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

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    Authors
    Hendrick, Paul
    Milosavljevic, Stephan
    Hale, Leigh
    Hurley, Deirdre A
    McDonough, Suzanne M
    Herbison, Peter
    Baxter, G David
    Issue Date
    2013-04-05
    Keywords
    BACK PAIN
    
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    Citation
    BMC Musculoskeletal Disorders. 2013 Apr 05;14(1):126
    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
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