The Effect of Back School Integrated with Core Strengthening in Patients with Chronic Low-Back Pain

Yang, Eun Joo; Park, Won Beom; Shin, Hyung Ik; Lim, Jae‐Young

doi:10.1097/phm.0b013e3181e72239

Cited by 24 publications

(20 citation statements)

References 42 publications

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“…The mean effects of the SE program were less relevant than those reported in some previous trials [39,40], but are in line with those obtained in some other recent studies [12,41]. An important aspect of the lack of agreement among these studies is the absence of subjects' subgrouping.…”

Section: Discussionsupporting

confidence: 83%

Effectiveness of a 'Global Postural Reeducation' program for persistent Low Back Pain: a non-randomized controlled trial

Bonetti

Curti

Mattioli

et al. 2010

BMC Musculoskelet Disord

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BackgroundThe aim of this non-randomized controlled trial was to evaluate the effectiveness of a Global Postural Reeducation (GPR) program as compared to a Stabilization Exercise (SE) program in subjects with persistent low back pain (LBP) at short- and mid-term follow-up (ie. 3 and 6 months).MethodsAccording to inclusion and exclusion criteria, 100 patients with a primary complaint of persistent LBP were enrolled in the study: 50 were allocated to the GPR group and 50 to the SE group. Primary outcome measures were Roland and Morris Disability Questionnaire (RMDQ) and Oswestry Disability Index (ODI). Secondary outcome measures were lumbar Visual Analogue Scale (VAS) and Fingertip-to-floor test (FFT). Data were collected at baseline and at 3/6 months by health care professionals unaware of the study. An intention to treat approach was used to analyze participants according to the group to which they were originally assigned.ResultsOf the 100 patients initially included in the study, 78 patients completed the study: 42 in the GPR group and 36 in the SE group. At baseline, the two groups did not differ significantly with respect to gender, age, BMI and outcome measures. Comparing the differences between groups at short- and mid-term follow-up, the GPR group revealed a significant reduction (from baseline) in all outcome measures with respect to the SE group.The ordered logistic regression model showed an increased likelihood of definitive improvement (reduction from baseline of at least 30% in RMDQ and VAS scores) for the GPR group compared to the SE group (OR 3.9, 95% CI 2.7 to 5.7).ConclusionsOur findings suggest that a GPR intervention in subjects with persistent LBP induces a greater improvement on pain and disability as compared to a SE program. These results must be confirmed by further studies with higher methodological standards, including randomization, larger sample size, longer follow-up and subgrouping of the LBP subjects.Trial registrationNCT00789204

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Section: Discussionsupporting

confidence: 83%

Effectiveness of a 'Global Postural Reeducation' program for persistent Low Back Pain: a non-randomized controlled trial

Bonetti

Curti

Mattioli

et al. 2010

BMC Musculoskelet Disord

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“…Sorosky et al said that yoga and pilates may be helpful tools in managing LBP [35]. Additionally, the importance of core strengthening has been widely recognized in CLBP [36][37][38]. In our trial attention was given to strengthening of the whole body muscles.…”

Section: Discussionmentioning

confidence: 92%

“…All exercise programs mainly use stretching, and/or aerobic components aiming to strengthen related muscles. It is recently reported that exercise therapy is effective in alleviating pain and disability as well as increasing spinal mobility, endurance, proprioception, and strength [4][5][6].…”

Section: Durmus Et Al / Effects Of Exercise and Back School Progrmentioning

confidence: 99%

How effective is a modified exercise program on its own or with back school in chronic low back pain? A randomized-controlled clinical trial

Durmuş

Ünal

Kuru

2014

BMR

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“…Management options include pharmacologic interventions, exercise therapy, and modalities including electrotherapy, cold, and heat therapy. Exercise has an important role in the management of CLBP [3]. It was recently reported that exercise therapy is effective in relieving the pain and disability as well as improving spinal mobility, endurance, proprioception, and strength [4,5].…”

Section: Introductionmentioning

confidence: 99%

Does microwave diathermy have an effect on clinical parameters in chronic low back pain? A randomized-controlled trial

Durmuş

Ulus

Alaylı

et al. 2014

BMR

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The Effect of Back School Integrated with Core Strengthening in Patients with Chronic Low-Back Pain

Abstract: Our back school program may help patients with chronic low back pain reduce back-specific disability and pain and develop wellness-focused coping strategies such as exercise and stretching.

Cited by 24 publications

References 42 publications

Effectiveness of a 'Global Postural Reeducation' program for persistent Low Back Pain: a non-randomized controlled trial

Effectiveness of a 'Global Postural Reeducation' program for persistent Low Back Pain: a non-randomized controlled trial

How effective is a modified exercise program on its own or with back school in chronic low back pain? A randomized-controlled clinical trial

Does microwave diathermy have an effect on clinical parameters in chronic low back pain? A randomized-controlled trial

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