An occupational, internet-based intervention to prevent chronicity in subacute lower back pain: a randomised controlled trial

To investigate whether an online occupational postural and exercise intervention reduced patients' overall risk status for chronicity in subacute non-specific low back pain compared with conventional treatment, and to determine whether changes in risk of chronicity correlate with changes in spe...

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Bibliographic Details
Published in:Journal of rehabilitation medicine 2012-06, Vol.44 (7), p.581-587
Main Authors: del Pozo-Cruz, Borja, Parraca, Jose A, del Pozo-Cruz, Jesus, Adsuar, Jose C, Hill, Jonathan, Gusi, Narcis
Format: Article
Language:English
Subjects:
Analysis of Variance
Chronic Disease
Disability Evaluation
Exercise
Exercise Therapy - methods
Female
Health Status Indicators
Humans
Internet
Laboratories
Low back pain
Low Back Pain - prevention & control
Low Back Pain - rehabilitation
Male
Middle Aged
Occupational Health
Occupational Therapy - methods
Office workers
Pain Measurement
Quality of life
Single-Blind Method
Statistics as Topic
Surveys and Questionnaires
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Summary:To investigate whether an online occupational postural and exercise intervention reduced patients' overall risk status for chronicity in subacute non-specific low back pain compared with conventional treatment, and to determine whether changes in risk of chronicity correlate with changes in specific outcomes (i.e. Functional Status and QoL) for low back pain. Prospective, single-blinded randomized intervention study. University office workers with subacute non-specific low back pain (n=100) were randomized 1:1 to an intervention group, who received an online occupational postural and exercise intervention, and a control group. Exercise and education materials used in the intervention were developed as an online resource, and included video demonstrations recorded in a laboratory. All sessions included exercises combining postural stability (for abdominal, lumbar, hip and thigh muscles) strengthening, flexibility, mobility, and stretching. Outcome measures included STarT Back Screening Tool (SBST), Roland Morris score, and European Quality of Life Questionnaire -5 dimensions - 3 levels. At 9 months, SBST was analysed and compared with the baseline and controls. Significant positive effects were found on mean scores recorded in the online occupational exercise intervention group for risk of chronicity (p
ISSN:1650-1977
1651-2081
DOI:10.2340/16501977-0988