Walking Away From Back Pain, One Step at a Time
- Conditions
- Low Back Pain
- Interventions
- Behavioral: WalkingBehavioral: Standard
- Registration Number
- NCT02284958
- Lead Sponsor
- University of Saskatchewan
- Brief Summary
This study will investigate if a 12-week, individually-tailored walking program, using pedometers will be a more clinically and cost-effective option for the management of chronic low back pain than standardized advice and education.
- Detailed Description
Specific objectives of the study are:
1. To determine perceived levels of disability and baseline levels of walking activity in a sample of those with chronic low back pain (CLBP)
2. To determine the uptake and adherence to a pedometer-driven walking program for people with CLBP
3. To test the clinical and cost-effectiveness of a walking programme to improve outcomes for CLBP compared to a standardized back care education package
4. To test the feasibility of a walking programme in a sub-sample of rural Saskatchewan farmers/agricultural workers.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 174
- males and females aged 18 years or over,
- experiencing low back pain (i.e. between the 12th costal margin and gluteal fold with or without associated leg pain) persisting for a minimum of three months, and
- assessed as capable of participating in a walking programme.
- any spinal surgery in the past 12 months;
- evidence of nerve root, spinal cord, or cauda equina compression;
- severe spinal stenosis indicated by signs of neurogenic claudication, grade 3 to 4 spondylolisthesis, fibromyalgia, or systemic/inflammatory disorder;
- as well as any other current lower extremity musculoskeletal injury or contraindication to increasing physical activity (PA) levels.
The latter may include:
- any cardiorespiratory or other medical condition limiting exercise tolerance;
- history of serious psychological or psychiatric illness (mild depression eligible for inclusion); and/or
- pregnancy.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Walking group Walking Each participant will receive a one-off educational session as per standard/control group followed by a 12 week graded, individually tailored, pedometer driven walking programme given by a Physical Therapist. Participants will be monitored each week and provided with encouragement and advice to increase the number of steps taken each day. Standard/Control group Standard Each participant will receive a one-off individualized educational session regarding the management of chronic low back pain with a Physical Therapist: includes a physical examination, standardized advice \& provision of the 'Back Book'.
- Primary Outcome Measures
Name Time Method Change in Oswestry Low Back Pain Disability Questionnaire score Baseline, 12 weeks, 6 months and 12 months
- Secondary Outcome Measures
Name Time Method Focus group data Following 12 week intervention Walking group only, voluntary participation
Change in mean number of steps per day for each week of the study Baseline & 12 weeks Change in six minute walk test Baseline, 12 weeks, 6 months & 12 months Change in International Physical Activity Questionnaire score Baseline, 12 weeks, 6 months & 12 months Change in Back Beliefs Questionnaire score Baseline, 12 weeks, 6 months & 12 months Change in Exercise Self-efficacy Scale score Baseline, 12 weeks, 6 months & 12 months Change in Global rating of change for physical activity score Baseline, 12 weeks, 6 months & 12 months Change in health care usage and intervention costs over time Baseline, 12 weeks, 6 months & 12 months Participant records health care usage and intervention costs over the 12 month study
Change in Fear Avoidance Beliefs Questionnaire score Baseline, 12 weeks, 6 months & 12 months Change in Euroqual-5D score Baseline, 12 weeks, 6 months & 12 months Quality of life
Trial Locations
- Locations (1)
University of Saskatchewan
🇨🇦Saskatoon, Saskatchewan, Canada