Revolutionizing Low Back Pain Management : A Paradigm Shift from “Posture Correction” to “Posture Change”.

Abstract

Background: Non-specific low back pain (NSLBP) affects approximately 80% of adults worldwide, posing significant health and socioeconomic challenges. Traditional management strategies focused on static posture correction, but recent advancements suggest a shift towards dynamic posture change using the joint-by-joint training approach (JBJA).

Objective: This review aimed to examine the JBJA model, which seeks to enhance mobility, stability, and motor control by viewing the body as a series of alternating mobile and stable joints.

Methods: The JBJA model views the body as a series of alternating mobile and stable joints. This review examines studies that compare the effectiveness of dynamic interventions promoting movement variability and task-specific postural adaptations versus static posture correction.

Results: Studies revealed that interventions promoting movement variability and task-specific postural adaptations are more effective in reducing pain and improving function compared to traditional static posture correction methods.

Conclusion: The focus on dynamic posture change emphasizes individualized assessment and interventions, aligning with contemporary pain science. Clinicians should prioritize exercises that enhance movement quality, such as promoting hip and thoracic mobility, and educate patients on postural variability. Further research is needed, but the JBJA model shows promise for more effective NSLBP management.