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Publication type: Article in scientific journal
Type of review: Peer review (publication)
Title: A tailored exercise program versus general exercise for a subgroup of patients with low back pain and movement control impairment : short-term results of a randomised controlled trial
Authors: Saner, Jeannette
Sieben, Judith M.
Kool, Jan
Luomajoki, Hannu
Bastiaenen, Caroline H.G.
de Bie, Rob A.
DOI: 10.21256/zhaw-1210
Published in: Journal of Bodywork and Movement Therapies
Volume(Issue): 20
Issue: 1
Page(s): 189
Pages to: 202
Issue Date: 2016
Publisher / Ed. Institution: Elsevier
ISSN: 1360-8592
Language: English
Subject (DDC): 362: Health and social services
617: Surgery
Abstract: Background: Exercise is an effective treatment for patients with sub-acute and chronic low back pain (LBP). Patients with a movement control impairment (MCI) can be diagnosed as a subgroup of patients with LBP. Unknown is which exercise intervention is most beneficial for this subgroup. This study assessed the short-term effect of a specific exercise program targeting movement control impairment versus general exercise treatment on disability in patients with LBP and MCI. Methods: In a multicentre parallel group randomised controlled pragmatic trial, patients with sub-acute and chronic LBP were included. Further inclusion criteria were disability of ≥5 points on the Roland-Morris Disability Questionnaire and ≥2 positive tests out of a set of 6 movement control impairment tests. A total of 106 patients were randomly assigned to either tailored movement control exercise intervention (MC, n=52) or a general exercise intervention (GE, n=54); both 9-18 individual treatment sessions, over a maximum of 12 weeks. . The primary outcome was disability measured with the Patient Specific Functional scale (PSFS). Secondary outcome was the Roland-Morris disability scale (RMDQ). Measurements were taken pre- and posttreatment. Results: No significant difference was found following the treatment period. Baselineadjusted between-group mean difference for the PSFS was 0.5 (SD = 0.5; p = 0.32) in favour of MC exercises. The Roland-Morris Disability Questionnaire revealed a significant, but not clinically relevant, between-group difference of 2.0 points (SD = 0.8; p= 0.01). Conclusion: Disability in LBP patients was reduced considerably by both interventions. However, the limited contrast between the two exercise programs may have influenced outcomes.
Further description: The project was supported by the Swiss National Science Foundation (SNSF, Project no. 127240).
Fulltext version: Accepted version
License (according to publishing contract): CC BY-NC-ND 4.0: Attribution - Non commercial - No derivatives 4.0 International
Restricted until: 2017-01-31
Departement: School of Health Sciences
Organisational Unit: Institute of Physiotherapy (IPT)
Appears in collections:Publikationen Gesundheit

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