Combined physiotherapy and education is efficacious for chronic low back pain

Moseley, L (2002) Combined physiotherapy and education is efficacious for chronic low back pain. Australian Journal of Physiotherapy, 48 4: 297-302. doi:10.1016/S0004-9514(14)60169-0


Author Moseley, L
Title Combined physiotherapy and education is efficacious for chronic low back pain
Journal name Australian Journal of Physiotherapy   Check publisher's open access policy
ISSN 0004-9514
Publication date 2002-01-01
Sub-type Article (original research)
DOI 10.1016/S0004-9514(14)60169-0
Open Access Status DOI
Volume 48
Issue 4
Start page 297
End page 302
Total pages 6
Editor Wendy Cross
Place of publication Australia
Publisher Australian Physiotherapy Association
Collection year 2002
Language eng
Subject C1
321024 Rehabilitation and Therapy - Occupational and Physical
730114 Skeletal system and disorders (incl. arthritis)
Abstract Manual therapy, exercise and education target distinct aspects of chronic low back pain and probably have distinct effects, This study aimed to determine the efficacy of a combined physiotherapy treatment that comprised all of these strategies. By concealed randomisation, 57 chronic low back pain patients were allocated to either the four-week physiotherapy program or management as directed by their general practitioners, The dependent variables of interest were pain and disability. Assessors were blind to treatment group. Outcome data from 49 subjects (86%) showed a significant treatment effect. The physiotherapy program reduced pain and disability by a mean of 1.5/10 points on a numerical rating scale (95% CI 0.7 to 2.3) and 3.9 points on the 18-point Roland Morris Disability Questionnaire (95% CI 2 to 5.8), respectively. The number needed to treat in order to gain a clinically meaningful change was 3 (95% CI 3 to 8) for pain, and 2 (95% CI 2 to 5) for disability. A treatment effect was maintained at one-year follow-up. The findings support the efficacy of combined physiotherapy treatment in producing symptomatic and functional change in moderately disabled chronic low back pain patients.
Keyword Rehabilitation
Sport Sciences
Education
Exercise
Low Back Pain
Randomized Controlled Trials
Randomized Controlled Trial
Clinical-trial
Intervention
Therapy
Care
Manipulation
Information
Disability
Q-Index Code C1

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
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Created: Wed, 15 Aug 2007, 04:12:41 EST