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Randomised controlled trial for evaluation of fitness programme for patients with chronic low back pain
- Publication Year :
- 1995
- Publisher :
- BMJ Publishing Group, 1995.
-
Abstract
- Objective: To evaluate a progressive fitness programme for patients with chronic low back pain. Design: Single blind randomised controlled trial. Assessments were carried out before and after treatment by an observer blinded to the study and included a battery of validated measures. All patients were followed up by postal questionnaire six months after treatment. Setting: Physiotherapy department of orthopaedic hospital. Subjects: 81 patients with chronic low back pain referred from orthopaedic consultants for physiotherapy. The patients were randomly allocated to a fitness programme or control group. Intervention: Both groups were taught specific exercises to carry out at home and referred to a back-school for education in back care. Patients allocated to the fitness class attended eight exercise classes over four weeks in addition to the home programme and backschool. Results: Significant differences between the groups were shown in the changes before and after treatment in scores on the Oswestry low back pain disability index (P Conclusion: There is a role for supervised fitness programmes in the management of moderately disabled patients with chronic low back pain. Further clinical trials, however, need to be established in other centres to confirm these findings. Key messages Key messages Recent research suggests a need for a more dynamic approach with a move away from long term rest towards progressive activity and exercise This study shows that a supervised fitness programme can help to reduce pain and disability and improve patients9 confidence Beneficial effects of treatment were maintained six months after treat- ment when compared with a control group who were advised to exercise independently Simply advising patients with low back pain to exercise is not effective in reducing disability and pain
- Subjects :
- Program evaluation
medicine.medical_specialty
Injury and sports medicine
Physical fitness
R1 Medicine (General)
610 Medicine & health
law.invention
Patient satisfaction
Physical medicine and rehabilitation
Randomized controlled trial
law
Medicine
Physical health recovery
General Environmental Science
Public health
business.industry
Physical activity
Medical record
General Engineering
General Medicine
Crossover study
Low back pain
Clinical trial
Ageing
Health
Physical therapy
General Earth and Planetary Sciences
medicine.symptom
business
Research Article
Subjects
Details
- Language :
- English
- ISSN :
- 09598138 and 14685833
- Database :
- OpenAIRE
- Accession number :
- edsair.doi.dedup.....3cec67085df05a849f0d55a0ac131261