Comparison of efficacy of a supervised versus non-supervised physical therapy exercise program on the pain, functionality and quality of life of patients with non-specific chronic low-back pain: a randomized controlled trial.
Abstract Objective: To compare the effectiveness of supervised physical therapy program versus non-supervised on pain, functionality, fear of movement and quality of life in patients with non-specific chronic low back pain. Design: A randomized double-blind clinical trial. Setting: Clinical...
| Main Authors: | , , , , , , |
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| Format: | info:eu-repo/semantics/article |
| Language: | English |
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2024
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| Online Access: | http://hdl.handle.net/10835/15237 |
| _version_ | 1789408414841962496 |
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| author | Matarán-Peñarrocha, Guillermo Adolfo Lara Palomo, Inmaculada Carmen Antequera Soler, Eduardo Gil Martínez, Esther Fernández Sánchez, Manuel Aguilar Ferrándiz, María Encarnación Castro Sánchez, Adelaida María |
| author_facet | Matarán-Peñarrocha, Guillermo Adolfo Lara Palomo, Inmaculada Carmen Antequera Soler, Eduardo Gil Martínez, Esther Fernández Sánchez, Manuel Aguilar Ferrándiz, María Encarnación Castro Sánchez, Adelaida María |
| author_sort | Matarán-Peñarrocha, Guillermo Adolfo |
| collection | DSpace |
| description | Abstract
Objective: To compare the effectiveness of supervised physical therapy program versus non-supervised on pain, functionality, fear of movement and quality of life in patients with non-specific chronic low back pain.
Design: A randomized double-blind clinical trial.
Setting: Clinical outpatient unit; home.
Subjects: A total of 64 participants with non-specific chronic low back pain were randomized into either supervised exercise group (n = 32) or non-supervised home exercise group (n = 32).
Interventions: The supervised group was treated with therapy exercises (strengthen lumbopelvic musculature), while the non-supervised received an informative session of the exercises, which were performed un-supervised at home. Both groups received three weekly sessions for eight weeks.
Main measures: Pain, disability, fear of movement, quality of life, trunk muscle endurance and trunk anteflexion motion were assessed at baseline, two, and six months of follow-up.
Results: Although analysis of variance (ANOVA) test showed statistically significant differences between groups for pain (P = 0.028; supervised: 2.5 ± 2.1; non-supervised: 3.5 ± 1.5) and disability for Roland-Morris Disability Questionnaire (P = 0.004; supervised: 3.1 ± 2.2; non-supervised: 5.1 ± 3.0) and for Oswestry Disability Index (P = 0.034; supervised: 14.5 ± 7.1; non-supervised: 19.2 ± 10.0) at 8 weeks immediately posttreatment, there were no differences between the groups in patient-rated pain, functionality, fear of movement and quality of life at six months of follow-up.
Conclusion: Patients with chronic low back pain who received supervised exercise showed more improvement in both the short and long term in all patient-rated outcomes over the non-supervised group, but the differences were small and not clinically significant.
