Document Detail

Long-term effects of supervised physical training in secondary prevention of low back pain.
MedLine Citation:
PMID:  15714351     Owner:  NLM     Status:  MEDLINE    
BACKGROUND AND OBJECTIVES: In the last few years, several studies have focused on short-term treatment effects of exercise therapy. However, there is a lack of knowledge concerning the long-term treatment effects recorded after several years. Hence, this study was performed to investigate the short- and long-term effects of supervised physical training on functional ability, self-rated pain and disability in secondary prevention of low back pain.
METHODS: One hundred and eighty-three hospital employees with chronic low back pain were randomly assigned either to back school (comparison group), or three-months supervised physical training including a back school (exercise group). Various measurements of functional ability were performed and subjects completed questionnaires on self-rated pain, disability, and general well-being before treatment, immediately after intervention, and at six-months follow-up. At one-year and at ten-years follow-up participants evaluated treatment effectiveness.
RESULTS: Out of 183 employees, 148 completed the program. Participation at follow-ups ranged from 66 to 96%. Supervised physical training significantly improved muscular endurance and isokinetic strength during a six-months follow-up, and effectively decreased self-rated pain and disability during a one-year follow-up. At ten-years follow-up the subjects' assessment of the effectiveness of treatment was significantly better in the exercise group.
CONCLUSIONS: Supervised physical training effectively improved functional capacity and decreased LBP and disability up to one-year follow-up. The subjects' positive evaluation of the treatment effect at ten-years follow-up suggests a long-term benefit of training.
Irina Maul; Thomas Läubli; Michael Oliveri; Helmut Krueger
Publication Detail:
Type:  Comment; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't     Date:  2005-02-16
Journal Detail:
Title:  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     Volume:  14     ISSN:  0940-6719     ISO Abbreviation:  Eur Spine J     Publication Date:  2005 Aug 
Date Detail:
Created Date:  2005-08-11     Completed Date:  2005-12-14     Revised Date:  2013-03-07    
Medline Journal Info:
Nlm Unique ID:  9301980     Medline TA:  Eur Spine J     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  599-611     Citation Subset:  IM    
Institute of Hygiene and Applied Physiology, Swiss Federal Institute of Technology, Zurich, Switzerland.
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MeSH Terms
Disability Evaluation
Follow-Up Studies
Health Personnel
Low Back Pain / prevention & control*
Middle Aged
Occupational Diseases / prevention & control*
Occupational Health Services / methods*
Patient Satisfaction
Physical Fitness
Questionnaires / standards
Reproducibility of Results
Comment On:
Eur Spine J. 2005 Aug;14(6):612   [PMID:  15864665 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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