Immediate Effects of Manual and Verbal Cueing During Movement Control Training in Chronic Non-Specific Low Back Pain

Movement Control Training with Manual Cueing involves hands-on guidance provided by the therapist to enhance movement quality during standardized movement control training. Verbal instructions are used only to explain the movement sequence, while manuel guidance is primarily applied to facilitate movement quality.

Manual cueing is delivered according to the individual's needs and may include the following strategies:

• Gentle and evenly distributed manual pressure is applied to provide postural support and enhance awareness of appropriate points of support during movement.
• Manuel guidance is used to assist joint alignment when suboptimal alignment is observed during task performance, with attention to maintaining balanced muscle tone.
• Joint approximation techniques are applied as needed to provide compressive and stabilizing input to the joints, commonly used in neuromuscular facilitation approaches, to enhance joint stability and sensory feedback during movement.

Movement control training with verbal cueing involves the use of spoken instructions and verbal feedback provided by the therapist to facilitate movement quality during standardized movement control training. Physical contact is not used during the intervention.

Verbal instructions are focused on key aspects of movement performance, including alignment and weight distribution, to support correct execution of the movement tasks. Examples of verbal cues include instructions such as maintaining the knee in a neutral position or directing attention to the distribution of load through the shoulder girdle during task performance.