. In previous research, only simplified formulations of battery aging have been used in the reinforcement learning formulation, so it is unclear how the optimizer would perform with a real battery. In this article, a physicsâbased battery aging model is used to assess the aging. The contribution of this article is a methodology involving a realistic battery simulation to assess the performance of the trained RL agent with respect to battery aging in order to inform the selection of the weighting of the aging term in the RL reward formula. The RL agent performs day-ahead bidding on the Finnish Frequency Containment Reserves for Normal Operation market, with the objective of maximizing market compensation, minimizing market penalties and minimizing aging costs.
|
|
16. |
|
|
17. |
|
|
18. |
- Aardal, Karen, et al.
(författare)
-
Decomposition principles applied to the dynamic production and work-force scheduling problem
- 1987
-
Ingår i: Engineering Costs and Production Economics. - 0167-188X .- 1878-4011. ; 12:1-4, s. 39-49
-
Tidskriftsartikel (refereegranskat)abstract
- One of the most important problems in the production and inventory planning field, is the scheduling of production and work force in a dynamic environment. Although this problem can be formulated as a linear program, it is often quite difficult to solve directly, due to its large scale. Instead, it might be fruitful to use a decomposition approach. Decomposition, in general, means decomposing a difficult problem into several easier, or a sequence of easier problems which are later coordinated to reconstruct the original problem.In this report we discuss several possibilities of applying the most common decomposition principles, namely Benders (primal) and Datnzig-Wolfe (dual), as well as a relatively new decomposition method, called cross decomposition, to the dynamic, multiproduct production and employment planning problem. A number of special cases are also presented.
|
|
19. |
- Aardal, Karen, et al.
(författare)
-
On the resemblance between the Kornai-Liptak and cross decomposition techniques for block-angular linear programs
- 1990
-
Ingår i: European Journal of Operational Research. - : Elsevier BV. - 0377-2217 .- 1872-6860. ; 46:3, s. 393-398
-
Tidskriftsartikel (refereegranskat)abstract
- In this paper the resemblance is demonstrated between the master- and subproblems generated by the Kornai-Liptak algorithm and the subproblems obtained by using the cross decomposition method on linear optimization problems with block-angular structure. The significance of the similarity between these two algorithms becomes apparent considering the main disadvantage attributed to cross decomposition. In cross decomposition a master problem has to be solved from time to time since the subproblems alone do not always give a converging sequence of primal and dual solutions. But if the cross decomposition algorithm is modified in such a way that the successive primal and dual subproblem solutions are taken into consideration with equal weights, this results in the Kornai-Liptak algorithm for which convergence is guaranteed
|
|
20. |
|
|
21. |
- Aarrevaara, Timo, et al.
(författare)
-
Introduction
- 2014
-
Ingår i: Higher Education and Research in Academe. - Luleå : Luleå tekniska universitet. - 9789174399745 - 9789174399752 ; , s. 11-17
-
Bokkapitel (övrigt vetenskapligt/konstnärligt)
|
|
22. |
- Aas, Gro Hanne
(författare)
-
Kvinneforskningspolitiske (pr)øvelser
- 1999
-
Licentiatavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Målsettingen for licentiatuppsatsen er å analysere nordisk kvinneforsknings formuleringer av forskningspolitiske felter, problemstillinger og utfordringer, og gjennom kontakt og diskusjon bidra til samarbeid, diskusjoner og offentlighet om forskingspolitikk i kvinneforskning. Arbeidet har tatt utgangspunkt i relativt nytt materiale fra Danmark, Norge og Sverige. I kap. 1 presenteres prosjektet, problemstillinger og materiale. Kapitlene 2-6 består av innledninger og artikler holdt eller skrevet i løpet av de to senaste åren. Diskusjoner om kjønn og akademia står i fokus i kap. 2 - "Universities have politics". I kap. 3, artikkelen "Gamle og nye drømmer", diskuteres et kvinneforskningspolitiske intervensjonsprosjekt som blev utført for en del år tilbake, og det antydes noen nye omdreiningspunkter for et slikt arbeid. Enkelte perspektiver utdypes i kap. 4, "Kvinneforskningens samfunnskontrakt", hvor termen "kvinneperspektiv" som forskningspolitisk term granskas krtitiskt. De to siste kapitlene tar utgangspunkt i den norske forskningsmeldingen som kom våren 1999. Ut fra tre lesestrategier forsøkes det leses muligheter for kvinneforskningspolitiske strategier. Det ses også på innholdet i regjeringens forskningspolitiske verdidebatt, og det diskuteres mulige intervensjoner i denne ut fra feministiske vitenskaps- og teknologistudier.
|
|
23. |
- Aasa, Björn, et al.
