Article

Although many people recover quickly from an episode of low back pain
(LBP), recurrence is very common. There is limited evidence on effective
prevention strategies for recurrences of LBP.
The purpose of this
study was to determine the effectiveness of a McKenzie method-based
self-management approach in the secondary prevention of LBP. Design: This will be
a pragmatic randomized controlled trial. Setting: Participants will be recruited
from the community and primary care, with the intervention delivered in a number
of physical therapist practices in Sydney, Australia. Participants: The study
will have 396 participants, all of whom are at least 18 years old. Intervention:
Participants will be randomly assigned to either the McKenzie method-based
self-management approach group or a minimal intervention control group.
Measurements: The primary outcome will be days to first self-reported recurrence
of an episode of activity-limiting LBP. The secondary outcomes will include: days
to first self-reported recurrence of an episode of LBP, days to first
self-reported recurrence of an episode of LBP leading to care seeking, and the
impact of LBP over a 12-month period. All participants will be followed up
monthly for a minimum of 12 months or until they have a recurrence of
activity-limiting LBP. All participants will also be followed-up at 3, 6, 9, and
12 months to assess the impact of back pain, physical activity levels, study
program adherence, credibility, and adverse events. Limitations: Participants and
therapists will not be masked to the interventions.
Conclusions: To our
knowledge, this will be the first large, high-quality randomized controlled trial
investigating the effectiveness of a McKenzie method-based self-management
approach for preventing recurrences of LBP. If this approach is found to be
effective, it will offer a low-cost, simple method for reducing the personal and societal burdens of LBP.

Langue : ANGLAIS