{"id":"https://openalex.org/W7224209251","doi":"https://doi.org/10.32098/mltj_2026_7363","title":"Functional training and dual task as a treatment option for chronic low back pain","display_name":"Functional training and dual task as a treatment option for chronic low back pain","publication_year":2026,"publication_date":"2026-10-29","ids":{"openalex":"https://openalex.org/W7224209251","doi":"https://doi.org/10.32098/mltj_2026_7363"},"language":"en","primary_location":{"id":"doi:10.32098/mltj_2026_7363","doi":"https://doi.org/10.32098/mltj_2026_7363","is_oa":true,"landing_page_url":"https://doi.org/10.32098/mltj_2026_7363","pdf_url":"https://mltj.online/index.php/mltj/article/download/7363/6064","source":{"id":"https://openalex.org/S2765033454","display_name":"Muscles Ligaments and Tendons Journal","issn_l":"2240-4554","issn":["2240-4554"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","norway-1","poland-100","russia-white-list-3","vabb-shw"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Muscles, Ligaments and Tendons Journal","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://mltj.online/index.php/mltj/article/download/7363/6064","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5089347951","display_name":"Poliana de Jesus Santos","orcid":"https://orcid.org/0000-0002-6191-7408","observed_orcids":["https://orcid.org/0000-0002-6191-7408"]},"institutions":[{"id":"https://openalex.org/I190085865","display_name":"Universidade Federal de Sergipe","ror":"https://ror.org/028ka0n85","country_code":"BR","type":"education","lineage":["https://openalex.org/I190085865"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Poliana de Jesus Santos","raw_affiliation_strings":["Department of Physiotherapy, Federal University of Sergipe, Ant\u00f4nio Garcia Filho Campus, Lagarto, Sergipe, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Physiotherapy, Federal University of Sergipe, Ant\u00f4nio Garcia Filho Campus, Lagarto, Sergipe, Brazil","institution_ids":["https://openalex.org/I190085865"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5017985754","display_name":"Jos\u00e9 Carlos Arag\u00e3o-Santos","orcid":"https://orcid.org/0000-0002-8904-8486","observed_orcids":["https://orcid.org/0000-0002-8904-8486"]},"institutions":[{"id":"https://openalex.org/I169045520","display_name":"Universidade Federal da Para\u00edba","ror":"https://ror.org/00p9vpz11","country_code":"BR","type":"education","lineage":["https://openalex.org/I169045520"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Jos\u00e9 Carlos Arag\u00e3o-Santos","raw_affiliation_strings":["Department of Physical Education, Federal University of Paraiba, Jo\u00e3o Pessoa, Para\u00edba Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Physical Education, Federal University of Paraiba, Jo\u00e3o Pessoa, Para\u00edba Brazil","institution_ids":["https://openalex.org/I169045520"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5066865031","display_name":"David George Behm","orcid":"https://orcid.org/0000-0002-9406-6056","observed_orcids":["https://orcid.org/0000-0002-9406-6056"]},"institutions":[{"id":"https://openalex.org/I130438778","display_name":"Memorial University of Newfoundland","ror":"https://ror.org/04haebc03","country_code":"CA","type":"education","lineage":["https://openalex.org/I130438778"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"David George Behm","raw_affiliation_strings":["School of Human Kinetics and Recreation, Memorial University of Newfoundland, St. John\u2019s, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Human Kinetics and Recreation, Memorial University of Newfoundland, St. John\u2019s, Canada","institution_ids":["https://openalex.org/I130438778"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5023864224","display_name":"Elyson \u00c1. N. Carvalho","orcid":"https://orcid.org/0000-0001-7903-426X","observed_orcids":["https://orcid.org/0000-0001-7903-426X"]},"institutions":[{"id":"https://openalex.org/I190085865","display_name":"Universidade Federal de Sergipe","ror":"https://ror.org/028ka0n85","country_code":"BR","type":"education","lineage":["https://openalex.org/I190085865"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Elyson Adan Nunes Carvalho","raw_affiliation_strings":["Departament of Electrical Engineering, Federal University of Sergipe, S\u00e3o Crist\u00f3v\u00e3o, Sergipe, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Departament of Electrical Engineering, Federal University of Sergipe, S\u00e3o