Effectiveness of a home exercise programme in low back pain: a randomized five-year follow-up study.
Background and Purpose. Therapeutic exercise has been shown to be beneficial in decreasing pain and in increasing functioning in patients with chronic low back pain. However, longitudinal follow-up studies are small in number, and often limited in the numbers of subjects due to drop-outs. In additio...
| Publicado en: | Physiotherapy Research International Vol. 12; no. 4; pp. 213 - 225 |
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| Autores principales: | , , , |
| Formato: | clinical trial pictorial research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
2007
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105864901&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105864901 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13582267 GPG jtl: Physiotherapy Research International issn: 13582267 maglogo: Y pubinfo: dt: 2007 vid: 12 iid: 4 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 105864901 2009732492 10.1002/pri.378 NLM17849435 105864901 ppf: 213 ppct: 12 formats: fmt: @attributes: type: P tig: atl: Effectiveness of a home exercise programme in low back pain: a randomized five-year follow-up study. aug: au: Kuukkanen T Mälkiä E Kautiainen H Pohjolainen T affil: School of Health and Social Studies, Jyväskylä University of Applied Sciences, Jyväskylä, Finland sug: subj: Functional Status Home Rehabilitation Methods Low Back Pain Rehabilitation Therapeutic Exercise Treatment Outcomes Adult Analysis of Covariance Body Weights and Measures Chi Square Test Clinical Assessment Tools Data Analysis Software Descriptive Statistics Energy Metabolism Evaluation Exercise Physiology Female Finland Functional Assessment Intervention Trials Male Middle Age Nonparametric Statistics Pain Measurement Physical Activity Evaluation Prospective Studies Questionnaires Random Assignment Regression Scales Self Report T-Tests Test-Retest Reliability Therapeutic Exercise Methods Human Adult: 19-44 years Middle Aged: 45-64 years Female Male ab: Background and Purpose. Therapeutic exercise has been shown to be beneficial in decreasing pain and in increasing functioning in patients with chronic low back pain. However, longitudinal follow-up studies are small in number, and often limited in the numbers of subjects due to drop-outs. In addition there is a shortage of real control groups in most cases. The purpose of the present study was to describe long-term changes in intensity of low back pain and in functioning for two study groups five years after undertaking a home exercise programme. Method. This was a randomized follow-up study over five years. Fifty-seven subjects were reassessed with questionnaires five years after their initial recruitment for an intervention study. A home exercise group (n = 29), with training once a day, and a control group (n = 28), without exercise, were included in the present study protocol. The primary outcome measurements included a questionnaire on the intensity of low back pain (Borg CR-10 scale) and on functioning (Oswestry Disability Index; ODI). The confounding physical activity was controlled with metabolic unit (MET) values. Results. The CR-10 and ODI scores decreased during the first three months in both study groups. During the follow-ups, the corresponding indicators of the home exercise group remained below baseline values. The CR-10 score was significantly lower in the home exercise group (p = 0.01) during the last five-year follow-up session compared with the control group. Overall physical activity decreased slightly during the five-year follow-up, but there were no differences between the two study groups. Conclusions. The present randomized study indicates that supervised, controlled home exercises lead to reduced low back pain, and that positive effects were preserved over five years. Copyright © 2007 John Wiley & Sons, Ltd. pubtype: Academic Journal doctype: clinical trial pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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