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A tailored exercise program versus general exercise for a subgroup of patients with low back pain and movement control impairment: A randomised controlled trial with one-year follow-up
- Source :
- Manual Therapy, 20(5), 672-679. Churchill Livingstone
- Publication Year :
- 2015
-
Abstract
- Background: Exercise is an effective treatment for patients with sub-acute and chronic non-specific low back pain (NSLBP). Previous studies have shown that a subgroup of patients with NSLBP and movement control impairment (MCI) can be diagnosed with substantial reliability. However, which type of exercises are most beneficial to this subgroup is still unknown.Objectives: The effectiveness of a specific exercise treatment to improve movement control was tested in this study.Methods: Using a multicentre randomised controlled trial (RCT), we compared exercises that targeted MCI (MC) with a general exercise (GE) treatment. After randomisation, patients in both groups n(MC = 52; GE = 54) were treated in eight private physiotherapy practices and five hospital outpatient physiotherapy centres. Follow-up measurements were taken at post-treatment, six months and 12 months. The primary outcome measurement was the Patient Specific Function Scale (PSFS).Results: PSFS showed no difference between groups after treatment, or at six months and 12 months. Secondary outcome analysis for pain and disability, measured with the Graded Chronic Pain scale and the Roland Morris Disability Questionnaire respectively, showed that a small improvement post-treatment levelled off over the long term. Both groups improved significantly (p Conclusion: This study found no additional benefit of specific exercises targeting MCI. (C) 2015 Elsevier Ltd. All rights reserved.
- Subjects :
- Male
Time Factors
THERAPY
law.invention
Disability Evaluation
Randomized controlled trial
Musculoskeletal Pain
Risk Factors
law
Ambulatory Care
Single-Blind Method
MORRIS DISABILITY QUESTIONNAIRE
Young adult
FUNCTIONAL SCALE
Randomised controlled trial
Norway
LONGITUDINAL DATA
Age Factors
Chronic pain
PRIMARY-CARE
General Medicine
Middle Aged
Low back pain
Exercise Therapy
Clinical trial
Treatment Outcome
Roland Morris Disability Questionnaire
RELIABILITY
Female
Analysis of variance
Chronic Pain
medicine.symptom
Switzerland
Adult
medicine.medical_specialty
617.5: Orthopädische Chirurgie
Physical Therapy, Sports Therapy and Rehabilitation
Movement control impairment
CLASSIFICATION
Young Adult
Sex Factors
Ambulatory care
medicine
Humans
Exercise
Aged
Analysis of Variance
Disability
business.industry
NATURAL-HISTORY
medicine.disease
MODEL
CONTROL TESTS
Physical therapy
business
Follow-Up Studies
Subjects
Details
- Language :
- English
- ISSN :
- 1356689X
- Volume :
- 20
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- Manual Therapy
- Accession number :
- edsair.doi.dedup.....2da9481dbae4b1574af49281b280ace8