Article

Objective: To investigate whether an online occupational postural and exercise
intervention reduced patients' overall risk status for chronicity in subacute
non-specific low back pain compared with conventional treatment, and to determine
whether changes in risk of chronicity correlate with changes in specific outcomes
(i.e. Functional Status and QoL) for low back pain. Design: Prospective, single-blinded randomized intervention study. Subjects: University office workers
with subacute non-specific low back pain (n = 100) were randomized 1:1 to an
intervention group, who received an online occupational postural and exercise
intervention, and a control group. Methods: Exercise and education materials used
in the intervention were developed as an online resource, and included video
demonstrations recorded in a laboratory. All sessions included exercises
combining postural stability (for abdominal, lumbar, hip and thigh muscles)
strengthening, flexibility, mobility, and stretching. Outcome measures included
STarT Back Screening Tool (SBST), Roland Morris score, and European Quality of
Life Questionnaire -5 dimensions - 3 levels. At 9 months, SBST was analysed and
compared with the baseline and controls. Results:
Significant positive effects
were found on mean scores recorded in the online occupational exercise
intervention group for risk of chronicity (p < 0.019).
A correlation between
functional disability, health-related quality of life and risk of chronicity of
low back pain was observed. Conclusion: This study supports the potential utility
of a real-time occupational internet-based intervention for preventing
progression to chronicity of subacute non-specific low back pain among office workers.

Langue : ANGLAIS