(författare)
-
A characterisation of pain, disability, kinesiophobia and physical capacity in patients with predominantly peripherally mediated mechanical low back pain
- 2011
-
Ingår i: Physiotherapy. - 0031-9406 .- 1873-1465. ; 97:Suppl. 1, s. eS18-
-
Tidskriftsartikel (refereegranskat)abstract
- Purpose: The specific objectives were to: 1) describe the level of pain intensity, disability, activity limitation, kinesiophobia and physical capacity in patients with predominantly peripherally mediated mechanical back pain, and 2) investigate whether differences between these patients in physical and psychosocial factors can be distinguished when the patients are further sub-grouped.Relevance: To improve assessment among patients with chronic low back pain (CLBP) it is important to investigate the prevalence of physical and psychosocial features in homogenous sub-groups.Participants: Seventy-one patients with CLBP, 20-60 years old, with peripherally mediated mechanical pain at the the moment for the study, were included and each patient was sub-classified into one of five sub-groups based on their pain behaviour and functional movement pattern (flexion n=20, flexion/lateral shift, n=11, active extension n=23 , passive extension n=8, and multidirectional pattern n=9).Methods: Data on pain intensity (Visual Analogue Scale), disability (the Roland and Morris Questionnaire), activity limitation (the Patient Specific Functional Scale), kinesiophobia (the Tampa Scale of Kinesiophobia) and physical capacity (lifting capacity and trunk extensor endurance) was collected.Analysis: Mean and standard deviation for parametric and median and interquartile range for non-parametric data were used for descriptive statistics. One-way ANOVA for normally distributed data and Kruskal-Wallis for non-normally distributed data were used for analyses of differences between the sub-groups. The subjects were also divided into two age-groups (20-40 and 41-60 years) and measures of physical capacity were compared to women and men at the ages of 34 and 50, respectively, in the general Swedish population using one sample T-test.Results: The patients reported low to moderate pain intensity (3.1/10±2.4), disability (RMDQ (7.27/24 ±4.2) and kinesiophobia (33.4/68 ±7) and these levels were lower than reported levels in other studies including more heterogenous groups of patients with CLBP. The patiens reported activity limitations (PSFS 13/30±23). Lifting capacity and trunk extensor endurance were significantly lower than in the general population in the youngest age-group. No significant differences in pain intensity, disability, kinesiophobia or physical capacity were found between the sub-groups.Conclusions: This research highlights that patients with predominantly peripherally mediated mechanical back pain may differ from other sub-groups of patients with CLBP (e.g., patients with central sensitization as dominating pain mechanism) regarding physical and psychosocial factors. The individual variation in pain intensity, disability, kinesiophbia and physical capacity among the patients indicates the importance to assess these factors in every patient. Due to the fact that there were few patients in the sub-groups, further research is necessary to explore whether there are differences, that we were not able to disingjish, between patients with different movement patterns.
|
|
24. |
- Aasa, Björn, et al.
(författare)
-
Individualized low-load motor control exercises and education versus a high-load lifting exercise and education to improve activity, pain intensity, and physical performance in patients with low back pain : a randomized controlled trial
- 2015
-
Ingår i: Journal of Orthopaedic and Sports Physical Therapy. - : Journal of Orthopaedic & Sports Physical Therapy (JOSPT). - 0190-6011 .- 1938-1344. ; 45:2, s. 77-85
-
Tidskriftsartikel (refereegranskat)abstract
- Study Design Randomized controlled trial. Background Low back pain is a common disorder. Patients with low back pain frequently have aberrant and pain-provocative movement patterns that often are addressed with motor control exercises. Objective To compare the effects of low-load motor control (LMC) exercise and those of a high-load lifting (HLL) exercise. Methods Seventy participants with recurrent low back pain, who were diagnosed with nociceptive mechanical pain as their dominating pain pattern, were randomized to either LMC or HLL exercise treatments. Participants were offered 12 treatment sessions over an 8-week period. All participants were also provided with education regarding pain mechanisms. Methods Participants were assessed prior to and following treatment. The primary outcome measures were activity (the Patient-Specific Functional Scale) and average pain intensity over the last 7 days (visual analog scale). The secondary outcome measure was a physical performance test battery that included 1 strength, 3 endurance, and 7 movement control tests for the lumbopelvic region. Results Both interventions resulted in significant within-group improvements in pain intensity, strength, and endurance. The LMC group showed significantly greater improvement on the Patient-Specific Functional Scale (4.2 points) compared with the HLL group (2.5 points) (P<.001). There were no significant between-group differences in pain intensity (P = .505), strength, and 1 of the 3 endurance tests. However, the LMC group showed an increase (from 2.9 to 5.9) on the movement control test subscale, whereas the HLL group showed no change (from 3.9 to 3.1) (P<.001). Conclusion An LMC intervention may result in superior outcomes in activity, movement control, and muscle endurance compared to an HLL intervention, but not in pain intensity, strength, or endurance.
|
|
25. |
|
|