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Motor control exercises, sling exercises, and general exercises for patients with chronic low back pain: a randomized controlled trial with 1-year follow-up.
Phys Ther. 2010 Oct; 90(10):1426-40.PT

Abstract

BACKGROUND

Exercise benefits patients with chronic nonspecific low back pain; however, the most effective type of exercise remains unknown.

OBJECTIVE

This study compared outcomes after motor control exercises, sling exercises, and general exercises for low back pain.

DESIGN

This was a randomized controlled trial with a 1-year follow-up.

SETTING

The study was conducted in a primary care setting in Norway.

PATIENTS

The participants were patients with chronic nonspecific low back pain (n=109).

INTERVENTIONS

The interventions in this study were low-load motor control exercises, high-load sling exercises, or general exercises, all delivered by experienced physical therapists, once a week for 8 weeks.

MEASUREMENTS

The primary outcome measure was pain reported on the Numeric Pain Rating Scale after treatment and at a 1-year follow-up. Secondary outcome measures were self-reported activity limitation (assessed with the Oswestry Disability Index), clinically examined function (assessed with the Fingertip-to-Floor Test), and fear-avoidance beliefs after intervention.

RESULTS

The postintervention assessment showed no significant differences among groups with respect to pain (overall group difference) or any of the outcome measures. Mean (95% confidence interval) group differences for pain reduction after treatment and after 1 year were 0.3 (-0.7 to 1.3) and 0.4 (-0.7 to 1.4) for motor control exercises versus sling exercises, 0.7 (-0.6 to 2.0) and 0.3 (-0.8 to 1.4) for sling exercises versus general exercises, and 1.0 (-0.1 to 2.0) and 0.7 (-0.3 to 1.7) for motor control exercises versus general exercises.

LIMITATIONS

The nature of the interventions made blinding impossible.

CONCLUSIONS

This study gave no evidence that 8 treatments with individually instructed motor control exercises or sling exercises were superior to general exercises for chronic low back pain.

Authors+Show Affiliations

Department of Public Health and General Practice, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, Norway. monica.unsgaard.tondel@ntnu.noNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

20671099

Citation

Unsgaard-Tøndel, Monica, et al. "Motor Control Exercises, Sling Exercises, and General Exercises for Patients With Chronic Low Back Pain: a Randomized Controlled Trial With 1-year Follow-up." Physical Therapy, vol. 90, no. 10, 2010, pp. 1426-40.
Unsgaard-Tøndel M, Fladmark AM, Salvesen Ø, et al. Motor control exercises, sling exercises, and general exercises for patients with chronic low back pain: a randomized controlled trial with 1-year follow-up. Phys Ther. 2010;90(10):1426-40.
Unsgaard-Tøndel, M., Fladmark, A. M., Salvesen, Ø., & Vasseljen, O. (2010). Motor control exercises, sling exercises, and general exercises for patients with chronic low back pain: a randomized controlled trial with 1-year follow-up. Physical Therapy, 90(10), 1426-40. https://doi.org/10.2522/ptj.20090421
Unsgaard-Tøndel M, et al. Motor Control Exercises, Sling Exercises, and General Exercises for Patients With Chronic Low Back Pain: a Randomized Controlled Trial With 1-year Follow-up. Phys Ther. 2010;90(10):1426-40. PubMed PMID: 20671099.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Motor control exercises, sling exercises, and general exercises for patients with chronic low back pain: a randomized controlled trial with 1-year follow-up. AU - Unsgaard-Tøndel,Monica, AU - Fladmark,Anne Margrethe, AU - Salvesen,Øyvind, AU - Vasseljen,Ottar, Y1 - 2010/07/29/ PY - 2010/7/31/entrez PY - 2010/7/31/pubmed PY - 2010/10/30/medline SP - 1426 EP - 40 JF - Physical therapy JO - Phys Ther VL - 90 IS - 10 N2 - BACKGROUND: Exercise benefits patients with chronic nonspecific low back pain; however, the most effective type of exercise remains unknown. OBJECTIVE: This study compared outcomes after motor control exercises, sling exercises, and general exercises for low back pain. DESIGN: This was a randomized controlled trial with a 1-year follow-up. SETTING: The study was conducted in a primary care setting in Norway. PATIENTS: The participants were patients with chronic nonspecific low back pain (n=109). INTERVENTIONS: The interventions in this study were low-load motor control exercises, high-load sling exercises, or general exercises, all delivered by experienced physical therapists, once a week for 8 weeks. MEASUREMENTS: The primary outcome measure was pain reported on the Numeric Pain Rating Scale after treatment and at a 1-year follow-up. Secondary outcome measures were self-reported activity limitation (assessed with the Oswestry Disability Index), clinically examined function (assessed with the Fingertip-to-Floor Test), and fear-avoidance beliefs after intervention. RESULTS: The postintervention assessment showed no significant differences among groups with respect to pain (overall group difference) or any of the outcome measures. Mean (95% confidence interval) group differences for pain reduction after treatment and after 1 year were 0.3 (-0.7 to 1.3) and 0.4 (-0.7 to 1.4) for motor control exercises versus sling exercises, 0.7 (-0.6 to 2.0) and 0.3 (-0.8 to 1.4) for sling exercises versus general exercises, and 1.0 (-0.1 to 2.0) and 0.7 (-0.3 to 1.7) for motor control exercises versus general exercises. LIMITATIONS: The nature of the interventions made blinding impossible. CONCLUSIONS: This study gave no evidence that 8 treatments with individually instructed motor control exercises or sling exercises were superior to general exercises for chronic low back pain. SN - 1538-6724 UR - https://www.unboundmedicine.com/medline/citation/20671099/Motor_control_exercises_sling_exercises_and_general_exercises_for_patients_with_chronic_low_back_pain:_a_randomized_controlled_trial_with_1_year_follow_up_ L2 - https://academic.oup.com/ptj/article-lookup/doi/10.2522/ptj.20090421 DB - PRIME DP - Unbound Medicine ER -