Article

OBJECTIVE: To assess a comprehensive multicomponent intervention against a low
intensity intervention for promoting physical activity in chronic low back pain
patients. DESIGN: Randomised controlled trial. SETTING: Inpatient rehabilitation
and aftercare. SUBJECTS:
A total of 412 patients with chronic low back pain.
INTERVENTIONS: A multicomponent intervention (Movement Coaching) comprising of
small group intervention (twice during inpatient rehabilitation), tailored
telephone aftercare (twice after rehabilitation) and internet-based aftercare
(web 2.0 platform) versus a low level intensity intervention (two general
presentations on physical activity, download of the presentations). MAIN
MEASURES: Physical activity was measured using a questionnaire. Primary outcome
was total physical activity; secondary outcomes were setting specific physical
activity (transport, workplace, leisure time) and pain. Comparative group
differences were evaluated six months after inpatient rehabilitation. RESULTS: At
six months follow-up, 92 participants in Movement Coaching (46 %) and 100
participants in the control group (47 %) completed the postal follow-up
questionnaire. No significant differences between the two groups could be shown
in total physical activity (P = 0.30). In addition to this, workplace (P = 0.53),
transport (P = 0.68) and leisure time physical activity (P = 0.21) and pain (P =
0.43) did not differ significantly between the two groups. In both groups,
physical activity decreased during the six months follow-up. CONCLUSIONS: The
multicomponent intervention was no more effective than the low intensity
intervention in promoting physical activity at six months follow-up. The decrease
in physical activity in both groups is an unexpected outcome of the study and
indicates the need for further research.
CI - (c) The Author(s) 2015.

Langue : ANGLAIS