A randomized controlled trial of the effects of muscle stretching, manual therapy and steroid injections in addition to ‘stay active’ care on health-related quality of life in acute or subacute low back pain

Objective: To evaluate the health-related quality of life effects of muscle stretching, manual therapy and steroid injections in addition to ‘stay active’ care in acute or subacute low back pain patients. Study design: A randomized, controlled trial during 10 weeks with four treatment groups. Settin...

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Bibliographic Details
Published in:Clinical rehabilitation 2011-11, Vol.25 (11), p.999-1010
Main Authors: Grunnesjö, Marie I, Bogefeldt, Johan P, Blomberg, Stefan IE, Strender, Lars-Erik, Svärdsudd, Kurt F
Format: Article
Language:English
Subjects:
Adult
Back pain
Clinical trials
Female
Hospitals
Humans
Intervention
Low Back Pain - rehabilitation
Low Back Pain - therapy
Male
Manipulative therapy
Motor Activity - physiology
Muscle Stretching Exercises - methods
Musculoskeletal Manipulations - methods
Orthopedics
Outcome and Process Assessment (Health Care)
Pain Measurement
Primary care
Public health
Quality of Life
Rehabilitation
Sick leave
Sick Leave - statistics & numerical data
Sickness Impact Profile
Social sciences
Steroids
Steroids - administration & dosage
Steroids - therapeutic use
Stretching
Sweden
Treatment Outcome
Trends
Unemployment
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Summary:Objective: To evaluate the health-related quality of life effects of muscle stretching, manual therapy and steroid injections in addition to ‘stay active’ care in acute or subacute low back pain patients. Study design: A randomized, controlled trial during 10 weeks with four treatment groups. Setting: Nine primary health care and one outpatient orthopaedic hospital department. Subjects: One hundred and sixty patients with acute or subacute low back pain. Interventions: Ten weeks of ‘stay active’ care only (group 1), or ‘stay active’ and muscle stretching (group 2), or ‘stay active’, muscle stretching and manual therapy (group 3), or ‘stay active’, muscle stretching, manual therapy and steroid injections (group 4). Main measures: The Gothenburg Quality of Life instrument subscales Well-being score and Complaint score. Results: In a multivariate analysis adjusted for possible outcome affecting variables other than the treatment given Well-being score was 68.4 (12.5), 72.1 (12.4), 72,3 (12.4) and 72.7 (12.5) in groups 1–4, respectively (P for trend
ISSN:0269-2155
1477-0873
DOI:10.1177/0269215511403512