A randomized trial comparing a group exercise programme for back pain patients with individual physiotherapy in a severely deprived area

J L Carr; J A K Moffett; E Howarth; S J Richmond; D J Torgerson; D A Jackson; C J Metcalfe

doi:10.1080/0963828500030639

A randomized trial comparing a group exercise programme for back pain patients with individual physiotherapy in a severely deprived area

J L Carr, J A K Moffett, E Howarth, S J Richmond, D J Torgerson, D A Jackson, C J Metcalfe

Health Sciences

Research output: Contribution to journal › Article › peer-review

Abstract

Purpose. To compare a group exercise programme known as the Back to Fitness programme with individual physiotherapy for patients with non-specific low back pain from a materially deprived area.

Method. This was a randomized controlled trial including 237 physiotherapy patients with back pain lasting more than six weeks. Participants were allocated to either the Back to Fitness programme or to individual physiotherapy, and followed up at three months and 12 months after randomization. The main outcome measure was the Roland Disability Questionnaire. Secondary measures were: SF12, EQ5D, Pain Self-Efficacy Scale. Health care diaries recording patients' use of health care resources were also collected over a 12-month period.

Results. There were no statistically significant differences in change scores between groups on the primary outcome measure at three months (CI - 2.24 to 0.49) and at 12 months (Cl - 1.68 to 1.39). Only minor improvements in disability scores were observed in the Back to Fitness group at three months and 12 months respectively (mean change scores-, - 0.89, - 0.77) and in the individual physiotherapy arm (mean change scores-, - 0.02, - 0.63). Further analysis showed that patients from the most severely deprived areas were marginally worse at three month follow-up whereas those from more affluent areas tended to improve (Cl 0.43 to 3.15).

Original language	English
Pages (from-to)	929-937
Number of pages	9
Journal	Disability and rehabilitation
Volume	27
Issue number	16
DOIs	https://doi.org/10.1080/0963828500030639
Publication status	Published - 19 Aug 2005

Keywords

back pain
exercise
deprivation
physical therapy
patient preferences
SOCIAL DEPRIVATION
FITNESS PROGRAM
PRIMARY-CARE
PREVALENCE
SEVERITY
TERM

Access to Document

10.1080/0963828500030639

Cite this

@article{77b5eba2f99047aab2ae43de43f5da40,

title = "A randomized trial comparing a group exercise programme for back pain patients with individual physiotherapy in a severely deprived area",

abstract = "Purpose. To compare a group exercise programme known as the Back to Fitness programme with individual physiotherapy for patients with non-specific low back pain from a materially deprived area.Method. This was a randomized controlled trial including 237 physiotherapy patients with back pain lasting more than six weeks. Participants were allocated to either the Back to Fitness programme or to individual physiotherapy, and followed up at three months and 12 months after randomization. The main outcome measure was the Roland Disability Questionnaire. Secondary measures were: SF12, EQ5D, Pain Self-Efficacy Scale. Health care diaries recording patients' use of health care resources were also collected over a 12-month period.Results. There were no statistically significant differences in change scores between groups on the primary outcome measure at three months (CI - 2.24 to 0.49) and at 12 months (Cl - 1.68 to 1.39). Only minor improvements in disability scores were observed in the Back to Fitness group at three months and 12 months respectively (mean change scores-, - 0.89, - 0.77) and in the individual physiotherapy arm (mean change scores-, - 0.02, - 0.63). Further analysis showed that patients from the most severely deprived areas were marginally worse at three month follow-up whereas those from more affluent areas tended to improve (Cl 0.43 to 3.15).",

keywords = "back pain, exercise, deprivation, physical therapy, patient preferences, SOCIAL DEPRIVATION, FITNESS PROGRAM, PRIMARY-CARE, PREVALENCE, SEVERITY, TERM",

author = "Carr, {J L} and Moffett, {J A K} and E Howarth and Richmond, {S J} and Torgerson, {D J} and Jackson, {D A} and Metcalfe, {C J}",

year = "2005",

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T1 - A randomized trial comparing a group exercise programme for back pain patients with individual physiotherapy in a severely deprived area

AU - Carr, J L

AU - Moffett, J A K

AU - Howarth, E

AU - Richmond, S J

AU - Torgerson, D J

AU - Jackson, D A

AU - Metcalfe, C J

PY - 2005/8/19

Y1 - 2005/8/19

N2 - Purpose. To compare a group exercise programme known as the Back to Fitness programme with individual physiotherapy for patients with non-specific low back pain from a materially deprived area.Method. This was a randomized controlled trial including 237 physiotherapy patients with back pain lasting more than six weeks. Participants were allocated to either the Back to Fitness programme or to individual physiotherapy, and followed up at three months and 12 months after randomization. The main outcome measure was the Roland Disability Questionnaire. Secondary measures were: SF12, EQ5D, Pain Self-Efficacy Scale. Health care diaries recording patients' use of health care resources were also collected over a 12-month period.Results. There were no statistically significant differences in change scores between groups on the primary outcome measure at three months (CI - 2.24 to 0.49) and at 12 months (Cl - 1.68 to 1.39). Only minor improvements in disability scores were observed in the Back to Fitness group at three months and 12 months respectively (mean change scores-, - 0.89, - 0.77) and in the individual physiotherapy arm (mean change scores-, - 0.02, - 0.63). Further analysis showed that patients from the most severely deprived areas were marginally worse at three month follow-up whereas those from more affluent areas tended to improve (Cl 0.43 to 3.15).

AB - Purpose. To compare a group exercise programme known as the Back to Fitness programme with individual physiotherapy for patients with non-specific low back pain from a materially deprived area.Method. This was a randomized controlled trial including 237 physiotherapy patients with back pain lasting more than six weeks. Participants were allocated to either the Back to Fitness programme or to individual physiotherapy, and followed up at three months and 12 months after randomization. The main outcome measure was the Roland Disability Questionnaire. Secondary measures were: SF12, EQ5D, Pain Self-Efficacy Scale. Health care diaries recording patients' use of health care resources were also collected over a 12-month period.Results. There were no statistically significant differences in change scores between groups on the primary outcome measure at three months (CI - 2.24 to 0.49) and at 12 months (Cl - 1.68 to 1.39). Only minor improvements in disability scores were observed in the Back to Fitness group at three months and 12 months respectively (mean change scores-, - 0.89, - 0.77) and in the individual physiotherapy arm (mean change scores-, - 0.02, - 0.63). Further analysis showed that patients from the most severely deprived areas were marginally worse at three month follow-up whereas those from more affluent areas tended to improve (Cl 0.43 to 3.15).

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KW - SOCIAL DEPRIVATION

KW - FITNESS PROGRAM

KW - PRIMARY-CARE

KW - PREVALENCE

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