Crist\u00f3v\u00e3o, Sergipe, Brazil","institution_ids":["https://openalex.org/I190085865"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5032118475","display_name":"Marzo Edir Da Silva\u2010Grigoletto","orcid":"https://orcid.org/0000-0003-3338-1359","observed_orcids":["https://orcid.org/0000-0003-3338-1359"]},"institutions":[{"id":"https://openalex.org/I190085865","display_name":"Universidade Federal de Sergipe","ror":"https://ror.org/028ka0n85","country_code":"BR","type":"education","lineage":["https://openalex.org/I190085865"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Marzo Edir Da Silva-Grigoletto","raw_affiliation_strings":["Department of Physical Education, Federal University of Sergipe, S\u00e3o Crist\u00f3v\u00e3o, Sergipe, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Physical Education, Federal University of Sergipe, S\u00e3o Crist\u00f3v\u00e3o, Sergipe, Brazil","institution_ids":["https://openalex.org/I190085865"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.89109942,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10084","display_name":"Musculoskeletal pain and rehabilitation","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/3612","display_name":"Physical Therapy, Sports Therapy and Rehabilitation"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10084","display_name":"Musculoskeletal pain and rehabilitation","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/3612","display_name":"Physical Therapy, Sports Therapy and Rehabilitation"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12715","display_name":"Pregnancy-related medical research","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11840","display_name":"Pain Management and Treatment","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/chronic-low-back-pain","display_name":"chronic low back pain","score":0.9959999918937683},{"id":"https://openalex.org/keywords/functional-training","display_name":"functional training","score":1.0},{"id":"https://openalex.org/keywords/dual-task-training","display_name":"dual-task training","score":0.9909999966621399},{"id":"https://openalex.org/keywords/core-stability","display_name":"core stability","score":0.8159999847412109},{"id":"https://openalex.org/keywords/functional-capacity","display_name":"functional capacity","score":0.9409999847412109},{"id":"https://openalex.org/keywords/endogenous-analgesia","display_name":"endogenous analgesia","score":0.753000020980835},{"id":"https://openalex.org/keywords/endogenous-opioids","display_name":"endogenous opioids","score":0.9549999833106995},{"id":"https://openalex.org/keywords/neurophysiological-adaptation","display_name":"neurophysiological adaptation","score":0.6169999837875366},{"id":"https://openalex.org/keywords/pain-relief","display_name":"analgesia","score":0.4429999887943268},{"id":"https://openalex.org/keywords/exercise-therapy","display_name":"exercise therapy","score":0.5519999861717224},{"id":"https://openalex.org/keywords/cognitive-motor-interference","display_name":"cognitive-motor interference","score":0.4090000092983246}],"concepts":[{"id":"https://openalex.org/C99508421","wikidata":"https://www.wikidata.org/wiki/Q2678675","display_name":"Physical medicine and rehabilitation","level":1,"score":0.6620000004768372},{"id":"https://openalex.org/C2780907711","wikidata":"https://www.wikidata.org/wiki/Q852163","display_name":"Low back pain","level":3,"score":0.642799973487854},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5249000191688538},{"id":"https://openalex.org/C172467417","wikidata":"https://www.wikidata.org/wiki/Q1670397","display_name":"Neurocognitive","level":3,"score":0.5248000025749207},{"id":"https://openalex.org/C152478114","wikidata":"https://www.wikidata.org/wiki/Q660910","display_name":"Neurophysiology","level":2,"score":0.5203999876976013},{"id":"https://openalex.org/C2781118164","wikidata":"https://www.wikidata.org/wiki/Q1088113","display_name":"Chronic pain","level":2,"score":0.5116000175476074},{"id":"https://openalex.org/C2776501849","wikidata":"https://www.wikidata.org/wiki/Q5781808","display_name":"Back pain","level":3,"score":0.4851999878883362},{"id":"https://openalex.org/C2780451532","wikidata":"https://www.wikidata.org/wiki/Q759676","display_name":"Task (project management)","level":2,"score":0.46050000190734863},{"id":"https://openalex.org/C169900460","wikidata":"https://www.wikidata.org/wiki/Q2200417","display_name":"Cognition","level":2,"score":0.428600013256073},{"id":"https://openalex.org/C3020000205","wikidata":"https://www.wikidata.org/wiki/Q2412849","display_name":"Narrative