Long-Term Effects of Specific Stabilizing Exercises for First-Episode Low Back Pain

Hides, Julie A., Jull, Gwendolen A. and Richardson, Carolyn A. (2001) Long-Term Effects of Specific Stabilizing Exercises for First-Episode Low Back Pain. Spine, 26 11: E243-E248.


Author Hides, Julie A.
Jull, Gwendolen A.
Richardson, Carolyn A.
Title Long-Term Effects of Specific Stabilizing Exercises for First-Episode Low Back Pain
Journal name Spine   Check publisher's open access policy
ISSN 0362-2436
1528-1159
Publication date 2001-06-01
Sub-type Article (original research)
Volume 26
Issue 11
Start page E243
End page E248
Total pages 6
Editor James N. Weinstein
Place of publication Hagerstown, Md
Publisher Lipponcott-Raven.
Collection year 2001
Language eng
Subject C1
321024 Rehabilitation and Therapy - Occupational and Physical
750305 Ability and disability
Abstract Study Design. A randomized clinical trial with 1-year and 3-year telephone questionnaire follow-ups. Objective. To report a specific exercise intervention’s long-term effects on recurrence rates in acute, first-episode low back pain patients. Summary of Background Data. The pain and disability associated with an initial episode of acute low back pain (LBP) is known to resolve spontaneously in the short-term in the majority of cases. However, the recurrence rate is high, and recurrent disabling episodes remain one of the most costly problems in LBP. A deficit in the multifidus muscle has been identified in acute LBP patients, and does not resolve spontaneously on resolution of painful symptoms and resumption of normal activity. Any relation between this deficit and recurrence rate was investigated in the long-term. Methods. Thirty-nine patients with acute, first-episode LBP were medically managed and randomly allocated to either a control group or specific exercise group. Medical management included advice and use of medications. Intervention consisted of exercises aimed at rehabilitating the multifidus in cocontraction with the transversus abdominis muscle. One year and three years after treatment, telephone questionnaires were conducted with patients. Results. Questionnaire results revealed that patients from the specific exercise group experienced fewer recurrences of LBP than patients from the control group. One year after treatment, specific exercise group recurrence was 30%, and control group recurrence was 84% (P , 0.001). Two to three years after treatment, specific exercise group recurrence was 35%, and control group recurrence was 75% (P , 0.01). Conclusion. Long-term results suggest that specific exercise therapy in addition to medical management and resumption of normal activity may be more effective in reducing low back pain recurrences than medical management and normal activity alone. [Key Words: multifidus, low back pain, rehabilitation]
Q-Index Code C1

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Health and Rehabilitation Sciences Publications
 
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Created: Tue, 14 Aug 2007, 15:06:01 EST