Psychosocial differences as predictors for recovery from chronic low back pain following manipulation, stabilizing exercises and physician consultation or physician consultation alone

M, Riipinen; Niemistö, Leena; Lindgren, Karl-August; Hurri, Heikki

doi:10.1080/16501970410022426

Cited by 20 publications

(26 citation statements)

References 26 publications

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“…We also stress the importance of implementing exercise programs to stabilize the lumbar spine (29). A study with 204 patients with chronic low back pain conducted by Riipinen et al has confirmed the positive effects of exercise in the treatment of pain and functional disability (30).…”

Section: Discussionmentioning

confidence: 97%

Effects of Pilates and Classical Kinesiotherapy on chronic low back pain: a case study

2015

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Introduction: Chronic low back pain (LBP) is characterized by daily lower back pain lasting more than three consecutive months. It may lead to functional disability and can be treated by several physical therapy techniques, including therapeutic exercise. The aim of this study was to investigate the effects of pilates and classical kinesiotherapy on the treatment of pain and functional disability in patients with chronic low back pain. Materials and methods: The study sample consisted of five patients with a diagnosis of chronic low back pain and a mean age of 32.4 ± 15.6 years. A Visual Analogue Scale (VAS) was used for pain assessment, and the Oswestry Disability Index was used to assess functional disability at the beginning and at the end of the intervention. Patients were divided into two groups and received 20 individual sessions of therapeutic exercise at a frequency of two sessions per week. Group A was treated with classical kinesiotherapy and group B was treated with pilates exercises. Statistical analysis was performed using Wilcoxon's test. The significance level was set at 5%. Results: There was a significant reduction in pain (p = 043) and functional disability (p = 042) in both groups. We found no significant differences between the effects of pilates and classical kinesiotherapy on pain and functional disability. Conclusions: We conclude that, in the population

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Section: Discussionmentioning

confidence: 97%

Effects of Pilates and Classical Kinesiotherapy on chronic low back pain: a case study

2015

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“…Three of the five studies included31 32 52 used a CS method that incorporates the biopsychosocial model. Riipinen et al 31 and Vollenbroek-Hutten32 used the Multidimensional Pain Inventory (MPI) (see table 3) to subclassify.…”

Section: Discussionmentioning

confidence: 99%

“…Riipinen et al 31 and Vollenbroek-Hutten32 used the Multidimensional Pain Inventory (MPI) (see table 3) to subclassify. Previous studies have shown that using this multiaxial assessment gives more consistent results53 than studies using single aspects (physical, psychological or social) in combination 54 55.…”

Section: Discussionmentioning

confidence: 99%

“…In three of the five studies included in the MA,31 32 56 reliability of the subgroups in the CS have been tested. The McKenzie-based CS was tested by Petersen et al ,60 and the overall percentage of agreement between examiners was 72% and the κ coefficient was 0.62 (95% CI 0.50 to 0.74).…”

Section: Discussionmentioning

confidence: 99%

“…To do an MA of the effectiveness, we extracted the group means and SD for each comparison using the outcome measure (pain and disability) in these studies that had attempted subclassification (level 4). In two of the studies included in the MA31 32 where subclassification had been made based on the Multidimensional Pain Inventory, the data were extracted and plotted for each of the different subgroups to show the effect for each of these independently (see figs 3–5). In cases of missing data where studies failed to report SD, we calculated SD from other variance data or imputed a reasonable SD value 33.…”

Section: Methodsmentioning

confidence: 99%

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Integration of subclassification strategies in randomised controlled clinical trials evaluating manual therapy treatment and exercise therapy for non-specific chronic low back pain: a systematic review

et al. 2009

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Background There is lack of evidence for specific treatment interventions for patients with non-specific chronic low back pain (NSCLBP) despite the substantial amount of randomised controlled clinical trials evaluating treatment outcome for this disorder. Hypothesis It has been hypothesised that this vacuum of evidence is caused by the lack of subclassification of the heterogeneous population of patients with chronic low back pain for outcome research. Study design A systematic review. Methods A systematic review with a meta-analysis was undertaken to determine the integration of subclassification strategies with matched interventions in randomised controlled clinical trials evaluating manual therapy treatment and exercise therapy for NSCLBP. A structured search for relevant studies in Embase, Cinahl, Medline, PEDro and the Cochrane Trials Register database, followed by hand searching all relevant studies in English up to December 2008. Results Only 5 of 68 studies (7.4%) subclassified patients beyond applying general inclusion and exclusion criteria. In the few studies where classification and matched interventions have been used, our meta-analysis showed a statistical difference in favour of the classification-based intervention for reductions in pain (p=0.004) and disability (p=0.0005), both for short-term and long-term reduction in pain (p=0.001). Effect sizes ranged from moderate (0.43) for short term to minimal (0.14) for long term. Conclusion A better integration of subclassification strategies in NSCLBP outcome research is needed. We propose the development of explicit recommendations for the use of subclassification strategies and evaluation of targeted interventions in future research evaluating NSCLBP.

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Exercise therapy for chronic low back pain

Hayden

Ellis

Ogilvie

et al. 2021

Cochrane Database of Systematic Reviews

221

171

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Psychosocial differences as predictors for recovery from chronic low back pain following manipulation, stabilizing exercises and physician consultation or physician consultation alone

Cited by 20 publications

References 26 publications

Effects of Pilates and Classical Kinesiotherapy on chronic low back pain: a case study

Effects of Pilates and Classical Kinesiotherapy on chronic low back pain: a case study

Integration of subclassification strategies in randomised controlled clinical trials evaluating manual therapy treatment and exercise therapy for non-specific chronic low back pain: a systematic review

Exercise therapy for chronic low back pain

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