Journal ArticleDOI
Efficiency and costs of medical exercise therapy, conventional physiotherapy, and self-exercise in patients with chronic low back pain. A pragmatic, randomized, single-blinded, controlled trial with 1-year follow-up.
Tom Arild Torstensen,Anne Elisabeth Ljunggren,Helge Dyre Meen,Ellen Odland,Petter Mowinckel,Svante af Geijerstam +5 more
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No difference was observed between the medical exercise therapy and conventional physiotherapy groups, but both were significantly better than self‐exercise group, and patient satisfaction was highest formedical exercise therapy.Abstract:
Study design A multicenter, randomized, single-blinded controlled trial with 1-year follow-up. Objectives To evaluate the efficiency of progressively graded medical exercise therapy, conventional physiotherapy, and self-exercise by walking in patients with chronic low back pain. Summary and background data Varieties of medical exercise therapy and conventional physiotherapy are considered to reduce symptoms, improve function, and decrease sickness absence, but this opinion is controversial. Methods Patients with chronic low back pain or radicular pain sick-listed for more than 8 weeks and less than 52 weeks (Sickness Certificate II) were included. The treatment lasted 3 months (36 treatments). Pain intensity, functional ability, patient satisfaction, return to work, number of days on sick leave, and costs were recorded. Results Of the 208 patients included in this study, 71 were randomly assigned to medical exercise therapy, 67 to conventional physiotherapy, and 70 to self-exercise. Thirty-three (15.8%) patients dropped out during the treatment period. No difference was observed between the medical exercise therapy and conventional physiotherapy groups, but both were significantly better than self-exercise group. Patient satisfaction was highest for medical exercise therapy. Return to work rates were equal for all 3 intervention groups at assessment 15 months after therapy was started, with 123 patients were back to work. In terms of costs for days on sick leave, the medical exercise therapy group saved 906,732 Norwegian Kroner (NOK) ($122,531.00), and the conventional physiotherapy group saved NOK 1,882,560 ($254,200.00), compared with the self-exercise group. Conclusions The efficiency of medical exercise therapy and conventional physiotherapy is shown. Leaving patients with chronic low back pain untampered poses a risk of worsening the disability, resulting in longer periods of sick leave.read more
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Journal ArticleDOI
The Oswestry Disability Index.
Jeremy Fairbank,Paul Pynsent +1 more
TL;DR: The ODI remains a valid and vigorous measure and has been a worthwhile outcome measure, and the process of using the ODI is reviewed and should be the subject of further research.
Journal ArticleDOI
Non-specific low back pain
TL;DR: Two treatment strategies are currently used, a stepped approach beginning with more simple care that is progressed if the patient does not respond, and the use of simple risk prediction methods to individualise the amount and type of care provided.
Journal ArticleDOI
The Roland-Morris Disability Questionnaire and the Oswestry Disability Questionnaire.
Martin Roland,Jeremy Fairbank +1 more
TL;DR: These two widely used measures, the Roland–Morris Disability Questionnaire (RDQ) or the Oswestry Disability Index (ODI), are described and evidence of their validity and reliability and some comparative results obtained with the use of the two questionnaires are provided.
Journal ArticleDOI
Exercise therapy for treatment of non-specific low back pain.
TL;DR: Exercise therapy appears to be slightly effective at decreasing pain and improving function in adults with chronic low-back pain, particularly in healthcare populations.
Journal ArticleDOI
Systematic Review: Strategies for Using Exercise Therapy To Improve Outcomes in Chronic Low Back Pain
TL;DR: It is concluded that exercise therapy seems to be effective at slightly decreasing pain and improving function in adults with chronic low back pain, particularly in health care populations.
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Journal ArticleDOI
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