None listed
Conditions
Brief summary
Research hypotheses: People with chronic low back pain are likely to prefer and participate in exercise programs that are designed with consideration of their preferences, circumstances and past experiences. Research Aims: 1. The primary aim of this study is to test the effect of a mechanism for systematically recruiting information about patient exercise program preferences using a questionnaire developed from previous focus group research on exercise adherence and health outcomes compared to designing an exercise program without the assistance of the questionnaire 2. The secondary aims are to obtain feedback from clinicians who have utilized the instrument to assist with instrument refinement. Research Questions: 1. Does participant-informed exercise design improve program engagement and adherence? 2. Does participant informed exercise design improve health outcomes of exercise programs for chronic low back pain and other musculoskeletal conditions?
Interventions
The study will be a randomised controlled trial with the intervention strengthening and conditioning programs (progressive resisted exercises for upper and lower limb, abdomen and trunk), per usual clinician practice, being informed by a participant preferences questionnaire. The questionnaire is a one-off assessment and takes less than 5 minutes to complete. The population group are those with non-specific chronic low back pain. There will be two 1 hour sessions per week for 6 weeks. A 2.5 hour qualitative focus group study of exercise instructor feedback about the exercise preferences instrument will be embedded in the research design. Two 2.5 hour qualitative focus group studies will also be conducted for participants in the intervention and the control groups. It will obtain feedback about participants’ experiences of the two types of exercise programs. The focus groups will be conducted after completion of the randomised controlled trial. The qualitative research is not a measure of outcome but of experience.
Sponsors
Study design
Eligibility
Inclusion criteria
Participants will be adults aged 18 years or older with a history of pain in the area from the lower thoracic spine extending to the gluteal folds +/- radiation to the lower extremities. Participants have had a LBP episode of at least 8 weeks prior to entering the exercise program and an exercise program for back pain is planned. Participants must be able to speak, read and write English
Exclusion criteria
They will be excluded if they are pregnant or have any of the following: cardiovascular disease, diabetes, inflammatory disease, tumour, fracture, spinal nerve root compression, spinal cord irritation or cauda equine signs or osteoporosis.