Musculoskeletal Diseases Chronic Lower Back Pain
Conditions
Interventions
Pedometer driven walking program
Standard physiotherapy and a pedometer driven walking program
Standard Physiotherapy
Sponsors
None listed
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: ¿ LBP lasting for longer than 3 months and/or recurring episodes greater than 3 per year. ¿ Less than 150 minutes of intentional exercise per week. ¿ LBP with or without radiation into leg/s. ¿ Patients attending private practice physiotherapy. ¿ Age: 18-65 years. ¿ Patient must be able to walk a minimum of 20 minutes. ¿ Patient must be willing to participate in a 12 week study, which requires a minimum of three and a maximum of nine physiotherapy treatments mentioned in this RCT.
Exclusion criteria
Exclusion criteria: ¿ Current pregnancy. ¿ Knowledge of a malignancy. ¿ Knowledge of rheumatic disease systemically causing lower back pain. ¿ Currently diagnosed with fibromyalgia. ¿ History of serious psychological or psychiatric illness (mild depression eligible for inclusion). ¿ LBP caused by involvement in a Workman¿s compensation claim or on-going litigation. ¿ Medically unfit to participate in exercise program. ¿ Acute/ recent spinal fractures. ¿ Any other current musculoskeletal injury or contraindication to increasing walking times, including and cardiorespiratory or other medical condition limiting exercise tolerance. ¿ Evidence of nerve root, spinal cord, or cauda equina compression indicating signs of neurogenic claudication.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain;Function (Oswestry Disability Index) | — |
Secondary
| Measure | Time frame |
|---|---|
| Catastrophic thinking (Pain Catastrophic Scale);Tampa Scale of Kinesiophobia | — |
Countries
South Africa
Contacts
Public ContactAntonia Wadley
Local Supervisor (RSA)
Outcome results
None listed