The use of a back class teaching extension exercises in the treatment of acute low back pain in primary care

Family Practice
M R Underwood, J Morgan

Abstract

Back extension exercises are commonly recommended to treat acute low back pain. Evidence of their beneficial effect is, however, weak. We aimed to demonstrate a benefit of teaching back extension exercises in addition to usual GP care for acute low back pain. Patients with acute simple low back pain of less than 28 days duration, presenting to a GP, were randomized either to attend a back class or to receive conventional management. Outcome was measured using changes in the Oswestry disability score and visual analogue pain scale (VAS) on six occasions during 1 year and also a VAS and patient assessment of degree of disability during the previous 6 months at 1 year. Seventy-five patients were recruited. The principal outcome measures showed no difference between the two groups. The treatment group reported less chronic disability at 1 year (50% versus 14%, P < 0.007). A treatment effect has not been demonstrated, but some patients who would otherwise have reported mild pain were pain free after 1 year. This approach to treating back pain has not been shown to be effective. More much larger studies, with more intensive treatment, are required in order to decide whether physical therapy in primary care is beneficial as treatment ...Continue Reading

Citations

Jul 31, 2013·Neurocritical Care·Axel Petzold, Armand Girbes
Apr 28, 2006·Spine·Luciana Andrade Carneiro MachadoManuela Loureiro Ferreira
Aug 2, 2011·Applied Physiology, Nutrition, and Metabolism = Physiologie Appliquée, Nutrition Et Métabolisme·Philip D ChilibeckSarah Charlesworth
Nov 13, 2008·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Simon SomervilleGail Sowden
Oct 4, 2003·The Journal of Orthopaedic and Sports Physical Therapy·Eric WilsonKatherine Dec
Dec 2, 2005·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·Maurits W van TulderAntti Malmivaara
Feb 4, 2006·Contemporary Clinical Trials·Joy AdamsonDavid J Torgerson
Dec 3, 2004·The Australian Journal of Physiotherapy·Helen A ClareChristopher G Maher
Jan 13, 2004·Pain·Sarah Dianne LiddleJacqueline H Gracey
Feb 12, 2002·Clinical Rehabilitation·Daphne SmithPeter Disler
Nov 8, 2003·Journal of Occupational Health·Deborah L JonesStephen M Weiss
Apr 1, 2018·The Journal of Orthopaedic and Sports Physical Therapy·Olivier T LamShawn M Robbins
Jul 22, 2005·The Cochrane Database of Systematic Reviews·J A HaydenB W Koes
Jun 28, 2001·Medicine and Science in Sports and Exercise·I M Vuori

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.