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
Jeannette SanerRob A de Bie

Abstract

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. The effectiveness of a specific exercise treatment to improve movement control was tested in this study. 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). 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 ...Continue Reading

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Citations

Jul 2, 2015·Journal of Electromyography and Kinesiology : Official Journal of the International Society of Electrophysiological Kinesiology·C M BauerM Kankaanpää
Jul 9, 2016·Journal of Physical Therapy Science·Jeong-Hoon LeeJae-Seop Oh
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Nov 3, 2016·The Journal of Orthopaedic and Sports Physical Therapy·Peter O'SullivanKieran O'Sullivan
Nov 11, 2016·Disability and Rehabilitation·Emanuela BezzoliPaolo Capodaglio
Feb 2, 2017·The Journal of Orthopaedic and Sports Physical Therapy
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Aug 30, 2017·Scandinavian Journal of Pain·Georg SuppMark Werneke
Mar 15, 2021·Journal of Bodywork and Movement Therapies·Amany E Abd-Eltawab, Mariam A Ameer

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