Effectiveness of an extension-oriented treatment approach in a subgroup of subjects with low back pain: a randomized clinical trial.
BACKGROUND AND PURPOSE: The purpose of this multicenter randomized clinical trial was to examine the effectiveness of an extension-oriented treatment approach (EOTA) in a subgroup of subjects with low back pain (LBP) who were hypothesized to benefit from the treatment compared with similar subjects...
| Publicado en: | Physical Therapy Vol. 87; no. 12; pp. 1608 - 1619 |
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| Autores principales: | , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Oxford University Press / USA
Dec2007
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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=105999366&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105999366 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00319023 PTH jtl: Physical Therapy issn: 00319023 maglogo: N pubinfo: dt: Dec2007 vid: 87 iid: 12 pid: 10398 pub: Oxford University Press / USA artinfo: ui: 105999366 2009748878 10.2522/ptj.20060297 NLM17895350 105999366 ppf: 1608 ppct: 11 formats: fmt: @attributes: type: P tig: atl: Effectiveness of an extension-oriented treatment approach in a subgroup of subjects with low back pain: a randomized clinical trial. aug: au: Browder DA Childs JD Cleland JA Fritz JM affil: Director, Outpatient Physical Therapy, Physical Therapy Department, Wilford Hall Medical Center, San Antonio, Tex. sug: subj: Low Back Pain Rehabilitation Physical Therapy Methods Adult Analysis of Covariance Chi Square Test Clinical Assessment Tools Randomized Controlled Trials Female Funding Source Male Mann-Whitney U Test Pain Measurement Questionnaires Repeated Measures Sample Size Scales T-Tests Treatment Outcomes Weight Lifting Human Adult: 19-44 years Female Male ab: BACKGROUND AND PURPOSE: The purpose of this multicenter randomized clinical trial was to examine the effectiveness of an extension-oriented treatment approach (EOTA) in a subgroup of subjects with low back pain (LBP) who were hypothesized to benefit from the treatment compared with similar subjects who received a lumbar spine strengthening exercise program. METHODS: Subjects with LBP and symptoms distal to the buttocks that centralized with extension movements were included. Forty-eight subjects were randomly assigned to groups that received an EOTA (n=26) or a strengthening exercise program (n=22). Subjects attended 8 physical therapy sessions and completed a home exercise program. Follow-up data were obtained at 1 week, 4 weeks, and 6 months after randomization. Primary outcome measures were disability (modified Oswestry Low Back Pain Disability Questionnaire) and pain (Numeric Pain Rating Scale). RESULTS: Subjects in the EOTA group experienced greater improvements in disability compared with subjects who received trunk strengthening exercises at 1 week (mean difference between groups from baseline=8.9, 95% confidence interval [CI]=2.0, 15.9), 4 weeks, (mean difference=14.4, 95% CI=4.8, 23.9), and 6 months (mean difference=14.6, 95% CI=4.6, 24.6). The EOTA group demonstrated greater change in pain at the 1-week follow-up only. DISCUSSION AND CONCLUSION: An EOTA was more effective than trunk strengthening exercise in a subgroup of subjects hypothesized to benefit from this treatment approach. Additional research is needed to explore whether an EOTA may benefit other subgroups of patients. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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