| Motor control exercises, sling exercises, and general exercises for patients with chronic low back pain: a randomized controlled trial with 1-year follow-up. | |
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MedLine Citation:
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PMID: 20671099 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Monica Unsgaard-Tøndel; Anne Margrethe Fladmark; Øyvind Salvesen; Ottar Vasseljen |
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Publication Detail:
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Type: Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't Date: 2010-07-29 |
Journal Detail:
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Title: Physical therapy Volume: 90 ISSN: 1538-6724 ISO Abbreviation: Phys Ther Publication Date: 2010 Oct |
Date Detail:
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Created Date: 2010-10-04 Completed Date: 2010-10-29 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0022623 Medline TA: Phys Ther Country: United States |
Other Details:
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Languages: eng Pagination: 1426-40 Citation Subset: AIM; IM |
Affiliation:
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Department of Public Health and General Practice, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, Norway. monica.unsgaard.tondel@ntnu.no |
| Data Bank Information | |
Bank Name/Acc. No.:
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ClinicalTrials.gov/NCT00201513 |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Chronic Disease Disability Evaluation Exercise Therapy / methods* Female Follow-Up Studies Humans Linear Models Low Back Pain / rehabilitation* Male Middle Aged Norway Pain Measurement Physical Therapy Modalities Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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