A randomized trial comparing a group exercise programme for back pain patients with individual physiotherapy in a severely deprived area
A randomized trial comparing a group exercise programme for back pain patients with individual physiotherapy in a severely deprived area
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DOI：
10.1080/09638280500030639
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发表时间：
2005-08-19
影响因子：
2.2
通讯作者：
Metcalfe, CJ
中科院分区：
文献类型：
--
作者：
Carr, JL;Moffett, JAK;Metcalfe, CJ
目的.比较一组锻炼计划被称为回到健身计划与个人物理治疗的非特异性腰痛患者从物质匮乏的地区。这是一项随机对照试验，包括237名持续6周以上背痛的物理治疗患者。参与者被分配到恢复健身计划或个人物理治疗，并在随机分组后3个月和12个月进行随访。主要的结果测量是罗兰残疾问卷。次要指标为：SF 12、EQ 5D、疼痛自我效能量表。记录患者使用卫生保健资源的卫生保健日记也收集了超过12个月的时间。在3个月（CI - 2.24至0.49）和12个月（CI- 1.68至1.39）时，两组主要结局指标的变化评分无统计学显著差异。在3个月和12个月时，在恢复健康组（平均变化评分-，- 0.89，- 0.77）和单独物理治疗组（平均变化评分-，- 0.02，- 0.63）中仅观察到残疾评分的轻微改善。进一步的分析表明，来自最严重贫困地区的患者在3个月随访时情况略差，而来自较富裕地区的患者则趋于改善（CI 0.43至3.15）。
Purpose. To compare a group exercise programme known as the Back to Fitness programme with individual physiotherapy for patients with non-specific low back pain from a materially deprived area.Method. This was a randomized controlled trial including 237 physiotherapy patients with back pain lasting more than six weeks. Participants were allocated to either the Back to Fitness programme or to individual physiotherapy, and followed up at three months and 12 months after randomization. The main outcome measure was the Roland Disability Questionnaire. Secondary measures were: SF12, EQ5D, Pain Self-Efficacy Scale. Health care diaries recording patients' use of health care resources were also collected over a 12-month period.Results. There were no statistically significant differences in change scores between groups on the primary outcome measure at three months (CI - 2.24 to 0.49) and at 12 months (Cl - 1.68 to 1.39). Only minor improvements in disability scores were observed in the Back to Fitness group at three months and 12 months respectively (mean change scores-, - 0.89, - 0.77) and in the individual physiotherapy arm (mean change scores-, - 0.02, - 0.63). Further analysis showed that patients from the most severely deprived areas were marginally worse at three month follow-up whereas those from more affluent areas tended to improve (Cl 0.43 to 3.15).