review","level":2,"score":0.4198000133037567},{"id":"https://openalex.org/C2781197403","wikidata":"https://www.wikidata.org/wiki/Q193472","display_name":"Trunk","level":2,"score":0.41659998893737793},{"id":"https://openalex.org/C119343949","wikidata":"https://www.wikidata.org/wiki/Q1215296","display_name":"Functional training","level":2,"score":0.39089998602867126},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.3880999982357025},{"id":"https://openalex.org/C2777766275","wikidata":"https://www.wikidata.org/wiki/Q1327643","display_name":"Functional electrical stimulation","level":3,"score":0.3837999999523163},{"id":"https://openalex.org/C3017995582","wikidata":"https://www.wikidata.org/wiki/Q417189","display_name":"Endogenous opioid","level":4,"score":0.36629998683929443},{"id":"https://openalex.org/C3018011982","wikidata":"https://www.wikidata.org/wiki/Q7316120","display_name":"Functional connectivity","level":2,"score":0.33739998936653137},{"id":"https://openalex.org/C182752723","wikidata":"https://www.wikidata.org/wiki/Q1474590","display_name":"Functional imaging","level":2,"score":0.3249000012874603},{"id":"https://openalex.org/C2780598303","wikidata":"https://www.wikidata.org/wiki/Q65921492","display_name":"Flexibility (engineering)","level":2,"score":0.31839999556541443},{"id":"https://openalex.org/C107690735","wikidata":"https://www.wikidata.org/wiki/Q852461","display_name":"Motor learning","level":2,"score":0.3156000077724457},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.3098999857902527},{"id":"https://openalex.org/C169760540","wikidata":"https://www.wikidata.org/wiki/Q207011","display_name":"Neuroscience","level":1,"score":0.29330000281333923},{"id":"https://openalex.org/C204664388","wikidata":"https://www.wikidata.org/wiki/Q5170216","display_name":"Core stability","level":2,"score":0.28380000591278076},{"id":"https://openalex.org/C2780820201","wikidata":"https://www.wikidata.org/wiki/Q173235","display_name":"Analgesic","level":2,"score":0.2646999955177307}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.32098/mltj_2026_7363","doi":"https://doi.org/10.32098/mltj_2026_7363","is_oa":true,"landing_page_url":"https://doi.org/10.32098/mltj_2026_7363","pdf_url":"https://mltj.online/index.php/mltj/article/download/7363/6064","source":{"id":"https://openalex.org/S2765033454","display_name":"Muscles Ligaments and Tendons Journal","issn_l":"2240-4554","issn":["2240-4554"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","norway-1","poland-100","russia-white-list-3","vabb-shw"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Muscles, Ligaments and Tendons Journal","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.32098/mltj_2026_7363","doi":"https://doi.org/10.32098/mltj_2026_7363","is_oa":true,"landing_page_url":"https://doi.org/10.32098/mltj_2026_7363","pdf_url":"https://mltj.online/index.php/mltj/article/download/7363/6064","source":{"id":"https://openalex.org/S2765033454","display_name":"Muscles Ligaments and Tendons Journal","issn_l":"2240-4554","issn":["2240-4554"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","norway-1","poland-100","russia-white-list-3","vabb-shw"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Muscles, Ligaments and Tendons Journal","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.98580002784729}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7224209251.pdf","grobid_xml":"https://content.openalex.org/works/W7224209251.grobid-xml"},"referenced_works_count":71,"referenced_works":["https://openalex.org/W217347430","https://openalex.org/W1547813649","https://openalex.org/W1963698558","https://openalex.org/W1964070741","https://openalex.org/W1986292114","https://openalex.org/W1999679598","https://openalex.org/W2005925053","https://openalex.org/W2011208019","https://openalex.org/W2021576051","https://openalex.org/W2026836512","https://openalex.org/W2036395037","https://openalex.org/W2050441598","https://openalex.org/W2061097947","https://openalex.org/W2062700118","https://openalex.org/W2075779442","https://openalex.org/W2080710812","https://openalex.org/W2083848848","https://openalex.org/W2092460680","https://openalex.org/W2100125778","https://openalex.org/W2111424608","https://openalex.org/W2116003026","https://openalex.org/W2134557769","https://openalex.org/W2136734375","https://openalex.org/W2144486246","https://openalex.org/W2146348221","https://openalex.org/W2151651036","https://openalex.org/W2155112302","https://openalex.org/W2158156673","https://openalex.org/W2160057721","https://openalex.org/W2163967782","https://openalex.org/W2168272020","https://openalex.org