Effectiveness of graded activity versus physiotherapy in patients with chronic nonspecific low back pain: midterm follow up results of a randomized controlled trial

Magalhães, Mauro Taveira; Comachio, Josielli; Ferreira, Paulo H.; Pappas, Evangelos; Marques, Amélia Pasqual

doi:10.1016/j.bjpt.2017.07.002

Cited by 29 publications

(51 citation statements)

References 29 publications

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“…Physiotherapy is known as an effective method in improving the quality of life and reducing the lower back pain using heat therapy and low-frequency vibrations at the lumbar region, ultrasound, abdominal and lower back exercises based on patients’ status. 3 , 7 …”

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confidence: 99%

Effects of Reiki Versus Physiotherapy on Relieving Lower Back Pain and Improving Activities Daily Living of Patients With Intervertebral Disc Hernia

Jahantiqh

Abdollahimohammad

Ebrahiminejad

2018

J Evid Based Complementary Altern Med

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Patients with intervertebral disc herniation (IVDH) seek complementary and conventional medical therapies to manage related problems. This study aimed to determine the effectiveness of Reiki compared with physiotherapy to relieve the lower back pain intensity and to improve the activities of daily living (ADL) in the IDVH patients. In this clinical trial study, 60 patients with IVDH were randomly assigned to one of the Reiki, physiotherapy, and drug therapy groups. The severity of pain and the ADL were measured using visual analog scale (VAS) pain and ADL–Instrumental ADL questionnaire before and after the intervention. A significant difference was found in pain intensity and ADL improvement between Reiki and the drug therapy. However, there was no significant difference between Reiki and physiotherapy groups in managing pain and improving ADL. Reiki and physiotherapy are effective methods in managing pain and improving ADL in patients with IVDH; however, Reiki is more cost-effective and faster treatment method than physiotherapy.

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confidence: 99%

Effects of Reiki Versus Physiotherapy on Relieving Lower Back Pain and Improving Activities Daily Living of Patients With Intervertebral Disc Hernia

Jahantiqh

Abdollahimohammad

Ebrahiminejad

2018

J Evid Based Complementary Altern Med

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“…Not all intervention strategies were related to control groups. In Magalhães et al 42 ) , the comparison between the two IG was low; however, in Jakobsen et al 37 ) it was medium.…”

Section: Resultsmentioning

confidence: 94%

“…IG2, who performed physical exercises at home during their free time, were instructed to exercise using at least four out of the ten different exercises shown in three posters. In the study by Magalhães et al 42 ) , two intervention groups were also given physical exercises to do. One group was allocated to physical therapy (IG1) and the other to graded activity (IG2).…”

Section: Resultsmentioning

confidence: 99%

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Effectiveness of workplace intervention strategies in lower back pain prevention: a review

2020

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The aim of this study was to identify effective work place intervention strategies for the prevention of low back pain (LBP). The study focused on interventions to two major groups: personal interventions and technical interventions. Data basis were searched for with inclusion criteria: study design based on randomised controlled trial; outcome measures including non-specific LBP occurrence expressed by prevalence or intensity; intervention met the definition of the technical and/or personal (physical exercises, behavioural training, educational) intervention programme. Eighteen papers were selected for full analysis. The diversification of quantitative indicators of differences between control and intervention groups were carried out using Cohen’s d index. The results of analysis showed strong differences in effects among intervention strategies, as well as among different cases within similar intervention strategies. LBP severity before intervention and the length of intervention were discussed as potentially influencing factors. The results of the analysis suggest that the most effective strategies for LBP prevention include technical modifications of the workstand and education based on practical training. Behavioural and physical training seems to be of lesser importance. LBP severity before intervention and the time when the measurements of outcome measures take place play an important role in the effectiveness of intervention.

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“…All included articles were published in English. One study published a follow-up publication based on midterm outcome assessment (Magalhaes et al, 2015;Magalhães et al, 2018).…”

Section: Identification Of Studies and Selectionmentioning

confidence: 99%

Operationalisation of a biopsychosocial approach for the non‐pharmacological management of patients with chronic musculoskeletal pain in low‐ and middle‐income countries: A systematic review

Ampiah

Hendrick

Moffatt

et al. 2020

Musculoskeletal Care

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Background Chronic musculoskeletal pain is a major health concern. The biopsychosocial approach is an evidence‐based approach recommended for managing chronic musculoskeletal pain. However, the evidence for this approach is largely reported from high‐income countries; therefore, it is important to ascertain how biopsychosocial approaches are operationalised in low‐ and middle‐income countries to inform practice. Aim To examine the evidence for the operationalization of biopsychosocial interventions in managing patients with chronic musculoskeletal pain in low‐and middle‐income countries. Methods The search included studies published in English from 2008 to September 2019 in: Cochrane library, OVID, CINAHL, Scopus, PUBMED, Web of Science, and SportDiscus. Randomised and non‐randomised trials using a biopsychosocial intervention were considered. The review team developed a search strategy; two independent reviewers screened and assessed results for quality. Results Sixteen studies were included (n = 996) with mainly low back pain populations (n = 11 studies). Others were osteoarthritis (n = 1) and other musculoskeletal pain (n = 4). The majority (n = 12) of studies attained fair to poor quality, three had good quality, one scored excellent quality. Interventions applied biopsychosocial principles such as cognitive functional therapy, and graded activity, delivered by healthcare professionals such as physiotherapists and doctors. However, most results provided insufficient information regarding healthcare professionals' capacity to deliver interventions, lack of information regarding intervention delivery and training of healthcare professionals. Conclusions The results highlight the potential for delivering biopsychosocial interventions in low‐ and middle‐income countries; however, future research should consider robust methodological approaches with clear details to achieve high‐quality trials.

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Effectiveness of graded activity versus physiotherapy in patients with chronic nonspecific low back pain: midterm follow up results of a randomized controlled trial

Abstract: HighlightsGraded activity and physiotherapy have similar effects in terms of reducing pain and disability.Healthcare professionals may identify inadequate beliefs in patients with low back pain.It is important to stimulate patients with LBP return to work.

Cited by 29 publications

References 29 publications

Effects of Reiki Versus Physiotherapy on Relieving Lower Back Pain and Improving Activities Daily Living of Patients With Intervertebral Disc Hernia

Effects of Reiki Versus Physiotherapy on Relieving Lower Back Pain and Improving Activities Daily Living of Patients With Intervertebral Disc Hernia

Effectiveness of workplace intervention strategies in lower back pain prevention: a review

Operationalisation of a biopsychosocial approach for the non‐pharmacological management of patients with chronic musculoskeletal pain in low‐ and middle‐income countries: A systematic review

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