Counselling low-back-pain patients in secondary healthcare: a randomised trial addressing experienced workplace barriers and physical activity

Jensen, Lone Donbæk; Maribo, Thomas; Schiøttz‐Christensen, Berit; Madsen, Finn Hjorth; B, Gonge; Christensen, Michael Victor; Frost, Poul

doi:10.1136/oem.2010.064055

Cited by 33 publications

(58 citation statements)

References 39 publications

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“…The AF-test was used as an outcome measure in a RCT from 2011 that examined an intervention to assist return to work among non-surgical low-back pain patients [16]. In the 2011 study, they found that the AF-test reflected the clinical differences found by the use of questionnaire-based outcome measures [16]. However, our patient group seems to differ from their patient group in terms of poorer fitness at baseline.…”

Section: Discussionmentioning

confidence: 99%

“…A number of patients had problems coping with the AF-test, which influenced their compliance, and this might have influenced the results. The AF-test was used as an outcome measure in a RCT from 2011 that examined an intervention to assist return to work among non-surgical low-back pain patients [16]. In the 2011 study, they found that the AF-test reflected the clinical differences found by the use of questionnaire-based outcome measures [16].…”

Section: Discussionmentioning

confidence: 99%

“…The 6MWT is often used in clinical settings as a single measure of physical functional status [13,15]. The AF-test has been used to measure aerobic fitness in non-surgical low-back pain patients, and is considered an easy test to perform in the clinical setting [16,17].…”

Section: Introductionmentioning

confidence: 99%

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The effect of timing of rehabilitation on physical performance after lumbar spinal fusion: a randomized clinical study

et al. 2013

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Background The number of patients undergoing lumbar spinal fusion procedures (LSF) has risen in recent years, but only few studies have examined different rehabilitation strategies for this patient group. Purpose To evaluate the impact of initiating rehabilitation either 6 or 12 weeks after a LSF based on the patients' physical performance using the 6-min walking test (6MWT) and the Å strand Fitness test (AF-test) as measurement. Methods A multicentre RCT including 82 patients with degenerative disc diseases undergoing LSF randomly assigned to initiate rehabilitation either 6 or 12 weeks after surgery. Both groups received the same group-based rehabilitation. The main outcome measures were the 6MWT and the AF-test, secondarily questionnaire-based measures. Follow-up at baseline as well as at 3, 6 and 12 months after surgery.Results Comparing the two groups no statistically significant difference was found in walking distance or fitness over time. In both groups, the patients achieved an overall increase in walking distance (p \ 0.01), but no improvement in fitness. The 6MWT showed significant correlation (-0.37 to -0.59) with the questionnaire-based outcome measures (p \ 0.01). The AF-test did not correlate to either the 6MWT or any of the questionnaire-based outcome measures. Conclusion No difference was found in the effect of initiating rehabilitation either 6 or 12 weeks after LSF on the patients' physical performance in terms of fitness and walking distance. The 6MWT showed fair to moderate correlation to the questionnaire-based outcome measures. The AF-test showed no significant independent value, and we question its use in LSF patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The effect of timing of rehabilitation on physical performance after lumbar spinal fusion: a randomized clinical study

et al. 2013

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“…A randomized control trial (Jensen et al, 2011) showed a significant reduction of low back pain, when exercising three times a week for 45 minutes. The intervention was based on the underlying assumption that previous experiences with physical activity could be decisive.…”

Section: Introductionmentioning

confidence: 99%

Movement perceived as chores or a source of joy: a phenomenological-hermeneutic study of physical activity and health

Angel

2018

International Journal of Qualitative Studies on Health and Well

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Physical activity has become the most documented and acknowledged health advice in relation to both staying healthy and regaining health both physically and mentally. Thus, physical activity in relation to spinal cord injury, low back pain and heart disease is respectively means to regain bodily function, avoid or reduce pain and early death.A second analysis of three studies with a phenomenological-hermeneutic approach building on Ricoeur’s philosophy on how people understand themselves and their world through narrative configurations revealed that physical activity had different meanings to people. This revealed that the meanings of physical activity could range from movements being unpleasant, maybe even painful to movements being a source of joy. This caused participants (1) to engage in movement as a source of joy, (2) to overcome the bodily struggle to do their chores, and maybe feel better as a result or (3) to minimize bodily functions equivalent to a functional daily life. Illustrated by 10 different approaches this provides knowledge about driving forces for health professional support. As joy and passion are the strongest driving forces to physical activity, this highlights the importance of supporting people to find a kind of physical activity that they like.

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“…The data collection was part of a randomised controlled trial [22]. As this study is a validity study the randomisation was of no interest, and all participants were included.…”

Section: Data Collectionmentioning

confidence: 99%

Postural balance in low back pain patients: criterion-related validity of centre of pressure assessed on a portable force platform

et al. 2011

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Introduction Altered postural control has been observed in low back pain (LBP) patients. They seem to be more dependent on vision when standing. The objective of the study was to determine concurrent and predictive validity of measures of postural stability in LBP patients. Materials and methods Centre of Pressure (CoP) measurements were tested against pain, fear of pain, and physical function. Velocity, anterior-posterior displacement, and the Romberg Ratio obtained on a portable force platform were used as measures of postural stability. Results Baseline and 12-week follow-up results of 97 LBP patients were evaluated. The correlations between CoP measurements and pain, fear of pain, and physical function were poor. There were no significant differences in CoP measurements between patients with no change or deterioration and patients with improvement in pain and back-specific function.Conclusion This first study of concurrent and predictive validity of postural balance in LBP patients revealed no association between CoP measures and pain, fear of pain, and physical function.

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Counselling low-back-pain patients in secondary healthcare: a randomised trial addressing experienced workplace barriers and physical activity

Abstract: Current Controlled Trials ISRCTN13071157.

Cited by 33 publications

References 39 publications

The effect of timing of rehabilitation on physical performance after lumbar spinal fusion: a randomized clinical study

The effect of timing of rehabilitation on physical performance after lumbar spinal fusion: a randomized clinical study

Movement perceived as chores or a source of joy: a phenomenological-hermeneutic study of physical activity and health

Postural balance in low back pain patients: criterion-related validity of centre of pressure assessed on a portable force platform

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