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dc.contributor.authorHendrick, Paul
dc.contributor.authorMilosavljevic, Stephan
dc.contributor.authorHale, Leigh
dc.contributor.authorHurley, Deirdre A
dc.contributor.authorMcDonough, Suzanne M
dc.contributor.authorHerbison, Peter
dc.contributor.authorBaxter, G David
dc.date.accessioned2013-04-15T14:25:44Z
dc.date.available2013-04-15T14:25:44Z
dc.date.issued2013-04-05
dc.identifier.citationBMC Musculoskeletal Disorders. 2013 Apr 05;14(1):126en_GB
dc.identifier.urihttp://dx.doi.org/10.1186/1471-2474-14-126
dc.identifier.urihttp://hdl.handle.net/10147/281355
dc.description.abstractAbstract Background Advice to remain active and normalisation of activity are commonly prescribed in the management of low back pain (LBP). However, no research has assessed whether objective measurements of physical activity predict outcome and recovery in acute low back pain. Method The aims of this study were to assess the predictive relationship between activity and disability at 3 months in a sub-acute LBP population. This prospective cohort study recruited 101 consenting patients with sub-acute LBP (< 6 weeks) who completed the Roland Morris Disability Questionnaire (RMDQ), the Visual Analogue Scale, and resumption of full ‘normal’ activity question (Y/N), at baseline and 3 months. Physical activity was measured for 7 days at both baseline and at 3 months with an RT3 accelerometer and a recall questionnaire. Results Observed and self-reported measures of physical activity at baseline and change in activity from baseline to 3 months were not independent predictors of RMDQ (p > 0.05) or RMDQ change (p > 0.05) over 3 months. A self-report of a return to full ‘normal’ activities was significantly associated with greater RMDQ change score at 3 months (p < 0.001). Paired t-tests found no significant change in activity levels measured with the RT3 (p = 0.57) or the recall questionnaire (p = 0.38) from baseline to 3 months. Conclusions These results question the predictive role of physical activity in LBP recovery, and the assumption that activity levels change as LBP symptoms resolve. The importance of a patient’s perception of activity limitation in recovery from acute LBP was also highlighted. Trial registration Clinical Trial Registration Number, ACTRN12609000282280
dc.language.isoenen
dc.subjectBACK PAINen_GB
dc.titleDoes a patient's physical activity predict recovery from an episode of acute low back pain? A prospective cohort studyen_GB
dc.language.rfc3066en
dc.rights.holderPaul Hendrick et al.; licensee BioMed Central Ltd.
dc.description.statusPeer Reviewed
dc.date.updated2013-04-12T11:03:04Z
refterms.dateFOA2018-08-23T04:35:36Z
html.description.abstractAbstract Background Advice to remain active and normalisation of activity are commonly prescribed in the management of low back pain (LBP). However, no research has assessed whether objective measurements of physical activity predict outcome and recovery in acute low back pain. Method The aims of this study were to assess the predictive relationship between activity and disability at 3&#160;months in a sub-acute LBP population. This prospective cohort study recruited 101 consenting patients with sub-acute LBP (&lt; 6&#160;weeks) who completed the Roland Morris Disability Questionnaire (RMDQ), the Visual Analogue Scale, and resumption of full &#8216;normal&#8217; activity question (Y/N), at baseline and 3&#160;months. Physical activity was measured for 7&#160;days at both baseline and at 3&#160;months with an RT3 accelerometer and a recall questionnaire. Results Observed and self-reported measures of physical activity at baseline and change in activity from baseline to 3&#160;months were not independent predictors of RMDQ (p &gt; 0.05) or RMDQ change (p &gt; 0.05) over 3&#160;months. A self-report of a return to full &#8216;normal&#8217; activities was significantly associated with greater RMDQ change score at 3&#160;months (p &lt; 0.001). Paired t-tests found no significant change in activity levels measured with the RT3 (p = 0.57) or the recall questionnaire (p = 0.38) from baseline to 3&#160;months. Conclusions These results question the predictive role of physical activity in LBP recovery, and the assumption that activity levels change as LBP symptoms resolve. The importance of a patient&#8217;s perception of activity limitation in recovery from acute LBP was also highlighted. Trial registration Clinical Trial Registration Number, ACTRN12609000282280


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