A walking programme and a supervised exercise class versus usual physiotherapy for chronic low back pain: a single-blinded randomised controlled trial. (The Supervised Walking In comparison to Fitness Training for Back Pain (SWIFT) Trial).
A walking programme and a supervised exercise class versus usual physiotherapy for chronic low back pain: a single-blinded randomised controlled trial. (The Supervised Walking In comparison to Fitness Training for Back Pain (SWIFT) Trial).
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DOI：
10.1186/1471-2474-10-79
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发表时间：
2009-07-02
影响因子：
2.3
通讯作者：
McDonough SM
中科院分区：
文献类型：
--
作者：
Hurley DA;O'Donoghue G;Tully MA;Moffett JK;van Mechelen W;Daly L;Boreham CA;McDonough SM
慢性腰痛（CLBP）是一种持续致残的疾病，具有显著的医疗保健、社会和经济成本。目前的研究支持使用基于运动的治疗方法，鼓励CLBP患者在康复过程中承担积极的体力活动。虽然国际临床指南和系统评价支持监督小组练习作为低成本治疗大量CLBP患者的有吸引力的一线选择，但其实施的障碍包括医疗机构的空间和时间限制以及患者出诊率低。欧洲临床指南已经确定有必要研究使用简短/最少接触的自我激活干预措施来鼓励CLBP患者参与体育活动。步行可能是一种理想的适合个人运动处方的形式，因为它很容易做到，不需要特殊的技能或设备，几乎所有年龄的人都能做到，而且受伤的风险很小，但它对腰痛的有效性尚未得到证实。这项研究将是一项评估盲随机对照试验，将调查个性化步行计划和监督下的一般运动计划与常规物理治疗相比的临床效果和成本的差异，后者将作为对照组，用于慢性腰痛患者。将在爱尔兰都柏林通过急性综合医院门诊物理治疗部门招募246名患者作为样本，这些部门为CLBP患者提供治疗。患者将以隐蔽的方式随机分配到三组中的一组。主要结果将是功能性残疾、疼痛、生活质量、恐惧回避、消极信念、身体活动、满意度和成本，这些将在基线、3个月、6个月和12个月（通过预付邮资进行随访）时进行评估。定性电话访谈和焦点小组将嵌入到研究设计中，以获得关于参与者干预和试验参与经验的反馈，并为定量数据的解释提供信息。计划分析将通过意向治疗（定量数据）和专题分析（定性数据）进行。该试验将评估步行计划和监督下的一般运动计划与常规物理治疗相比对CLBP患者的有效性。当前对照试验ISRCTN17592092
Chronic low back pain (CLBP) is a persistent disabling condition with rising significant healthcare, social and economic costs. Current research supports the use of exercise-based treatment approaches that encourage people with CLBP to assume a physically active role in their recovery. While international clinical guidelines and systematic reviews for CLBP support supervised group exercise as an attractive first-line option for treating large numbers of CLBP patients at low cost, barriers to their delivery include space and time restrictions in healthcare settings and poor patient attendance. The European Clinical Guidelines have identified the need for research in the use of brief/minimal contact self-activation interventions that encourage participation in physical activity for CLBP. Walking may be an ideally suited form of individualized exercise prescription as it is easy to do, requires no special skills or facilities, and is achievable by virtually all ages with little risk of injury, but its effectiveness for LBP is unproven. This study will be an assessor-blinded randomized controlled trial that will investigate the difference in clinical effectiveness and costs of an individualized walking programme and a supervised general exercise programme compared to usual physiotherapy, which will act as the control group, in people with chronic low back pain. A sample of 246 patients will be recruited in Dublin, Ireland through acute general hospital outpatient physiotherapy departments that provide treatment for people with CLBP. Patients will be randomly allocated to one of the three groups in a concealed manner. The main outcomes will be functional disability, pain, quality of life, fear avoidance, back beliefs, physical activity, satisfaction and costs, which will be evaluated at baseline, and 3, 6 and 12 months [follow-up by pre-paid postage]. Qualitative telephone interviews and focus groups will be embedded in the research design to obtain feedback about participants' experiences of the interventions and trial participation, and to inform interpretation of the quantitative data. Planned analysis will be by intention to treat (quantitative data) and thematic analysis (qualitative data) The trial will evaluate the effectiveness of a walking programme and a supervised general exercise programme compared to usual physiotherapy in people with CLBP. Current controlled trial ISRCTN17592092
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影响因子：
3
作者：
Frost, Helen;Lamb, Sarah E.;Stewart-Brown, Sarah
通讯作者：
Stewart-Brown, Sarah
DOI：
10.1249/00005768-198205000-00012
发表时间：
1982-01-01
期刊：
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE
影响因子：
--
作者：
BORG, GAV
通讯作者：
BORG, GAV
影响因子：
2.2
作者：
Carr, JL;Moffett, JAK;Metcalfe, CJ
通讯作者：
Metcalfe, CJ
影响因子：
3.9
作者：
Burnard, P
通讯作者：
Burnard, P
影响因子：
--
作者：
Frost, H;Lamb, SE;Stewart-Brown, S
通讯作者：
Stewart-Brown, S