Motor control or graded activity exercises for chronic low back pain?; A randomised controlled trial

Macedo, Luciana G., Latimer, Jane, Maher, Chris G., Hodges, Paul W., Nicholas, Michael, Tonkin, Lois, McAuley, James H. and Stafford, Ryan (2008) Motor control or graded activity exercises for chronic low back pain?; A randomised controlled trial. BMC Musculoskeletal Disorders, 9 x-x. doi:10.1186/1471-2474-9-65


Author Macedo, Luciana G.
Latimer, Jane
Maher, Chris G.
Hodges, Paul W.
Nicholas, Michael
Tonkin, Lois
McAuley, James H.
Stafford, Ryan
Title Motor control or graded activity exercises for chronic low back pain?; A randomised controlled trial
Journal name BMC Musculoskeletal Disorders   Check publisher's open access policy
ISSN 1471-2474
Publication date 2008-05-05
Sub-type Article (original research)
DOI 10.1186/1471-2474-9-65
Open Access Status DOI
Volume 9
Start page x
End page x
Total pages 9
Place of publication London, U.K.
Publisher BioMed Central
Language eng
Subject C1
9201 Clinical Health (Organs, Diseases and Abnormal Conditions)
110317 Physiotherapy
110603 Motor Control
111717 Primary Health Care
Formatted abstract
Background
Chronic low back pain remains a major health problem in Australia and around the world. Unfortunately the majority of treatments for this condition produce small effects because not all patients respond to each treatment. It appears that only 25–50% of patients respond to exercise. The two most popular types of exercise for low back pain are graded activity and motor control exercises. At present however, there are no guidelines to help clinicians select the best treatment for a patient. As a result, time and money are wasted on treatments which ultimately fail to help the patient.

Methods
This paper describes the protocol of a randomised clinical trial comparing the effects of motor control exercises with a graded activity program in the treatment of chronic non specific low back pain. Further analysis will identify clinical features that may predict a patient's response to each treatment. One hundred and seventy two participants will be randomly allocated to receive either a program of motor control exercises or graded activity. Measures of outcome will be obtained at 2, 6 and 12 months after randomisation. The primary outcomes are: pain (average pain intensity over the last week) and function (patient-specific functional scale) at 2 and 6 months. Potential treatment effect modifiers will be measured at baseline.

Discussion
This trial will not only evaluate which exercise approach is more effective in general for patients will chronic low back pain, but will also determine which exercise approach is best for an individual patient. © 2008 Macedo et al; licensee BioMed Central Ltd.
Keyword Clinical-prediction rules
Outcome measures
Disability
Management
Responsiveness
Physiotherapy
Stabilization
Questionnaire
Individuals
Reliability
Q-Index Code C1
Q-Index Status Confirmed Code
Additional Notes Article no. 65

Document type: Journal Article
Sub-type: Article (original research)
Collections: 2009 Higher Education Research Data Collection
School of Health and Rehabilitation Sciences Publications
 
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Created: Tue, 10 Mar 2009, 23:29:49 EST