A walking programme and a supervised exercise class versus usual physiotherapy for chronic low back pain: a single-blinded randomised controlled trial. (The Supervised Walking In comparison to Fitness Training for Back Pain (SWIFT) Trial).

Hdl Handle:
http://hdl.handle.net/10147/94215
Title:
A walking programme and a supervised exercise class versus usual physiotherapy for chronic low back pain: a single-blinded randomised controlled trial. (The Supervised Walking In comparison to Fitness Training for Back Pain (SWIFT) Trial).
Authors:
Hurley, Deirdre A; O'Donoghue, Grainne; Tully, Mark A; Moffett, Jennifer Klaber; van Mechelen, Willem; Daly, Leslie; Boreham, Colin Ag; McDonough, Suzanne M
Affiliation:
School of Physiotherapy & Performance Science, University College Dublin, Dublin 4, Ireland. deirdre.hurleyosing@ucd.ie
Citation:
A walking programme and a supervised exercise class versus usual physiotherapy for chronic low back pain: a single-blinded randomised controlled trial. (The Supervised Walking In comparison to Fitness Training for Back Pain (SWIFT) Trial). 2009, 10:79 BMC Musculoskelet Disord
Journal:
BMC musculoskeletal disorders
Issue Date:
2009
URI:
http://hdl.handle.net/10147/94215
DOI:
10.1186/1471-2474-10-79
PubMed ID:
19573247
Abstract:
BACKGROUND: Chronic low back pain (CLBP) is a persistent disabling condition with rising significant healthcare, social and economic costs. Current research supports the use of exercise-based treatment approaches that encourage people with CLBP to assume a physically active role in their recovery. While international clinical guidelines and systematic reviews for CLBP support supervised group exercise as an attractive first-line option for treating large numbers of CLBP patients at low cost, barriers to their delivery include space and time restrictions in healthcare settings and poor patient attendance. The European Clinical Guidelines have identified the need for research in the use of brief/minimal contact self-activation interventions that encourage participation in physical activity for CLBP. Walking may be an ideally suited form of individualized exercise prescription as it is easy to do, requires no special skills or facilities, and is achievable by virtually all ages with little risk of injury, but its effectiveness for LBP is unproven. METHODS AND DESIGN: This study will be an assessor-blinded randomized controlled trial that will investigate the difference in clinical effectiveness and costs of an individualized walking programme and a supervised general exercise programme compared to usual physiotherapy, which will act as the control group, in people with chronic low back pain. A sample of 246 patients will be recruited in Dublin, Ireland through acute general hospital outpatient physiotherapy departments that provide treatment for people with CLBP. Patients will be randomly allocated to one of the three groups in a concealed manner. The main outcomes will be functional disability, pain, quality of life, fear avoidance, back beliefs, physical activity, satisfaction and costs, which will be evaluated at baseline, and 3, 6 and 12 months [follow-up by pre-paid postage]. Qualitative telephone interviews and focus groups will be embedded in the research design to obtain feedback about participants' experiences of the interventions and trial participation, and to inform interpretation of the quantitative data. Planned analysis will be by intention to treat (quantitative data) and thematic analysis (qualitative data) DISCUSSION: The trial will evaluate the effectiveness of a walking programme and a supervised general exercise programme compared to usual physiotherapy in people with CLBP. TRIAL REGISTRATION: Current controlled trial ISRCTN17592092.
Language:
en
MeSH:
Chronic Disease; Cost-Benefit Analysis; Disability Evaluation; Exercise Therapy; Health Care Costs; Humans; Ireland; Low Back Pain; Pain Measurement; Patient Satisfaction; Physical Therapy Modalities; Prospective Studies; Qualitative Research; Quality of Life; Research Design; Sick Leave; Single-Blind Method; Time Factors; Treatment Outcome; Walking
ISSN:
1471-2474

