A single-blinded randomised controlled trial exploring the effectiveness of a walking programme and a supervised general exercise programme versus usual physiotherapy for chronic low back pain

Health Research Board (HRB) (Ireland)0 个研究点目标入组 246 人开始时间: 2009年1月8日最近更新: 2019年9月9日

适应症

试验速览

•1. Patients with chronic (greater than or equal to three months) or recurrent (greater than or equal to three episodes in previous 12 months) LBP of mechanical origin with/without radiation to the lower limb
•2. Males/females between 18 - 65 years
•3. No spinal surgery within the previous 12 months
•4. Patients deemed suitable by their General Practitioner (GP)/hospital consultant to carry out an exercise programme
•5. Patients willing to attend for an 8-week treatment programme of exercise classes
•6. Access to a telephone (for follow-up support)
•7. Fluency in English (verbal and written)
•8. Low levels of physical activity measured by the International Physical Activity Questionnaire (IPAQ) (less than 600 MET-minutes/week)

•1. Currently or having received treatment for chronic low back pain (CLBP) within previous three months
•2. Red flags indicating serious spinal pathology, e.g. cancer, cauda equina lesion
•3. Radicular pain indicative of nerve root compression
•4. Patients diagnosed with severe spinal stenosis, spondylolisthesis, fibromyalgia
•5. History of systemic/inflammatory disease, e.g. rheumatoid arthritis
•6. Patients with any confounding conditions such as a neurological disorder or currently receiving treatment for cancer
•7. Patients with acute (less than six weeks) or subacute LBP (6 - 12 weeks), provided that they have experienced less than three LBP episodes during previous 12 months
•8. Unstable angina/uncontrolled cardiac dysrhythmias/severe aortic stenosis/acute systemic infection accompanied by fever
•9. Medico-legal issues

发起方

Health Research Board (HRB) (Ireland)