Abstract
very little is known about the management of a sub-acute LBP. Purpose: A randomized controlled trial (RCT) was conducted to compare the effects of general exercise versus specificmovement control exercise (SMCE) on disability and function in patientswithMCIwithin recurrent sub-acuteLBP. Methods: Participants attended for up to five treatment sessions of manual therapy and exercise. The main outcome measure was the Roland Morris Disability Questionnaire (RMDQ). The measurements were taken at baseline, after three months intervention and at twelve months follow-up. Results:70patientsmet the inclusion criteria andwere eligible for the trial.Measurements of 61 patients (SMCE n= 30 and general exercises n= 31) were completed by twelve months (drop-out rate: 12.9%). Both groups significantly improved with their respective therapeutic interventions. Mean changes of groups in the RMDQ from baseline to twelve months measurement showed significantly superior improvement for SMCE group −1.7 points (−3.9 to −0.5) 95% (CI). Conclusion(s): This study suggests that a combination of manual therapy and SMCE is likely to be superior to manual therapy and general exercise following the intervention and twelve moths follow-up for subjects with non-specific recurrent sub-acute LBPwithmovement control impairment. Implications:Both general exercise andSMCEcombined with manual therapy are effective at reducing disability and improving function following the intervention period in subjects with non-specific recurrent sub-acute LBP with MCI.
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