Full metadata record

DC FieldValue Language
dc.contributor.authorHurley, Deirdre Aen
dc.contributor.authorO'Donoghue, Grainneen
dc.contributor.authorTully, Mark Aen
dc.contributor.authorMoffett, Jennifer Klaberen
dc.contributor.authorvan Mechelen, Willemen
dc.contributor.authorDaly, Leslieen
dc.contributor.authorBoreham, Colin Agen
dc.contributor.authorMcDonough, Suzanne Men
dc.date.accessioned2010-03-12T15:41:06Z-
dc.date.available2010-03-12T15:41:06Z-
dc.date.issued2009-
dc.identifier.citationA walking programme and a supervised exercise class versus usual physiotherapy for chronic low back pain: a single-blinded randomised controlled trial. (The Supervised Walking In comparison to Fitness Training for Back Pain (SWIFT) Trial). 2009, 10:79 BMC Musculoskelet Disorden
dc.identifier.issn1471-2474-
dc.identifier.pmid19573247-
dc.identifier.doi10.1186/1471-2474-10-79-
dc.identifier.urihttp://hdl.handle.net/10147/94215-
dc.description.abstractBACKGROUND: Chronic low back pain (CLBP) is a persistent disabling condition with rising significant healthcare, social and economic costs. Current research supports the use of exercise-based treatment approaches that encourage people with CLBP to assume a physically active role in their recovery. While international clinical guidelines and systematic reviews for CLBP support supervised group exercise as an attractive first-line option for treating large numbers of CLBP patients at low cost, barriers to their delivery include space and time restrictions in healthcare settings and poor patient attendance. The European Clinical Guidelines have identified the need for research in the use of brief/minimal contact self-activation interventions that encourage participation in physical activity for CLBP. Walking may be an ideally suited form of individualized exercise prescription as it is easy to do, requires no special skills or facilities, and is achievable by virtually all ages with little risk of injury, but its effectiveness for LBP is unproven. METHODS AND DESIGN: This study will be an assessor-blinded randomized controlled trial that will investigate the difference in clinical effectiveness and costs of an individualized walking programme and a supervised general exercise programme compared to usual physiotherapy, which will act as the control group, in people with chronic low back pain. A sample of 246 patients will be recruited in Dublin, Ireland through acute general hospital outpatient physiotherapy departments that provide treatment for people with CLBP. Patients will be randomly allocated to one of the three groups in a concealed manner. The main outcomes will be functional disability, pain, quality of life, fear avoidance, back beliefs, physical activity, satisfaction and costs, which will be evaluated at baseline, and 3, 6 and 12 months [follow-up by pre-paid postage]. Qualitative telephone interviews and focus groups will be embedded in the research design to obtain feedback about participants' experiences of the interventions and trial participation, and to inform interpretation of the quantitative data. Planned analysis will be by intention to treat (quantitative data) and thematic analysis (qualitative data) DISCUSSION: The trial will evaluate the effectiveness of a walking programme and a supervised general exercise programme compared to usual physiotherapy in people with CLBP. TRIAL REGISTRATION: Current controlled trial ISRCTN17592092.-
dc.language.isoenen
dc.subject.meshChronic Disease-
dc.subject.meshCost-Benefit Analysis-
dc.subject.meshDisability Evaluation-
dc.subject.meshExercise Therapy-
dc.subject.meshHealth Care Costs-
dc.subject.meshHumans-
dc.subject.meshIreland-
dc.subject.meshLow Back Pain-
dc.subject.meshPain Measurement-
dc.subject.meshPatient Satisfaction-
dc.subject.meshPhysical Therapy Modalities-
dc.subject.meshProspective Studies-
dc.subject.meshQualitative Research-
dc.subject.meshQuality of Life-
dc.subject.meshResearch Design-
dc.subject.meshSick Leave-
dc.subject.meshSingle-Blind Method-
dc.subject.meshTime Factors-
dc.subject.meshTreatment Outcome-
dc.subject.meshWalking-
dc.titleA walking programme and a supervised exercise class versus usual physiotherapy for chronic low back pain: a single-blinded randomised controlled trial. (The Supervised Walking In comparison to Fitness Training for Back Pain (SWIFT) Trial).en
dc.contributor.departmentSchool of Physiotherapy & Performance Science, University College Dublin, Dublin 4, Ireland. deirdre.hurleyosing@ucd.ieen
dc.identifier.journalBMC musculoskeletal disordersen

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