An alternative group physiotherapy programme for the management of chronic low back pai

Not Applicable

Completed

• Conditions: Chronic low back pain in musculoskeletal medicine; Musculoskeletal Diseases; Chronic low back pain

• Registration Number: ISRCTN96496625
• Lead Sponsor: Middlesex University (UK)

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2014-02-17
• Last Update Posted: 20 February 2017

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 80

Inclusion Criteria

1. Male and female subjects between ages of 20-65 years. This is a standard adult age range used in CLBP studies investigating the effect of exercise and /or manual therapy
2. CLBP for >3 months
3. Motivated and willing to attend both the physiotherapy programmes

Exclusion Criteria

1. Cardiac, respiratory, kidney, blood pressure or blood circulatory problems which may prevent participation in any strenuous exercise programme
2. Recent spinal surgery within one year which may affect the ability to participate in group exercise programmes. These patients are usually excluded from CLBP studies
3. Acute fracture or recent trauma require specialist management and would not be suitable for group rehabilitation programmes
4. Inflammatory or infectious diseases of the spine
5. Metabolic or bone disease such as osteoporosis
Both 4 and 5 conditions are a contraindication to physiotherapy and would require further investigation and onward referral
6. Neurological signs or symptoms such as sensation loss in a specific dermatome, myotomal muscle weakness or abnormal reflexes. These neurological deficits may require further investigation or monitoring and would not be appropriate for an extensive exercise programme or manual therapy
7. Advanced rheumatoid arthritis or uncontrolled diabetes. These conditions are contraindicated to manual therapy and exercise programmes. These conditions would also require specialist review
8. Subjects who were pregnant or attempting to become pregnant
9. Chronic pain syndrome patients with severe physical or psychological impairment. This includes the group of patients presenting with widespread sensory hypersensitivity mediated by central pain mechanisms. These patients are unlikely to respond to exercise and/or manual therapy and may need to be referred for multimodal pain management programmes or pain clinic
10. Participated in a regular exercise programme or had previous physiotherapy or any other treatment within the last six months
11. Any spinal condition requiring further investigation or on-ward referral and not likely to respond to conservative treatment

Study & Design

• Study Type: Interventional
• Study Design: Not specified