Reducing sedentary behaviour to decrease chronic low back pain: the stand back randomised trial

ObjectiveThe Stand Back study evaluated the feasibility and effects of a multicomponent intervention targeting reduced prolonged sitting and pain self-management in desk workers with chronic low back pain (LBP).MethodsThis randomised controlled trial recruited 27 individuals with chronic LBP, Oswest...

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Published in:Occupational and environmental medicine (London, England) England), 2018-05, Vol.75 (5), p.321-327
Main Authors: Barone Gibbs, Bethany, Hergenroeder, Andrea L, Perdomo, Sophy J, Kowalsky, Robert J, Delitto, Anthony, Jakicic, John M
Format: Article
Language:English
Subjects:
Arthritis
Athletic taping
Back pain
Behavior modification
Chronic Pain - prevention & control
Cognitive ability
Control methods
Counseling
Exercise
Feasibility studies
Female
Humans
Intervention
Low back pain
Low Back Pain - prevention & control
Male
Management
Middle Aged
Neck pain
Occupational Diseases - prevention & control
ORIGINAL ARTICLE
Pain
Physical fitness
Questionnaires
Randomization
Sedentary Behavior
Studies
Surveys and Questionnaires
Work environment
Work stations
Wrist
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container_title Occupational and environmental medicine (London, England)
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creator Barone Gibbs, Bethany
Hergenroeder, Andrea L
Perdomo, Sophy J
Kowalsky, Robert J
Delitto, Anthony
Jakicic, John M
description ObjectiveThe Stand Back study evaluated the feasibility and effects of a multicomponent intervention targeting reduced prolonged sitting and pain self-management in desk workers with chronic low back pain (LBP).MethodsThis randomised controlled trial recruited 27 individuals with chronic LBP, Oswestry Disability Index (ODI) >10% and desk jobs (sitting ≥20 hours/week). Participants were randomised within strata of ODI (>10%–
doi_str_mv 10.1136/oemed-2017-104732
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Participants were randomised within strata of ODI (&gt;10%–&lt;20%, ≥20%) to receive bimonthly behavioural counselling (in-person and telephone), a sit-stand desk attachment, a wrist-worn activity-prompting device and cognitive behavioural therapy for LBP self-management or control. Self-reported work sitting time, visual analogue scales (VAS) for LBP and the ODI were assessed by monthly, online questionnaires and compared across intervention groups using linear mixed models.ResultsBaseline mean (SD) age was 52 (11) years, 78% were women, and ODI was 24.1 (10.5)%. Across the 6-month follow-up in models adjusted for baseline value, work sitting time was 1.5 hour/day (P&lt;0.001) lower comparing intervention to controls. Also across follow-up, ODI was on average 8 points lower in intervention versus control (P=0.001). At 6 months, the relative decrease in ODI from baseline was 50% in intervention and 14% in control (P=0.042). LBP from VAS was not significantly reduced in intervention versus control, though small-to-moderate effect sizes favouring the intervention were observed (Cohen’s d ranged from 0.22 to 0.42).ConclusionAn intervention coupling behavioural counselling targeting reduced sedentary behaviour and pain self-management is a translatable treatment strategy that shows promise for treating chronic LBP in desk-bound employees.Trial registration number NCT0224687; Pre-results.</description><identifier>ISSN: 1351-0711</identifier><identifier>EISSN: 1470-7926</identifier><identifier>DOI: 10.1136/oemed-2017-104732</identifier><identifier>PMID: 29330230</identifier><language>eng</language><publisher>England: BMJ</publisher><subject>Arthritis ; Athletic taping ; Back pain ; Behavior modification ; Chronic Pain - prevention &amp; control ; Cognitive ability ; Control methods ; Counseling ; Exercise ; Feasibility studies ; Female ; Humans ; Intervention ; Low back pain ; Low Back Pain - prevention &amp; control ; Male ; Management ; Middle Aged ; Neck pain ; Occupational Diseases - prevention &amp; control ; ORIGINAL ARTICLE ; Pain ; Physical fitness ; Questionnaires ; Randomization ; Sedentary Behavior ; Studies ; Surveys and Questionnaires ; Work environment ; Work stations ; Wrist</subject><ispartof>Occupational and environmental medicine (London, England), 2018-05, Vol.75 (5), p.321-327</ispartof><rights>Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. 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No commercial use is permitted unless otherwise expressly granted.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b486t-888a26eac572baedae1647c7bf81c7370c10a4ffb1dfdb4a2f8026d9c4ebe4613</citedby><cites>FETCH-LOGICAL-b486t-888a26eac572baedae1647c7bf81c7370c10a4ffb1dfdb4a2f8026d9c4ebe4613</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://oem.bmj.com/content/75/5/321.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttps://oem.bmj.com/content/75/5/321.