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RANDOMIZED CONTROLLED TRIAL OF SPECIFIC SPINAL STABILIZATION EXERCISES AND CONVENTIONAL PHYSIOTHERAPY FOR RECURRENT LOW BACK PAIN
Cairns MC, Foster NE, Wright C. Spine 2006;31:E670–81
Spinal stabilisation exercises are a popular form of physiotherapy management for low back pain (LBP), and previous small-scale studies on specific LBP subgroups have identified improvement in outcomes as a result.
Does the addition of specific spinal stabilisation exercises to conventional physiotherapy for patients with LBP improve pain and function over a 12-month period?
Subjects: 97 patients with recurrent LBP (age 18–60 yrs) (70%) provided 12-month follow-up data.
Experimental procedure: Using a stratified randomisation (for laterality of symptoms, duration of symptoms, and disability), subjects were assigned to either “conventional” physiotherapy (CON = 50; general active exercise and manual therapy) or “conventional” physiotherapy plus specific spinal stabilisation exercises (CON+SS = 47). Back-specific functional disability (Roland Morris Disability Questionnaire), pain, quality of life and psychological measures were collected at 6 and 12 month, and 12 months was the primary outcome.
Measure of outcome: Physical functioning (Roland Morris Disability Questionnaire) at 12 months.
There was improved physical functioning, pain intensity, and physical component of quality of life in both groups, with no significant difference between the two groups.
In a 12-month follow-up clinical trial, the addition of spinal stabilisation exercises to …
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