Exposure in vivo versus operant graded activity in chronic low back pain patients: Results of a randomized controlled trial

Pain ◽  
2008 ◽  
Vol 138 (1) ◽  
pp. 192-207 ◽  
Author(s):  
Maaike Leeuw ◽  
Mariëlle E.J.B. Goossens ◽  
Gerard J.P. van Breukelen ◽  
Jeroen R. de Jong ◽  
Peter H.T.G. Heuts ◽  
...  
2014 ◽  
Vol 94 (11) ◽  
pp. 1543-1554 ◽  
Author(s):  
Luciana Gazzi Macedo ◽  
Christopher G. Maher ◽  
Mark J. Hancock ◽  
Steve J. Kamper ◽  
James H. McAuley ◽  
...  

Background Current treatments for low back pain have small effects. A research priority is to identify patient characteristics associated with larger effects for specific interventions. Objective The aim of this study was to identify simple clinical characteristics of patients with chronic low back pain who would benefit more from either motor control exercises or graded activity. Design This study was a secondary analysis of the results of a randomized controlled trial. Methods One hundred seventy-two patients with chronic low back pain were enrolled in the trial, which was conducted in Australian physical therapy clinics. The treatment consisted of 12 initial exercise sessions over an 8-week period and booster sessions at 4 and 10 months following randomization. The putative effect modifiers (psychosocial features, physical activity level, walking tolerance, and self-reported signs of clinical instability) were measured at baseline. Measures of pain and function (both measured on a 0–10 scale) were taken at baseline and at 2, 6, and 12 months by a blinded assessor. Results Self-reported clinical instability was a statistically significant and clinically important modifier of treatment response for 12-month function (interaction: 2.72; 95% confidence interval=1.39 to 4.06). Participants with high scores on the clinical instability questionnaire (≥9) did 0.76 points better with motor control exercises, whereas those who had low scores (<9) did 1.93 points better with graded activity. Most other effect modifiers investigated did not appear to be useful in identifying preferential response to exercise type. Limitations The psychometric properties of the instability questionnaire have not been fully tested. Conclusions A simple 15-item questionnaire of features considered indicative of clinical instability can identify patients who respond best to either motor control exercises or graded activity.


Author(s):  
Cahyo Setiawan ◽  
◽  
Didik Gunawan Tamtomo ◽  
Hanung Prasetya ◽  
◽  
...  

Background: Kinesiology taping is a therapeutic tool for the prevention and treatment of sporting injuries. It was developed to alleviate pain and improve the healing in soft tissues. This study aimed to examine effect of kinesiology taping in reducing pain in patients with low back pain. Subjects and Method: This was a meta-analysis and systematic review. The study was conducted by collecting published articles from PubMed, Science Direct, and Google Scholar databases. Keywords used “kinesio taping” OR “kinesio tape” OR “pain” OR “Low Back Pain” AND “Randomized Controlled Trial”. The study population was low back pain. The intervention was kinesiology taping with comparison non kinesiology taping. The study outcome was pain. The inclusion criteria were full text with randomized controlled trial study design. The collected articles were selected by PRISMA flow diagram and Review Manager 5.3. Results: 7 articles were met criteria for meta-analysis. This study reported that kinesiology taping was effective to reduce pain in low back pain patients (Mean Difference= -1.21; 95 % CI= -2.14 to -0.28; p<0.01). Conclusion: Kinesiology taping is effective to reduce pain in low back pain patients. Keywords: kinesiology taping, pain, low back pain Correspondence: Cahyo Setiawan. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: 089693257305. DOI: https://doi.org/10.26911/the7thicph.05.60


Pain ◽  
2008 ◽  
Vol 134 (3) ◽  
pp. 263-276 ◽  
Author(s):  
Rob J.E.M. Smeets ◽  
Johan W.S. Vlaeyen ◽  
Alita Hidding ◽  
Arnold D.M. Kester ◽  
Geert J.M.G. van der Heijden ◽  
...  

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