Accelerometer-based facilitated walking program in addition to usual care for the management of patients with low back pain at medium or high risk of chronicity: a randomised controlled trial

Not Applicable

Recruiting

• Conditions: ow Back Pain; Low Back Pain; Musculoskeletal - Other muscular and skeletal disorders; Physical Medicine / Rehabilitation - Physiotherapy

• Registration Number: ACTRN12617001404314
• Lead Sponsor: The University of Sydney

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2017-10-04
• Last Update Posted: 28 January 2019

Recruitment & Eligibility

• Status: Recruiting
• Sex: All
• Target Recruitment: 68

Inclusion Criteria

Participants will be included in this study if they:
1)are diagnosed by physiotherapist with non-specific LBP;
2)are aged 18 years or over;
3)are categorized as being at medium or high risk of chronicity using STarT Back Screening Tool;
4)are classified as physically inactive (those who engage in less than 150 minutes/week of moderate intensity, or less than 75 minutes/week of vigorous intensity or an equivalent combination of the two intensities of physical activity as determined by International Physical Activity Questionnaire (IPAQ);
5)are ready and able to participate in physical activity as determined by The Physical Activity Readiness Questionnaire (PAR-Q). Those deemed not fit to participate in physical activity by the PAR-Q or aged over 69 years, will need a clearance from their medical practitioner before engaging in physical activity;
6)have internet access.

Exclusion Criteria

Participants will be excluded if they have any:
1)contraindications to physical exercise (cardiovascular diseases e.g. myocardial infarction, embolism, or uncontrolled diabetes; orthopaedic impairments; balance problems);
2)serious spinal pathologies (e.g. fractures, tumours or inflammatory diseases such as ankylosing spondylitis);
3)neurological compromise (e.g. spinal nerve compromise or cauda equina syndrome);
4)pregnancy.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Disability.<br>Disability will be measured by the modified Oswestry Disability Index.<br>[Baseline, post-intervention, follow-up (week 26)];Pain.<br>Pain intensity will be measured by the Visual Analogue Scale .[Baseline, post-intervention, follow-up (week 26)]

Secondary Outcome Measures

Name	Time	Method
<br>Depression.<br>Depression will be measured by Beck Depression Inventory. [Baseline, post-intervention, follow-up (week 26)];Pain catastrophising.<br>Participants’ experience of pain will be measured by Pain Catastrophising Scale. [Baseline, post-intervention, follow-up (week 26)];Fear of movement.<br>Fear of movement will be measured by Tampa Scale for Kinesiophobia. [Baseline, post-intervention, follow-up (week 26)];Habitual physical activity level. <br>Habitual physical activity level in both groups will be measured objectively by Axivity AX3 (Newcastle upon Tyne, UK; product website: http://axivity.com/product/ax3) for seven continuous days.<br><br>[Baseline, post-intervention, follow-up (week 26)];Daily walking steps. <br>Daily walking steps in both groups will be measured objectively by Axivity AX3 (Newcastle upon Tyne, UK; product website: http://axivity.com/product/ax3) for seven continuous days.<br>[Baseline, post-intervention, follow-up (week 26)]