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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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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creator Grunnesjö, Marie I
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description 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
doi_str_mv 10.1177/0269215511403512
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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 &lt;0.05). There were significant trends for the well-being components patience (P &lt; 0.005), energy (P &lt; 0.05), mood (P &lt; 0.05) and family situation (P &lt; 0.05). The remaining two components and Complaint score showed a non-significant trend towards improvement. Conclusion: The effects on health-related quality of life were greater the larger the number of treatment modalities available. The ‘stay active’ treatment group, with the most restricted number of modalities, had the most modest health-related quality of life improvement, while group 4 with the most generous choice of treatment modalities, had the greatest improvement.</description><identifier>ISSN: 0269-2155</identifier><identifier>EISSN: 1477-0873</identifier><identifier>DOI: 10.1177/0269215511403512</identifier><identifier>PMID: 21831926</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>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 &amp; numerical data ; Sickness Impact Profile ; Social sciences ; Steroids ; Steroids - administration &amp; dosage ; Steroids - therapeutic use ; Stretching ; Sweden ; Treatment Outcome ; Trends ; Unemployment</subject><ispartof>Clinical rehabilitation, 2011-11, Vol.25 (11), p.999-1010</ispartof><rights>The Author(s) 2011 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav</rights><rights>SAGE Publications © Nov 2011</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c369t-e872c2e3bb6a7829240e0bdd7f06d4307e5c9549de170afab1588cc83b459c623</citedby><cites>FETCH-LOGICAL-c369t-e872c2e3bb6a7829240e0bdd7f06d4307e5c9549de170afab1588cc83b459c623</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/902852955?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>230,314,780,784,885,12845,21393,21394,27923,27924,30998,33610,34529,43732,44114,79135</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21831926$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:123517119$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Grunnesjö, Marie I</creatorcontrib><creatorcontrib>Bogefeldt, Johan P</creatorcontrib><creatorcontrib>Blomberg, Stefan IE</creatorcontrib><creatorcontrib>Strender, Lars-Erik</creatorcontrib><creatorcontrib>Svärdsudd, Kurt F</creatorcontrib><title>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</title><title>Clinical rehabilitation</title><addtitle>Clin Rehabil</addtitle><description>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. 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There were significant trends for the well-being components patience (P &lt; 0.005), energy (P &lt; 0.05), mood (P &lt; 0.05) and family situation (P &lt; 0.05). The remaining two components and Complaint score showed a non-significant trend towards improvement. Conclusion: The effects on health-related quality of life were greater the larger the number of treatment modalities available. 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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 &lt;0.05). There were significant trends for the well-being components patience (P &lt; 0.005), energy (P &lt; 0.05), mood (P &lt; 0.05) and family situation (P &lt; 0.05). The remaining two components and Complaint score showed a non-significant trend towards improvement. Conclusion: The effects on health-related quality of life were greater the larger the number of treatment modalities available. The ‘stay active’ treatment group, with the most restricted number of modalities, had the most modest health-related quality of life improvement, while group 4 with the most generous choice of treatment modalities, had the greatest improvement.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>21831926</pmid><doi>10.1177/0269215511403512</doi><tpages>12</tpages></addata></record>
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source Applied Social Sciences Index & Abstracts (ASSIA); Social Science Premium Collection; Sociology Collection; Sage Journals Online
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
title 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
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