Low Back Pain
Conditions
Keywords
Exercise therapy, Resistance training, Multidisciplinary treatment
Brief summary
The purpose of this study is to investigate if high-intensity resistance training can induce additional beneficial effects, for patients with moderate to severe long term pain in the low back, when added to a multidisciplinary treatment program.
Interventions
BEHAVIORALHigh-intensity resistance training
BEHAVIORALGeneral physical activity
BEHAVIORALMultidisciplinary rehabilitation program
Sponsors
St. Olavs Hospital
Norwegian Fund for Postgraduate Training in Physiotherapy
Kommunal Landspensjonskasse
Norwegian University of Science and Technology
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Investigator)
Eligibility
Sex/Gender
ALL
Age
16 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Referred to the multidisciplinary clinic for treatment of pain in low back * Long term (≥ 3months) or recurrent (≥ 2 periods of ≥ 4 weeks the past year) non-specific low back pain * Pain intensity ≥ 4 on numerical rating scale (0-10)
Exclusion criteria
* Severe somatic condition (unstable injury, malignity, infectious disease, active rheumatic disease, severe osteoporosis) * Psychiatric condition/disease that severely impairs group functioning * Insufficient comprehension of Norwegian language to participate in group sessions and fill out questionnaires * Awaiting surgery of back * Alcohol or drug abuse * Ongoing compensation case or applying for disability benefits due to pain in the back * Engaged in high-intensity resistance training on a regular basis the last 6 months
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Low back-related disability as assessed by the oswestry disability index | 12 weeks | Oswestry disability index |
Secondary
| Measure | Time frame |
|---|---|
| Fear avoidance beliefs assessed by Fear Avoidance Beliefs Questionnaire | 3 and 12 weeks + 6 and 12 months |
| Patients' perceived effect of the treatment assessed by the Patient specific functioning scale | 3 and 12 weeks + 6 and 12 months |
| Anxiety and depression assessed by Hopkins symptom checklist | 3 and 12 weeks + 6 and 12 months |
| Quality of life assessed by EQ-5D-5L | 3 and 12 weeks + 6 and 12 months |
| Work ability assessed by Work ability index | 3 and 12 weeks + 6 and 12 months |
| Pain assessed by the Numerical Pain Rating Scale | 3 and 12 weeks + 6 and 12 months |
| Physical activity level assessed by a questionnaire from the HUNT study | 3 and 12 weeks + 6 and 12 months |
| Strength in the low back during maximal isometric contractions of the back extensors | 3 and 12 weeks + 6 and 12 months |
| Grip strength using a handheld dynamometer | 3 and 12 weeks + 6 and 12 months |
| Patients' perceived effect of the treatment assessed by the Global rating of change scale | 3 and 12 weeks + 6 and 12 months |
| Low back-related disability as assessed by the oswestry disability index | 3 weeks + 6 and 12 months |
| Use of analgesics assessed by a questionnaire from the HUNT study | 3 and 12 weeks + 6 and 12 months |
Countries
Norway
Outcome results
None listed