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    Predictors of functional improvement in people with chronic low back pain following a graded programme of movement control exercises

    Okyay, Leyla

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    Date
    2010
    Citation:
    Okyay, L. (2010). Predictors of functional improvement in people with chronic low back pain following a graded programme of movement control exercises. A research project submitted in partial fulfilment of the requirements  for the degree of Master of Osteopathy, Unitec Institute of Technology, New Zealand.
    Permanent link to Research Bank record:
    https://hdl.handle.net/10652/1457
    Abstract
    OBJECTIVES: i) To determine predictors of change in disability of people with chronic low back pain following a graded programme of movement control exercises and ii) to develop a simple clinical rule that predicts outcome. METHODS: Fifty‐five people from a community sample with non‐specific chronic low back pain were examined before undergoing a graded 6‐week programme of movement control exercises. Predictors of change in disability, as measured by the Patient‐Specific Functional Scale, were identified through regression analysis and used to develop a clinical prediction rule. RESULTS: Clinically important improvement in disability was predicted by four variables that explained 48% of the variance in outcome (P<.001): gradual rather than sudden onset of low back pain, patient‐specific functional score <3.7 points, absence of aberrant motions on forward bending, and body mass index >24.5. Failure to show clinically meaningful improvement was predicted by three variables that explained 40% of the variance in outcome (P<.001): sudden onset of low back pain, patient‐specific functional score ≥3.7, and difference between left and right active straight leg raise >7°. CONCLUSION: A combination of five, easily measured variables are able to predict disability outcome following a graded programme of movement control exercises in people with chronic low back pain.
    Keywords:
    low back pain, movement control exercises, disability outcome
    ANZSRC Field of Research:
    321024 Rehabilitation and therapy: occupational and physical, 110499 Complementary and Alternative Medicine not elsewhere classified
    Degree:
    Master of Osteopathy, Unitec Institute of Technology
    Supervisors:
    Bacon, Catherine; Moran, Robert; Hilton, Craig
    Copyright Holder:
    Author

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    This digital work is protected by copyright. It may be consulted by you, provided you comply with the provisions of the Act and the following conditions of use. These documents or images may be used for research or private study purposes. Whether they can be used for any other purpose depends upon the Copyright Notice above. You will recognise the author's and publishers rights and give due acknowledgement where appropriate.
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    • Osteopathy Dissertations and Theses [208]

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