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,230,314,780,784,885,3196,23571,27924,27925,58238,58471,77600,77631</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29330230$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Barone Gibbs, Bethany</creatorcontrib><creatorcontrib>Hergenroeder, Andrea L</creatorcontrib><creatorcontrib>Perdomo, Sophy J</creatorcontrib><creatorcontrib>Kowalsky, Robert J</creatorcontrib><creatorcontrib>Delitto, Anthony</creatorcontrib><creatorcontrib>Jakicic, John M</creatorcontrib><title>Reducing sedentary behaviour to decrease chronic low back pain: the stand back randomised trial</title><title>Occupational and environmental medicine (London, England)</title><addtitle>Occup Environ Med</addtitle><description>ObjectiveThe Stand Back study evaluated the feasibility and effects of a multicomponent intervention targeting reduced prolonged sitting and pain self-management in desk workers with chronic low back pain (LBP).MethodsThis randomised controlled trial recruited 27 individuals with chronic LBP, Oswestry Disability Index (ODI) &gt;10% and desk jobs (sitting ≥20 hours/week). Participants were randomised within strata of ODI (&gt;10%–&lt;20%, ≥20%) to receive bimonthly behavioural counselling (in-person and telephone), a sit-stand desk attachment, a wrist-worn activity-prompting device and cognitive behavioural therapy for LBP self-management or control. Self-reported work sitting time, visual analogue scales (VAS) for LBP and the ODI were assessed by monthly, online questionnaires and compared across intervention groups using linear mixed models.ResultsBaseline mean (SD) age was 52 (11) years, 78% were women, and ODI was 24.1 (10.5)%. Across the 6-month follow-up in models adjusted for baseline value, work sitting time was 1.5 hour/day (P&lt;0.001) lower comparing intervention to controls. Also across follow-up, ODI was on average 8 points lower in intervention versus control (P=0.001). At 6 months, the relative decrease in ODI from baseline was 50% in intervention and 14% in control (P=0.042). LBP from VAS was not significantly reduced in intervention versus control, though small-to-moderate effect sizes favouring the intervention were observed (Cohen’s d ranged from 0.22 to 0.42).ConclusionAn intervention coupling behavioural counselling targeting reduced sedentary behaviour and pain self-management is a translatable treatment strategy that shows promise for treating chronic LBP in desk-bound employees.Trial registration number NCT0224687; Pre-results.</description><subject>Arthritis</subject><subject>Athletic taping</subject><subject>Back pain</subject><subject>Behavior modification</subject><subject>Chronic Pain - prevention &amp; control</subject><subject>Cognitive ability</subject><subject>Control methods</subject><subject>Counseling</subject><subject>Exercise</subject><subject>Feasibility studies</subject><subject>Female</subject><subject>Humans</subject><subject>Intervention</subject><subject>Low back pain</subject><subject>Low Back Pain - prevention &amp; control</subject><subject>Male</subject><subject>Management</subject><subject>Middle Aged</subject><subject>Neck pain</subject><subject>Occupational Diseases - prevention &amp; 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Participants were randomised within strata of ODI (&gt;10%–&lt;20%, ≥20%) to receive bimonthly behavioural counselling (in-person and telephone), a sit-stand desk attachment, a wrist-worn activity-prompting device and cognitive behavioural therapy for LBP self-management or control. Self-reported work sitting time, visual analogue scales (VAS) for LBP and the ODI were assessed by monthly, online questionnaires and compared across intervention groups using linear mixed models.ResultsBaseline mean (SD) age was 52 (11) years, 78% were women, and ODI was 24.1 (10.5)%. Across the 6-month follow-up in models adjusted for baseline value, work sitting time was 1.5 hour/day (P&lt;0.001) lower comparing intervention to controls. Also across follow-up, ODI was on average 8 points lower in intervention versus control (P=0.001). At 6 months, the relative decrease in ODI from baseline was 50% in intervention and 14% in control (P=0.042). LBP from VAS was not significantly reduced in intervention versus control, though small-to-moderate effect sizes favouring the intervention were observed (Cohen’s d ranged from 0.22 to 0.42).ConclusionAn intervention coupling behavioural counselling targeting reduced sedentary behaviour and pain self-management is a translatable treatment strategy that shows promise for treating chronic LBP in desk-bound employees.Trial registration number NCT0224687; Pre-results.</abstract><cop>England</cop><pub>BMJ</pub><pmid>29330230</pmid><doi>10.1136/oemed-2017-104732</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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source JSTOR Archival Journals and Primary Sources Collection; BMJ Journals - NESLi2
subjects Arthritis
Athletic taping
Back pain
Behavior modification
Chronic Pain - prevention & control
Cognitive ability
Control methods
Counseling
Exercise
Feasibility studies
Female
Humans
Intervention
Low back pain
Low Back Pain - prevention & control
Male
Management
Middle Aged
Neck pain
Occupational Diseases - prevention & control
ORIGINAL ARTICLE
Pain
Physical fitness
Questionnaires
Randomization
Sedentary Behavior
Studies
Surveys and Questionnaires
Work environment
Work stations
Wrist
title Reducing sedentary behaviour to decrease chronic low back pain: the stand back randomised trial
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