Low Back Pain
Conditions
Keywords
walking, pedometer
Brief summary
This study will investigate if a 12-week, individually-tailored walking program, using pedometers will be a more clinically and cost-effective option for the management of chronic low back pain than standardized advice and education.
Detailed description
Specific objectives of the study are: 1. To determine perceived levels of disability and baseline levels of walking activity in a sample of those with chronic low back pain (CLBP) 2. To determine the uptake and adherence to a pedometer-driven walking program for people with CLBP 3. To test the clinical and cost-effectiveness of a walking programme to improve outcomes for CLBP compared to a standardized back care education package 4. To test the feasibility of a walking programme in a sub-sample of rural Saskatchewan farmers/agricultural workers.
Interventions
BEHAVIORALStandard
Back care advice
BEHAVIORALWalking
Back care advice, individualized 12 week pedometer-driven walking program
Sponsors
University of Ulster
University of Nottingham
University of Otago
University of Saskatchewan
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* males and females aged 18 years or over, * experiencing low back pain (i.e. between the 12th costal margin and gluteal fold with or without associated leg pain) persisting for a minimum of three months, and * assessed as capable of participating in a walking programme.
Exclusion criteria
* any spinal surgery in the past 12 months; * evidence of nerve root, spinal cord, or cauda equina compression; * severe spinal stenosis indicated by signs of neurogenic claudication, grade 3 to 4 spondylolisthesis, fibromyalgia, or systemic/inflammatory disorder; * as well as any other current lower extremity musculoskeletal injury or contraindication to increasing physical activity (PA) levels. The latter may include: * any cardiorespiratory or other medical condition limiting exercise tolerance; * history of serious psychological or psychiatric illness (mild depression eligible for inclusion); and/or * pregnancy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in Oswestry Low Back Pain Disability Questionnaire score | Baseline, 12 weeks, 6 months and 12 months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in mean number of steps per day for each week of the study | Baseline & 12 weeks | — |
| Change in six minute walk test | Baseline, 12 weeks, 6 months & 12 months | — |
| Change in International Physical Activity Questionnaire score | Baseline, 12 weeks, 6 months & 12 months | — |
| Change in Fear Avoidance Beliefs Questionnaire score | Baseline, 12 weeks, 6 months & 12 months | — |
| Change in Exercise Self-efficacy Scale score | Baseline, 12 weeks, 6 months & 12 months | — |
| Change in Global rating of change for physical activity score | Baseline, 12 weeks, 6 months & 12 months | — |
| Change in Euroqual-5D score | Baseline, 12 weeks, 6 months & 12 months | Quality of life |
| Change in health care usage and intervention costs over time | Baseline, 12 weeks, 6 months & 12 months | Participant records health care usage and intervention costs over the 12 month study |
| Focus group data | Following 12 week intervention | Walking group only, voluntary participation |
| Change in Back Beliefs Questionnaire score | Baseline, 12 weeks, 6 months & 12 months | — |
Countries
Canada
Outcome results
None listed