Predictors of functional improvement in people with chronic low back pain following a graded programme of movement control exercises
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Other Title
Authors
Okyay, Leyla
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Degree
Master of Osteopathy
Grantor
Unitec Institute of Technology
Date
2010
Supervisors
Bacon, Catherine
Moran, Robert
Hilton, Craig
Moran, Robert
Hilton, Craig
Type
Masters Thesis
Ngā Upoko Tukutuku (Māori subject headings)
Keyword
low back pain
movement control exercises
disability outcome
movement control exercises
disability outcome
ANZSRC Field of Research Code (2020)
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.
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.
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