None listed
Conditions
Brief summary
the aim of the study is to assess the impact of rehabilitation in small groups (2-5 people) on chronic back pain. In particular we want to assess the changes on pain intensity, disability and functioning. A comparison will be made between classic treatment (Back School approach), waiting list and guidelines on chronic back pain follower. We also want to assess the changes during time.
Interventions
2-week exercise rehabilitation program. Back School based exercise involving stretching of back muscles, exercise of abdomen strenghtening, postural education, floor based exercise. Back School home-based exercises (the same exercises performed during treatment sessions) are reported in a book given at the end of the treatment. Evidence based exercise involving progressive exposure (with a progressive increase in repetitions and coordination and decrease of balance till fatigue), aerobic global exercise (involving the muscles of both legs and of the back in the way to increase the heart beat from the one at rest). Evidence based home-based exercises involves global aerobic exercises floor based exercises and auto-mobilization of peripheral nervous system, those exercises will be taught to the patients during the treatment sessions. Prescription is 5 x 1/2 hours sessions per week for 2-weeks. All directly supervised from the physiotherapist in a group format (5 people per group session). All sessions will be performed in a outpatient service of the public health system. No intervention group will completes both the back and evidence based exercises. Adherence to the intervention will be assessed through the presences to the treatment sessions and an adherence scale at follow-up assessment.
Sponsors
Study design
Eligibility
Inclusion criteria
Male and female participants with chronic back pain. This group excludes those with oncological disease or neurological progressive diseases and dementia(as assessed from described history of participants), because of possible interaction with diseases problems related , which introduces confounding factors for interpretation of the results. Participants will have had LBP for at least 12 weeks and have provided written informed consent confirming their participation.
Exclusion criteria
Participants will be excluded for the following reasons: presence of severe postural abnormality or neuromuscular disorder, previous diagnosis of pathology (confirmed by previous magnetic resonance imaging or radiograph). Participants must not have engaged in any specific rehabilitation program in the last 3-months, and must not be regularly seeing a physiotherapist or any spinal manipulation practitioner.