Randomised controlled trial of Alexander technique lessons, exercise, and massage (ATEAM) for chronic and recurrent back pain.

BMJ : British Medical Journal
Paul LittleDebbie Sharp

Abstract

To determine the effectiveness of lessons in the Alexander technique, massage therapy, and advice from a doctor to take exercise (exercise prescription) along with nurse delivered behavioural counselling for patients with chronic or recurrent back pain. Factorial randomised trial. 64 general practices in England. 579 patients with chronic or recurrent low back pain; 144 were randomised to normal care, 147 to massage, 144 to six Alexander technique lessons, and 144 to 24 Alexander technique lessons; half of each of these groups were randomised to exercise prescription. Normal care (control), six sessions of massage, six or 24 lessons on the Alexander technique, and prescription for exercise from a doctor with nurse delivered behavioural counselling. Roland Morris disability score (number of activities impaired by pain) and number of days in pain. Exercise and lessons in the Alexander technique, but not massage, remained effective at one year (compared with control Roland disability score 8.1: massage -0.58, 95% confidence interval -1.94 to 0.77, six lessons -1.40, -2.77 to -0.03, 24 lessons -3.4, -4.76 to -2.03, and exercise -1.29, -2.25 to -0.34). Exercise after six lessons achieved 72% of the effect of 24 lessons alone (Roland...Continue Reading

References

Aug 1, 1992·Pain·Michael Von KorffSamuel F Dworkin
Sep 9, 1989·BMJ : British Medical Journal·S J Day, D F Graham
Oct 1, 1995·Journal of Epidemiology and Community Health·M HillsdonJ Morris
Jun 1, 1993·Spine·M Von KorffW Barlow
Mar 8, 1997·BMJ : British Medical Journal·P LittleA L Kinmonth
Jan 27, 1999·Journal of Pain and Symptom Management·E Ernst
Oct 4, 1996·American Journal of Health Promotion : AJHP·G Godin, G Kok
Sep 2, 1999·Lancet·G B Andersson
Sep 17, 1999·BMJ : British Medical Journal·J G HowieH Rai
May 5, 2000·The Cochrane Database of Systematic Reviews·M W van TulderB W Koes
Oct 18, 2000·The Cochrane Database of Systematic Reviews·A D FurlanJ Wong
Jan 7, 2004·Forschende Komplementärmedizin und klassische Naturheilkunde = Research in complementary and natural classical medicine·E Ernst, P H Canter
Feb 20, 2004·The Cochrane Database of Systematic Reviews·W J J AssendelftP G Shekelle
Oct 21, 2004·The Cochrane Database of Systematic Reviews·M W HeymansB W Koes
Jan 28, 2005·The Cochrane Database of Systematic Reviews·A D FurlanB M Berman
May 4, 2005·Annals of Internal Medicine·Jill A HaydenBart W Koes
Dec 21, 2005·Annals of Internal Medicine·Karen J ShermanRichard A Deyo
Feb 21, 2006·BMJ : British Medical Journal·Lisa Li-Chen HsiehTony Hsiu-Hsi Chen
Jul 14, 2006·Journal of Neurophysiology·Victor GurfinkelRachel Skoss

❮ Previous
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Citations

Nov 19, 2009·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Tasha R StantonMark J Hancock
Apr 29, 2011·Chinese Journal of Integrative Medicine·Paul Posadzki
Sep 11, 2012·BMC Musculoskeletal Disorders·Robert A LairdJennifer L Keating
Feb 27, 2010·Chiropractic & Osteopathy·Gert BronfortJay Triano
Apr 9, 2011·Philosophy, Ethics, and Humanities in Medicine : PEHM·Wolf E MehlingAnita L Stewart
May 15, 2009·PloS One·Wolf E MehlingAnita Stewart
Jun 15, 2013·Journal of Pain Research·Wolf E MehlingAnita L Stewart
Jul 3, 2010·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Antonia F H SmeltWillem J J Assendelft
Apr 24, 2012·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Nadine Foster, Paul Little
Jul 24, 2013·Evidence-based Complementary and Alternative Medicine : ECAM·Robert B SaperKaren J Sherman
Jan 5, 2011·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Chung-Wei Christine LinMaurits W van Tulder
Oct 26, 2014·BMC Complementary and Alternative Medicine·Sabine D KleinUrsula Wolf
Jan 6, 2015·International Journal of Yoga·Edith Meszaros CrowAlison Trewhela
Oct 1, 2009·Journal of Women's Health·Jodi R Godfrey, Sheila A Dugan
Mar 19, 2011·Current Opinion in Supportive and Palliative Care·Blair H Smith, Nicola Torrance
Oct 6, 2012·Journal of Bodywork and Movement Therapies·Lucie BrosseauCourtney Cohoon
Dec 28, 2010·Human Movement Science·T W CacciatoreK E Ames
Apr 5, 2011·Complementary Therapies in Clinical Practice·Paul PosadzkiMagdalena Hagner-Derengowska
May 25, 2010·Primary Care·Raymond Y TeetsEmilie Scott
May 5, 2010·Advances in Chronic Kidney Disease·Marie C Hogan, Suzanne M Norby
Oct 20, 2015·American Journal of Preventive Medicine·Ather Ali, David L Katz
Jun 30, 2015·Journal of Bodywork and Movement Therapies·Matthew M O'NeillKate A Hamel
May 9, 2015·Physical Medicine and Rehabilitation Clinics of North America·Heather R Kroll
Apr 18, 2015·Frontiers in Human Neuroscience·Peter Payne, Mardi A Crane-Godreau
Jul 26, 2011·Annals of Physical and Rehabilitation Medicine·A DupeyronE Coudeyre
Apr 26, 2016·Disability and Rehabilitation·Chinonso N Igwesi-ChidobeEmma L Godfrey
Jan 17, 2013·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·Michael GleesonLisa Keay

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