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dc.contributor.authorLehtola Vesa
dc.contributor.authorLuomajoki Hannu
dc.contributor.authorLeinonen Ville
dc.contributor.authorGibbons Sean
dc.contributor.authorAiraksinen Olavi
dc.date.accessioned2018-05-16T11:02:59Z
dc.date.available2018-05-16T11:02:59Z
dc.date.issued2016
dc.identifier.urihttps://erepo.uef.fi/handle/123456789/6605
dc.description.abstractBackground Clinical guidelines recommend research on sub-groups of patients with low back pain (LBP) but, to date, only few studies have been published. One sub-group of LBP is movement control impairment (MCI) and clinical tests to identify this sub-group have been developed. Also, exercises appear to be beneficial for the management of chronic LBP (CLBP), but very little is known about the management of sub-acute LBP. Methods A randomized controlled trial (RCT) was conducted to compare the effects of general exercise versus specific movement control exercise (SMCE) on disability and function in patients with MCI within the recurrent sub-acute LBP group. Participants having a MCI attended five treatment sessions of either specific or general exercises. In both groups a short application of manual therapy was applied. The primary outcome was disability, assessed by the Roland-Morris Disability Questionnaire (RMDQ). The measurements were taken at baseline, immediately after the three months intervention and at twelve-month follow-up. Results Seventy patients met the inclusion criteria and were eligible for the trial. Measurements of 61 patients (SMCE n = 30 and general exercise n = 31) were completed at twelve months. (Drop-out rate 12.9 %). Patients in both groups reported significantly less disability (RMDQ) at twelve months follow-up. However, the mean change on the RMDQ between baseline and the twelve-month measurement showed statistically significantly superior improvement for the SMCE group -1.9 points (-3.9 to -0.5) 95 % (CI). The result did not reach the clinically significant three point difference. There was no statistical difference between the groups measured with Oswestry Disability Index (ODI). Conclusion For subjects with non-specific recurrent sub-acute LBP and MCI an intervention consisting of SMCE and manual therapy combined may be superior to general exercise combined with manual therapy.
dc.language.isoenglanti
dc.publisherSpringer Nature
dc.relation.ispartofseriesBMC MUSCULOSKELETAL DISORDERS
dc.relation.urihttp://dx.doi.org/10.1186/s12891-016-0986-y
dc.rightsCC BY http://creativecommons.org/licenses/by/4.0/
dc.subjectoswestry disability index
dc.subjectphysical therapist
dc.subjectmanual therapy
dc.subjectspinal manipulative therapy
dc.subjectgeneral exercise
dc.titleSub-classification based specific movement control exercises are superior to general exercise in sub-acute low back pain when both are combined with manual therapy: A randomized controlled trial
dc.description.versionpublished version
dc.contributor.departmentSchool of Medicine / Clinical Medicine
uef.solecris.id39296342en
dc.type.publicationTieteelliset aikakauslehtiartikkelit
dc.rights.accessrights© Authors
dc.relation.doi10.1186/s12891-016-0986-y
dc.description.reviewstatuspeerReviewed
dc.relation.articlenumber135
dc.relation.issn1471-2474
dc.relation.issue1
dc.relation.volume17
dc.rights.accesslevelopenAccess
dc.type.okmA1
uef.solecris.openaccessOpen access -julkaisukanavassa ilmestynyt julkaisu


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