A tailored exercise program versus general exercise for a subgroup of patients with low back pain and movement control impairment : a randomised controlled trial with one-year follow-up

Saner-Bissig, Jeannette; Kool, Jan; Sieben, Judith M.; Luomajoki, Hannu; Bastiaenen, Carolien H. G.; de Bie, Rob A.

doi:10.1016/j.math.2015.02.005

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 : a randomised controlled trial with one-year follow-up
Authors:	Saner-Bissig, Jeannette Kool, Jan Sieben, Judith M. Luomajoki, Hannu Bastiaenen, Carolien H. G. de Bie, Rob A.
DOI:	10.1016/j.math.2015.02.005
Published in:	Manual Therapy
Volume(Issue):	20
Issue:	5
Page(s):	672
Pages to:	679
Issue Date:	2015
Publisher / Ed. Institution:	Elsevier
ISSN:	1356-689X 1532-2769
Language:	English
Subjects:	Randomised controlled trial; Movement control impairment; Exercise; Low back pain; Clinical trial; Disability
Subject (DDC):	617.5: Orthopaedic surgery
Abstract:	Background: Exercise is an effective treatment for patients with sub-acute and chronic non-specific low back pain (NSLBP). Previous studies have shown that a subgroup of patients with NSLBP and movement control impairment (MCI) can be diagnosed with substantial reliability. However, which type of exercises are most beneficial to this subgroup is still unknown. Objectives: The effectiveness of a specific exercise treatment to improve movement control was tested in this study. Methods: Using a multicentre randomised controlled trial (RCT), we compared exercises that targeted MCI (MC) with a general exercise (GE) treatment. After randomisation, patients in both groups n(MC = 52; GE = 54) were treated in eight private physiotherapy practices and five hospital outpatient physiotherapy centres. Follow-up measurements were taken at post-treatment, six months and 12 months. The primary outcome measurement was the Patient Specific Function Scale (PSFS). Results: PSFS showed no difference between groups after treatment, or at six months and 12 months. Secondary outcome analysis for pain and disability, measured with the Graded Chronic Pain scale and the Roland Morris Disability Questionnaire respectively, showed that a small improvement post-treatment levelled off over the long term. Both groups improved significantly (p < 0.001) over the course of one year. Conclusion: This study found no additional benefit of specific exercises targeting MCI.
URI:	https://digitalcollection.zhaw.ch/handle/11475/4857
Fulltext version:	Published version
License (according to publishing contract):	Licence according to publishing contract
Departement:	School of Health Sciences
Organisational Unit:	Institute of Physiotherapy (IPT)
Appears in collections:	Publikationen Gesundheit

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Saner-Bissig, J., Kool, J., Sieben, J. M., Luomajoki, H., Bastiaenen, C. H. G., & de Bie, R. A. (2015). A tailored exercise program versus general exercise for a subgroup of patients with low back pain and movement control impairment : a randomised controlled trial with one-year follow-up. Manual Therapy, 20(5), 672–679. https://doi.org/10.1016/j.math.2015.02.005

Saner-Bissig, J. et al. (2015) ‘A tailored exercise program versus general exercise for a subgroup of patients with low back pain and movement control impairment : a randomised controlled trial with one-year follow-up’, Manual Therapy, 20(5), pp. 672–679. Available at: https://doi.org/10.1016/j.math.2015.02.005.

J. Saner-Bissig, J. Kool, J. M. Sieben, H. Luomajoki, C. H. G. Bastiaenen, and R. A. de Bie, “A tailored exercise program versus general exercise for a subgroup of patients with low back pain and movement control impairment : a randomised controlled trial with one-year follow-up,” Manual Therapy, vol. 20, no. 5, pp. 672–679, 2015, doi: 10.1016/j.math.2015.02.005.

SANER-BISSIG, Jeannette, Jan KOOL, Judith M. SIEBEN, Hannu LUOMAJOKI, Carolien H. G. BASTIAENEN und Rob A. DE BIE, 2015. A tailored exercise program versus general exercise for a subgroup of patients with low back pain and movement control impairment : a randomised controlled trial with one-year follow-up. Manual Therapy. 2015. Bd. 20, Nr. 5, S. 672–679. DOI 10.1016/j.math.2015.02.005

Saner-Bissig, Jeannette, Jan Kool, Judith M. Sieben, Hannu Luomajoki, Carolien H. G. Bastiaenen, and Rob A. de Bie. 2015. “A Tailored Exercise Program versus General Exercise for a Subgroup of Patients with Low Back Pain and Movement Control Impairment : A Randomised Controlled Trial with One-Year Follow-Up.” Manual Therapy 20 (5): 672–79. https://doi.org/10.1016/j.math.2015.02.005.

Saner-Bissig, Jeannette, et al. “A Tailored Exercise Program versus General Exercise for a Subgroup of Patients with Low Back Pain and Movement Control Impairment : A Randomised Controlled Trial with One-Year Follow-Up.” Manual Therapy, vol. 20, no. 5, 2015, pp. 672–79, https://doi.org/10.1016/j.math.2015.02.005.