Abstract:
BACKGROUND:Advice to remain active and normalisation of activity are commonly prescribed in the management of low back pain (LBP). However, no research has assessed whether objective measurements of physical activity predict outcome and recovery in acute low back pain. METHOD:The aims of this study were to assess the predictive relationship between activity and disability at 3 months in a sub-acute LBP population. This prospective cohort study recruited 101 consenting patients with sub-acute LBP (< 6 weeks) who completed the Roland Morris Disability Questionnaire (RMDQ), the Visual Analogue Scale, and resumption of full 'normal' activity question (Y/N), at baseline and 3 months. Physical activity was measured for 7 days at both baseline and at 3 months with an RT3 accelerometer and a recall questionnaire. RESULTS:Observed and self-reported measures of physical activity at baseline and change in activity from baseline to 3 months were not independent predictors of RMDQ (p > 0.05) or RMDQ change (p > 0.05) over 3 months. A self-report of a return to full 'normal' activities was significantly associated with greater RMDQ change score at 3 months (p < 0.001). Paired t-tests found no significant change in activity levels measured with the RT3 (p = 0.57) or the recall questionnaire (p = 0.38) from baseline to 3 months. CONCLUSIONS:These results question the predictive role of physical activity in LBP recovery, and the assumption that activity levels change as LBP symptoms resolve. The importance of a patient's perception of activity limitation in recovery from acute LBP was also highlighted. TRIAL REGISTRATION:Clinical Trial Registration Number, ACTRN12609000282280.
journal_name
BMC Musculoskelet Disordjournal_title
BMC musculoskeletal disordersauthors
Hendrick P,Milosavljevic S,Hale L,Hurley DA,McDonough SM,Herbison P,Baxter GDdoi
10.1186/1471-2474-14-126subject
Has Abstractpub_date
2013-04-05 00:00:00pages
126issn
1471-2474pii
1471-2474-14-126journal_volume
14pub_type
杂志文章abstract:BACKGROUND:The course of pain at a specific region such as the lower back has previously been shown as well as for generalized pain. However we have not found any report on the course of pain from various different specific regions. The aim of this investigation was to study the one-year transition of reported pain in ...
journal_title:BMC musculoskeletal disorders
pub_type: 杂志文章
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更新日期:2006-02-23 00:00:00
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journal_title:BMC musculoskeletal disorders
pub_type: 杂志文章
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pub_type: 杂志文章,随机对照试验
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pub_type: 杂志文章,多中心研究
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pub_type: 临床试验,杂志文章
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更新日期:2007-07-03 00:00:00
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更新日期:2009-10-07 00:00:00
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pub_type: 杂志文章,随机对照试验
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