The back 2 activity trial: education and advice versus education and advice plus a structured walking programme for chronic low back pain.
The back 2 activity trial: education and advice versus education and advice plus a structured walking programme for chronic low back pain.
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DOI：
10.1186/1471-2474-11-163
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发表时间：
2010-07-15
影响因子：
2.3
通讯作者：
Hurley DA
中科院分区：
文献类型：
--
作者：
McDonough SM;Tully MA;O'Connor SR;Boyd A;Kerr DP;O'Neill SM;Delitto A;Bradbury I;Tudor-Locke C;Baxter DG;Hurley DA
目前的证据支持使用运动为基础的治疗慢性腰痛，鼓励病人承担他们的恢复积极的作用。步行已被证明是一种可接受的运动类型，受伤风险较低。然而，目前尚不清楚结构化的身体活动计划是否比提供保持活跃的建议更有效。这项拟议的研究将测试使用计步器驱动的步行计划的可行性，作为慢性腰痛参与者的标准教育和咨询会议的辅助手段。将通过一些不同的来源招募50名成年参与者。将记录基线结局指标，包括自我报告的功能;客观体力活动水平;恐惧回避信念和健康相关生活质量。符合条件的受试者将在严格的双盲条件下随机分配至两个治疗组之一。A组的参与者将接受一次基于“背书”内容的物理治疗师的教育和建议。B组的参与者将接受同样的教育和咨询。此外，他们还将接受物理治疗师指定的步数计驱动的分级步行计划。在随机化后8周和6个月，将由同一研究者记录随访结局，该研究者将对组分配保持盲态。在干预结束时，还将通过使用焦点小组对参与者对步行的感知进行定性探索。作为可行性研究，治疗效果将通过点估计值和置信区间表示。将对受试者满意度的评估以及依从性水平和受试者或治疗师经历的任何记录的困难或不良事件进行制表。这些信息将用于修改计划的干预措施，以便在更大规模的随机对照试验中使用。本文介绍了一项研究的基本原理和设计，该研究将测试使用结构化的，计步器驱动的步行计划在慢性腰痛参与者中的可行性。[ISRCTN67030896]
Current evidence supports the use of exercise-based treatment for chronic low back pain that encourages the patient to assume an active role in their recovery. Walking has been shown it to be an acceptable type of exercise with a low risk of injury. However, it is not known whether structured physical activity programmes are any more effective than giving advice to remain active. The proposed study will test the feasibility of using a pedometer-driven walking programme, as an adjunct to a standard education and advice session in participants with chronic low back pain. Fifty adult participants will be recruited via a number of different sources. Baseline outcome measures including self reported function; objective physical activity levels; fear-avoidance beliefs and health-related quality of life will be recorded. Eligible participants will be randomly allocated under strict, double blind conditions to one of two treatments groups. Participants in group A will receive a single education and advice session with a physiotherapist based on the content of the 'Back Book'. Participants in group B will receive the same education and advice session. In addition, they will also receive a graded pedometer-driven walking programme prescribed by the physiotherapist. Follow up outcomes will be recorded by the same researcher, who will remain blinded to group allocation, at eight weeks and six months post randomisation. A qualitative exploration of participants' perception of walking will also be examined by use of focus groups at the end of the intervention. As a feasibility study, treatment effects will be represented by point estimates and confidence intervals. The assessment of participant satisfaction will be tabulated, as will adherence levels and any recorded difficulties or adverse events experienced by the participants or therapists. This information will be used to modify the planned interventions to be used in a larger randomised controlled trial. This paper describes the rationale and design of a study which will test the feasibility of using a structured, pedometer-driven walking programme in participants with chronic low back pain. [ISRCTN67030896]
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影响因子：
4.2
作者：
MARCUS, BH;ROSSI, JS;ABRAMS, DB
通讯作者：
ABRAMS, DB
影响因子：
2.3
作者：
Hurley DA;O'Donoghue G;Tully MA;Moffett JK;van Mechelen W;Daly L;Boreham CA;McDonough SM
通讯作者：
McDonough SM
影响因子：
105.7
作者：
Kind, P;Dolan, P;Williams, A
通讯作者：
Williams, A
DOI：
10.1249/01.mss.0000113486.60548.e9
发表时间：
2004-02-01
期刊：
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE
影响因子：
--
作者：
Schneider, PL;Crouter, SE;Bassett, DR
通讯作者：
Bassett, DR
DOI：
10.1249/mss.0b013e31817c65d0
发表时间：
2008-07-01
期刊：
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE
影响因子：
--
作者：
Lee, I-Min;Buchner, David M.
通讯作者：
Buchner, David M.