Keywords: Exercise physical therapy; chronic disease; low back pain; musculoskeletal pain; randomized controlled trial; supervision. |
| format | info:eu-repo/semantics/article |
| id | oai:repositorio.ual.es:10835-15237 |
| institution | Universidad de Cuenca |
| language | English |
| publishDate | 2024 |
| record_format | dspace |
| spelling | oai:repositorio.ual.es:10835-152372024-01-17T12:37:58Z Comparison of efficacy of a supervised versus non-supervised physical therapy exercise program on the pain, functionality and quality of life of patients with non-specific chronic low-back pain: a randomized controlled trial. Matarán-Peñarrocha, Guillermo Adolfo Lara Palomo, Inmaculada Carmen Antequera Soler, Eduardo Gil Martínez, Esther Fernández Sánchez, Manuel Aguilar Ferrándiz, María Encarnación Castro Sánchez, Adelaida María Fisioterapia Ejercicio no supervisado Ejercicio supervisado Dolor lumbar crónico Abstract Objective: To compare the effectiveness of supervised physical therapy program versus non-supervised on pain, functionality, fear of movement and quality of life in patients with non-specific chronic low back pain. Design: A randomized double-blind clinical trial. Setting: Clinical outpatient unit; home. Subjects: A total of 64 participants with non-specific chronic low back pain were randomized into either supervised exercise group (n = 32) or non-supervised home exercise group (n = 32). Interventions: The supervised group was treated with therapy exercises (strengthen lumbopelvic musculature), while the non-supervised received an informative session of the exercises, which were performed un-supervised at home. Both groups received three weekly sessions for eight weeks. Main measures: Pain, disability, fear of movement, quality of life, trunk muscle endurance and trunk anteflexion motion were assessed at baseline, two, and six months of follow-up. Results: Although analysis of variance (ANOVA) test showed statistically significant differences between groups for pain (P = 0.028; supervised: 2.5 ± 2.1; non-supervised: 3.5 ± 1.5) and disability for Roland-Morris Disability Questionnaire (P = 0.004; supervised: 3.1 ± 2.2; non-supervised: 5.1 ± 3.0) and for Oswestry Disability Index (P = 0.034; supervised: 14.5 ± 7.1; non-supervised: 19.2 ± 10.0) at 8 weeks immediately posttreatment, there were no differences between the groups in patient-rated pain, functionality, fear of movement and quality of life at six months of follow-up. Conclusion: Patients with chronic low back pain who received supervised exercise showed more improvement in both the short and long term in all patient-rated outcomes over the non-supervised group, but the differences were small and not clinically significant. Keywords: Exercise physical therapy; chronic disease; low back pain; musculoskeletal pain; randomized controlled trial; supervision. 2024-01-17T12:37:58Z 2024-01-17T12:37:58Z 2020 info:eu-repo/semantics/article Matarán-Peñarrocha GA, Lara Palomo IC, Antequera Soler E, Gil-Martínez E, Fernández-Sánchez M, Aguilar-Ferrándiz ME, Castro-Sánchez AM. Comparison of efficacy of a supervised versus non-supervised physical therapy exercise program on the pain, functionality and quality of life of patients with non-specific chronic low-back pain: a randomized controlled trial. Clin Rehabil. 2020 Jul;34(7):948-959. http://hdl.handle.net/10835/15237 10.1177/0269215520927076 en Attribution-NonCommercial-NoDerivatives 4.0 Internacional http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess Clin Rehabil. 2020 Jul;34(7):948-959. |
| spellingShingle | Fisioterapia Ejercicio no supervisado Ejercicio supervisado Dolor lumbar crónico Matarán-Peñarrocha, Guillermo Adolfo Lara Palomo, Inmaculada Carmen Antequera Soler, Eduardo Gil Martínez, Esther Fernández Sánchez, Manuel Aguilar Ferrándiz, María Encarnación Castro Sánchez, Adelaida María Comparison of efficacy of a supervised versus non-supervised physical therapy exercise program on the pain, functionality and quality of life of patients with non-specific chronic low-back pain: a randomized controlled trial. |
| title | Comparison of efficacy of a supervised versus non-supervised physical therapy exercise program on the pain, functionality and quality of life of patients with non-specific chronic low-back pain: a randomized controlled trial. |
| title_full | Comparison of efficacy of a supervised versus non-supervised physical therapy exercise program on the pain, functionality and quality of life of patients with non-specific chronic low-back pain: a randomized controlled trial. |
| title_fullStr | Comparison of efficacy of a supervised versus non-supervised physical therapy exercise program on the pain, functionality and quality of life of patients with non-specific chronic low-back pain: a randomized controlled trial. |
| title_full_unstemmed | Comparison of efficacy of a supervised versus non-supervised physical therapy exercise program on the pain, functionality and quality of life of patients with non-specific chronic low-back pain: a randomized controlled trial. |
| title_short | Comparison of efficacy of a supervised versus non-supervised physical therapy exercise program on the pain, functionality and quality of life of patients with non-specific chronic low-back pain: a randomized controlled trial. |
| title_sort | comparison of efficacy of a supervised versus non-supervised physical therapy exercise program on the pain, functionality and quality of life of patients with non-specific chronic low-back pain: a randomized controlled trial. |
| topic | Fisioterapia Ejercicio no supervisado Ejercicio supervisado Dolor lumbar crónico |
| url | http://hdl.handle.net/10835/15237 |
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