Does a patient's physical activity predict recovery from an episode of acute low back pain? A prospective cohort study

Hdl Handle:
http://hdl.handle.net/10147/281355
Title:
Does a patient's physical activity predict recovery from an episode of acute low back pain? A prospective cohort study
Authors:
Hendrick, Paul; Milosavljevic, Stephan; Hale, Leigh; Hurley, Deirdre A; McDonough, Suzanne M; Herbison, Peter; Baxter, G David
Citation:
BMC Musculoskeletal Disorders. 2013 Apr 05;14(1):126
Issue Date:
5-Apr-2013
URI:
http://dx.doi.org/10.1186/1471-2474-14-126; http://hdl.handle.net/10147/281355
Abstract:
Abstract Background Advice to remain active and normalisation of activity are commonly prescribed in the management of low back pain (LBP). However, no research has assessed whether objective measurements of physical activity predict outcome and recovery in acute low back pain. Method The aims of this study were to assess the predictive relationship between activity and disability at 3 months in a sub-acute LBP population. This prospective cohort study recruited 101 consenting patients with sub-acute LBP (< 6 weeks) who completed the Roland Morris Disability Questionnaire (RMDQ), the Visual Analogue Scale, and resumption of full ‘normal’ activity question (Y/N), at baseline and 3 months. Physical activity was measured for 7 days at both baseline and at 3 months with an RT3 accelerometer and a recall questionnaire. Results Observed and self-reported measures of physical activity at baseline and change in activity from baseline to 3 months were not independent predictors of RMDQ (p > 0.05) or RMDQ change (p > 0.05) over 3 months. A self-report of a return to full ‘normal’ activities was significantly associated with greater RMDQ change score at 3 months (p < 0.001). Paired t-tests found no significant change in activity levels measured with the RT3 (p = 0.57) or the recall questionnaire (p = 0.38) from baseline to 3 months. Conclusions These results question the predictive role of physical activity in LBP recovery, and the assumption that activity levels change as LBP symptoms resolve. The importance of a patient’s perception of activity limitation in recovery from acute LBP was also highlighted. Trial registration Clinical Trial Registration Number, ACTRN12609000282280
Language:
en
Keywords:
BACK PAIN

Full metadata record

DC FieldValue Language
dc.contributor.authorHendrick, Paulen_GB
dc.contributor.authorMilosavljevic, Stephanen_GB
dc.contributor.authorHale, Leighen_GB
dc.contributor.authorHurley, Deirdre Aen_GB
dc.contributor.authorMcDonough, Suzanne Men_GB
dc.contributor.authorHerbison, Peteren_GB
dc.contributor.authorBaxter, G Daviden_GB
dc.date.accessioned2013-04-15T14:25:44Z-
dc.date.available2013-04-15T14:25:44Z-
dc.date.issued2013-04-05-
dc.identifier.citationBMC Musculoskeletal Disorders. 2013 Apr 05;14(1):126en_GB
dc.identifier.urihttp://dx.doi.org/10.1186/1471-2474-14-126-
dc.identifier.urihttp://hdl.handle.net/10147/281355-
dc.description.abstractAbstract Background Advice to remain active and normalisation of activity are commonly prescribed in the management of low back pain (LBP). However, no research has assessed whether objective measurements of physical activity predict outcome and recovery in acute low back pain. Method The aims of this study were to assess the predictive relationship between activity and disability at 3 months in a sub-acute LBP population. This prospective cohort study recruited 101 consenting patients with sub-acute LBP (< 6 weeks) who completed the Roland Morris Disability Questionnaire (RMDQ), the Visual Analogue Scale, and resumption of full ‘normal’ activity question (Y/N), at baseline and 3 months. Physical activity was measured for 7 days at both baseline and at 3 months with an RT3 accelerometer and a recall questionnaire. Results Observed and self-reported measures of physical activity at baseline and change in activity from baseline to 3 months were not independent predictors of RMDQ (p > 0.05) or RMDQ change (p > 0.05) over 3 months. A self-report of a return to full ‘normal’ activities was significantly associated with greater RMDQ change score at 3 months (p < 0.001). Paired t-tests found no significant change in activity levels measured with the RT3 (p = 0.57) or the recall questionnaire (p = 0.38) from baseline to 3 months. Conclusions These results question the predictive role of physical activity in LBP recovery, and the assumption that activity levels change as LBP symptoms resolve. The importance of a patient’s perception of activity limitation in recovery from acute LBP was also highlighted. Trial registration Clinical Trial Registration Number, ACTRN12609000282280-
dc.language.isoenen
dc.subjectBACK PAINen_GB
dc.titleDoes a patient's physical activity predict recovery from an episode of acute low back pain? A prospective cohort studyen_GB
dc.language.rfc3066en-
dc.rights.holderPaul Hendrick et al.; licensee BioMed Central Ltd.-
dc.description.statusPeer Reviewed-
dc.date.updated2013-04-12T11:03:04Z-
All Items in Lenus, The Irish Health Repository are protected by copyright, with all rights reserved, unless otherwise indicated.