Aquatic exercise and pain neurophysiology education versus aquatic exercise alone for patients with chronic low back pain: a randomized controlled trial

被引:83
|
作者
Pires, Diogo [1 ]
Cruz, Eduardo Brazete [2 ]
Caeiro, Carmen [2 ]
机构
[1] Polytech Inst Castelo Branco, Physiotherapy Dept, Sch Hlth Care, Castelo Branco, Portugal
[2] Polytech Inst Setubal, Physiotherapy Dept, Sch Hlth Care, Setubal, Portugal
关键词
Education; chronic low back pain; exercise; pain; disability; MUSCULOSKELETAL PAIN; PHYSIOLOGY EDUCATION; DISABILITY SCALE; TAMPA SCALE; BELIEFS; MANAGEMENT; TREAT; FEAR; KINESIOPHOBIA; GUIDELINES;
D O I
10.1177/0269215514549033
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Objective: The aim of this study was to compare the effectiveness of a combination of aquatic exercise and pain neurophysiology education with aquatic exercise alone in chronic low back pain patients. Design: Single-blind randomized controlled trial. Setting: Outpatient clinic. Subjects: Sixty-two chronic low back pain patients were randomly allocated to receive aquatic exercise and pain neurophysiology education (n = 30) or aquatic exercise alone (n = 32). Interventions: Twelve sessions of a 6-week aquatic exercise programme preceded by 2 sessions of pain neurophysiology education. Controls received only 12 sessions of the 6-week aquatic exercise programme. Main measures: The primary outcomes were pain intensity (Visual Analogue Scale) and functional disability (Quebec Back Pain Disability Scale) at the baseline, 6 weeks after the beginning of the aquatic exercise programme and at the 3 months follow-up. Secondary outcome was kinesiophobia (Tampa Scale of Kinesiophobia). Results: Fifty-five participants completed the study. Analysis using mixed-model ANOVA revealed a significant treatment condition interaction on pain intensity at the 3 months follow-up, favoring the education group (mean SD change: -25.4 26.7 vs -6.6 +/- 30.7, P < 0.005). Although participants in the education group were more likely to report perceived functional benefits from treatment at 3 months follow-up (RR=1.63, 95%CI: 1.01-2.63), no significant differences were found in functional disability and kinesiophobia between groups at any time. Conclusions: This study's findings support the provision of pain neurophysiology education as a clinically effective addition to aquatic exercise.
引用
收藏
页码:538 / 547
页数:10
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