Document Detail

Motor control exercises, sling exercises, and general exercises for patients with chronic low back pain: a randomized controlled trial with 1-year follow-up.
MedLine Citation:
PMID:  20671099     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Exercise benefits patients with chronic nonspecific low back pain; however, the most effective type of exercise remains unknown. OBJECTIVE: This study compared outcomes after motor control exercises, sling exercises, and general exercises for low back pain. DESIGN: This was a randomized controlled trial with a 1-year follow-up. SETTING: The study was conducted in a primary care setting in Norway. PATIENTS: The participants were patients with chronic nonspecific low back pain (n=109). INTERVENTIONS: The interventions in this study were low-load motor control exercises, high-load sling exercises, or general exercises, all delivered by experienced physical therapists, once a week for 8 weeks. MEASUREMENTS: The primary outcome measure was pain reported on the Numeric Pain Rating Scale after treatment and at a 1-year follow-up. Secondary outcome measures were self-reported activity limitation (assessed with the Oswestry Disability Index), clinically examined function (assessed with the Fingertip-to-Floor Test), and fear-avoidance beliefs after intervention. RESULTS: The postintervention assessment showed no significant differences among groups with respect to pain (overall group difference) or any of the outcome measures. Mean (95% confidence interval) group differences for pain reduction after treatment and after 1 year were 0.3 (-0.7 to 1.3) and 0.4 (-0.7 to 1.4) for motor control exercises versus sling exercises, 0.7 (-0.6 to 2.0) and 0.3 (-0.8 to 1.4) for sling exercises versus general exercises, and 1.0 (-0.1 to 2.0) and 0.7 (-0.3 to 1.7) for motor control exercises versus general exercises. LIMITATIONS: The nature of the interventions made blinding impossible. CONCLUSIONS: This study gave no evidence that 8 treatments with individually instructed motor control exercises or sling exercises were superior to general exercises for chronic low back pain.
Monica Unsgaard-Tøndel; Anne Margrethe Fladmark; Øyvind Salvesen; Ottar Vasseljen
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Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't     Date:  2010-07-29
Journal Detail:
Title:  Physical therapy     Volume:  90     ISSN:  1538-6724     ISO Abbreviation:  Phys Ther     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-10-04     Completed Date:  2010-10-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0022623     Medline TA:  Phys Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1426-40     Citation Subset:  AIM; IM    
Department of Public Health and General Practice, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, Norway.
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MeSH Terms
Chronic Disease
Disability Evaluation
Exercise Therapy / methods*
Follow-Up Studies
Linear Models
Low Back Pain / rehabilitation*
Middle Aged
Pain Measurement
Physical Therapy Modalities
Treatment Outcome

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

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