/W2176286508","https://openalex.org/W2273272228","https://openalex.org/W2331512098","https://openalex.org/W2471160383","https://openalex.org/W2558289570","https://openalex.org/W2560692004","https://openalex.org/W2564553449","https://openalex.org/W2613902031","https://openalex.org/W2748719718","https://openalex.org/W2807710162","https://openalex.org/W2916517885","https://openalex.org/W2946948438","https://openalex.org/W2947662581","https://openalex.org/W2965274893","https://openalex.org/W2974993804","https://openalex.org/W2982702255","https://openalex.org/W2985522472","https://openalex.org/W2991091671","https://openalex.org/W2999937276","https://openalex.org/W3008499825","https://openalex.org/W3010721913","https://openalex.org/W3011690173","https://openalex.org/W3034985333","https://openalex.org/W3088466406","https://openalex.org/W3108824726","https://openalex.org/W3133437654","https://openalex.org/W3184396469","https://openalex.org/W3193057074","https://openalex.org/W3199777986","https://openalex.org/W3201338699","https://openalex.org/W4200493032","https://openalex.org/W4251588985","https://openalex.org/W4283210704","https://openalex.org/W4294718986","https://openalex.org/W4307976328","https://openalex.org/W4311204646","https://openalex.org/W4313414022","https://openalex.org/W4313855277","https://openalex.org/W4366814671","https://openalex.org/W4388298576"],"related_works":["https://openalex.org/W4414084419","https://openalex.org/W4402041381","https://openalex.org/W4415279641","https://openalex.org/W2514319285","https://openalex.org/W4220734807","https://openalex.org/W4226166747","https://openalex.org/W3118211773","https://openalex.org/W3036358290","https://openalex.org/W2807791735","https://openalex.org/W2150234325"],"abstract_inverted_index":{"Low":[0],"back":[1,18,156,173],"pain":[2,19,24,89,121],"is":[3,12,46],"the":[4,92,111],"leading":[5],"cause":[6],"of":[7],"disability":[8],"worldwide.":[9],"Physical":[10],"exercise":[11],"currently":[13],"recommended":[14],"for":[15,50,143,190],"chronic":[16,218],"low":[17,155,172],"(CLBP),":[20],"promoting":[21],"reductions":[22],"in":[23,28,41,82,129,138,176,179],"intensity":[25],"and":[26,43,54,57,70,77,84,97,117,122,126,141,162,185,199,205,217,223],"improvements":[27],"physical":[29],"function.":[30],"Functional":[31],"training":[32,64,164],"(FT),":[33],"defined":[34],"as":[35],"exercises":[36],"aimed":[37,108],"at":[38],"improving":[39,51],"performance":[40],"daily":[42],"sports":[44],"activities,":[45],"a":[47],"promising":[48],"approach":[49],"trunk":[52,124],"stability":[53,125],"functional":[55,127,158],"capacity":[56,128],"may":[58,73,119,201],"increase":[59],"endogenous":[60,215],"analgesic":[61],"responses.":[62],"Dual-task":[63],"(DTT),":[65],"which":[66,95,115],"involves":[67],"simultaneous":[68],"motor":[69],"cognitive":[71],"tasks,":[72],"modulate":[74],"pain-related":[75],"circuits":[76],"activate":[78],"brain":[79],"areas":[80],"involved":[81],"attention":[83],"cognition,":[85],"potentially":[86],"contributing":[87],"to":[88,109,147,154],"reduction.":[90],"However,":[91,208],"pathways":[93,113],"through":[94,114],"FT":[96,116,198],"DTT":[98,118,200],"promote":[99],"these":[100],"effects":[101],"remain":[102,221],"unclear.":[103],"Therefore,":[104],"this":[105],"narrative":[106],"review":[107],"discuss":[110],"possible":[112],"reduce":[120],"improve":[123],"people":[130],"with":[131,171],"CLBP.":[132],"A":[133],"structured":[134],"search":[135],"was":[136],"conducted":[137],"PubMed,":[139],"PEDro,":[140],"Scopus":[142],"studies":[144],"published":[145,175],"up":[146],"March":[148],"2025.":[149],"Searches":[150],"combined":[151],"terms":[152],"related":[153],"pain,":[157,174],"training,":[159],"multicomponent":[160],"exercise,":[161],"dual-task":[163],"using":[165],"Boolean":[166],"operators.":[167],"Studies":[168],"involving":[169,214],"humans":[170],"peer-reviewed":[177],"journals":[178],"English":[180],"or":[181],"Portuguese,":[182],"were":[183,188],"considered,":[184],"reference":[186],"lists":[187],"screened":[189],"additional":[191],"relevant":[192],"studies.":[193],"The":[194],"evidence":[195],"suggests":[196],"that":[197],"produce":[202],"complementary":[203],"physiological":[204],"neurocognitive":[206],"effects.":[207],"several":[209],"proposed":[210],"mechanisms,":[211],"particularly":[212],"those":[213],"opioids":[216],"neurophysiological":[219],"adaptations,":[220],"hypothetical":[222],"require":[224],"further":[225],"experimental":[226],"confirmation.":[227]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-10-30T00:00:00"}