Type

Journal Article

Authors

Suzanne M McDonough
Aódan Tynan
Leslie Daly
Willem van Mechelen
Colin A G Boreham
Chris Lonsdale
Mark A Tully
Deirdre A Hurley

Subjects

Physiotherapy & Sport

Topics
brief interventions low back pain physical activity chronic pain randomized controlled trial back pain self report fitness for trial

Supervised walking in comparison with fitness training for chronic back pain in physiotherapy: results of the SWIFT single-blinded randomized controlled trial (ISRCTN17592092). (2015)

Abstract Effectiveness of brief/minimal contact self-activation interventions that encourage participation in physical activity (PA) for chronic low back pain (CLBP >12 weeks) is unproven. The primary objective of this assessor-blinded randomized controlled trial was to investigate the difference between an individualized walking programme (WP), group exercise class (EC), and usual physiotherapy (UP, control) in mean change in functional disability at 6 months. A sample of 246 participants with CLBP aged 18 to 65 years (79 men and 167 women; mean age ± SD: 45.4 ± 11.4 years) were recruited from 5 outpatient physiotherapy departments in Dublin, Ireland. Consenting participants completed self-report measures of functional disability, pain, quality of life, psychosocial beliefs, and PA were randomly allocated to the WP (n = 82), EC (n = 83), or UP (n = 81) and followed up at 3 (81%; n = 200), 6 (80.1%; n = 197), and 12 months (76.4%; n = 188). Cost diaries were completed at all follow-ups. An intention-to-treat analysis using a mixed between-within repeated-measures analysis of covariance found significant improvements over time on the Oswestry Disability Index (Primary Outcome), the Numerical Rating Scale, Fear Avoidance-PA scale, and the EuroQol EQ-5D-3L Weighted Health Index (P < 0.05), but no significant between-group differences and small between-group effect sizes (WP: mean difference at 6 months, 6.89 Oswestry Disability Index points, 95% confidence interval [CI] -3.64 to -10.15; EC: -5.91, CI: -2.68 to -9.15; UP: -5.09, CI: -1.93 to -8.24). The WP had the lowest mean costs and the highest level of adherence. Supervised walking provides an effective alternative to current forms of CLBP management.
Collections Ireland -> University College Dublin -> PubMed

Full list of authors on original publication

Suzanne M McDonough, Aódan Tynan, Leslie Daly, Willem van Mechelen, Colin A G Boreham, Chris Lonsdale, Mark A Tully, Deirdre A Hurley

Experts in our system

1
Suzanne M McDonough
University College Dublin
Total Publications: 13
 
2
Leslie Daly
University College Dublin
Total Publications: 70
 
3
W van Mechelen
University College Dublin
 
4
Colin A G Boreham
University College Dublin
Total Publications: 26
 
5
Chris Lonsdale
University College Dublin
Total Publications: 11
 
6
Deirdre A Hurley
University College Dublin
Total Publications: 34