Effects of preferred-exercise prescription compared to usual exercise prescription on outcomes for people with non-specific low back pain: a randomized controlled trial ACTRN12608000524392Report as inadecuate




Effects of preferred-exercise prescription compared to usual exercise prescription on outcomes for people with non-specific low back pain: a randomized controlled trial ACTRN12608000524392 - Download this document for free, or read online. Document in PDF available to download.

BMC Musculoskeletal Disorders

, 10:14

First Online: 28 January 2009Received: 30 December 2008Accepted: 28 January 2009

Abstract

BackgroundNon-specific chronic low back pain NSCLBP has become a significant problem due to high healthcare utilization, rising costs of care and perceived limitations of effectiveness of many current treatments. Systematic reviews have repeatedly concluded that, on average across participants, exercise for NSCLBP appears effective in decreasing pain and improving function. Not all people with NSCLBP benefit from exercise programs and it would assist care-providers and care-seekers if factors that impact on program effectiveness and success were identified.

Methods and designThe study will be a randomised controlled trial comparing an exercise rehabilitation program informed by a participant preferences questionnaire compared to a program without this guideline for patients with chronic low back pain. A sample of 150 patients will be recruited in Melbourne, Australia through community-based healthcare clinics that provide supervised exercise rehabilitation programs for people with non-specific chronic low back pain. Clinicians will be randomly assigned to exercise preferences questionnaire or no questionnaire and participants will be allocated in a concealed manner. A qualitative focus group study of exercise instructor feedback about the exercise preferences instrument will be embedded in the research design. Two qualitative focus group studies will also be conducted for participants in the intervention and the control groups to obtain feedback about participants- experiences of the two types of exercise programs. The primary outcomes will be functional ability, pain, fear avoidance, exercise adherence.

DiscussionThis trial will evaluate the effectiveness of individualised exercise prescription compared to usual exercise prescription for NSCLP and, using feedback following the trial, refine the exercise preferences questionnaire.

AbbreviationsThe following abbreviations have been used in the manuscriptNSCLBP: non-specific chronic low back pain

SCERHStanding Committee on Ethics in Research Involving Humans

and RCTrandomised controlled trial

Electronic supplementary materialThe online version of this article doi:10.1186-1471-2474-10-14 contains supplementary material, which is available to authorized users.

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Author: Susan C Slade - Jennifer L Keating

Source: https://link.springer.com/



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