Abstract
BackgroundPractice guidelines recommend various types of exercise for chronic back pain but there have been few head-to-head comparisons of these interventions. General exercise seems to be an effective option for management of chronic low back pain (LBP) but very little is known about the management of a sub-acute LBP within sub-groups.Recent research has developed clinical tests to identify a subgroup of patients with chronic non-specific LBP who have movement control dysfunction (MD).Method/DesignWe are conducting a randomized controlled trial (RCT) to compare the effects of general exercise and specific movement control exercise (SMCE) on disability and function in patients with MD within recurrent sub-acute LBP. The main outcome measure is the Roland Morris Disability Questionnaire.DiscussionEuropean clinical guideline for management of chronic LBP recommends that more research is required to develop tools to improve the classification and identification of specific clinical sub-groups of chronic LBP patients. Good quality RCTs are then needed to determine the effectiveness of specific interventions aimed at these specific target groups. This RCT aims to test the hypothesis whether patients within a sub-group of MD benefit more through a specific individually tailored movement control exercise program than through general exercises.
Highlights
Practice guidelines recommend various types of exercise for chronic back pain but there have been few head-to-head comparisons of these interventions
European clinical guideline for management of chronic low back pain (LBP) recommends that more research is required to develop tools to improve the classification and identification of specific clinical sub-groups of chronic LBP patients
This randomized controlled trial (RCT) aims to test the hypothesis whether patients within a sub-group of movement control dysfunction (MD) benefit more through a specific individually tailored movement control exercise program than through general exercises
Summary
Practice guidelines recommend various types of exercise for chronic back pain but there have been few head-to-head comparisons of these interventions. General exercise seems to be an effective option for management of chronic low back pain (LBP) but very little is known about the management of a sub-acute LBP within sub-groups. Recent research has developed clinical tests to identify a subgroup of patients with chronic non-specific LBP who have movement control dysfunction (MD). Patients who develop chronic LBP (pain and disability persisting for more than 3 months) use more than 80% of all health care for back pain [3]. The European Guidelines for Management of Chronic Non-Specific LBP recommend supervised exercise therapy as a first-line treatment for chronic LBP [5].
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