The purpose of this study is to compare the efficacy of graded activity program and supervised exercise on pain, functional disability, quality of life, global perceived effect, return to work, physical activity, physical capacity and strength of the lower limbs in patients with chronic non-specific low back pain
Objective: To contrast the efficacy of of graded activity program and supervised exercise on pain, functional disability, quality of life, global perceived effect, return to work, physical activity, physical capacity and strength of the lower limbs in patients with chronic non-specific low back pain Design: Sixty-six will be randomized into two groups namely: Graded Activity program (GA)(n = 33) and supervised exercise (SE) (n = 33). The primary clinical outcomes will be pain, assessed with the numerical pain scale and McGill Pain Questionnaire, and disability assessed with Roland Morris Disability Questionnaire. Secondary outcomes will be measured with Global Perceived Effect, quality of life, return to work, physical activity, functional capacity and strength of the lower limbs. The program lasts for 6 weeks, and sessions happen twice a week, with duration of one hour each. Evaluations will be performed before(baseline), after (6weeks) and with a follow-up 3 and 6 months after treatment. Data will be collected by a blinded examiner who also had made the allocation of patients to groups. Significance level is established at 5%.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
66
The graded activity program to increase activity tolerance by performing individualized and submaximal exercises.
The group will perform stretching exercises (gluteus maximus, hamstrings, triceps surae, lumbar paraspinal), strengthening muscles (rectus abdominus, obliques and lower rectus abdominis internal and external) and motor control exercises (muscle transversus abdominis and lumbar multifidus.
Medicine School of the University Of São Paulo
São Paulo, São Paulo, Brazil
Pain
Pain Numerical Rating Scale (NRS) and McGill Pain Questionnaire
Time frame: 6 weeks
Functional Disability
Roland Morris Disability Questionnaire
Time frame: 6 weeks
Quality of life
Short-Form Health Survey Questionnaire
Time frame: 6 weeks
Global Perceived Effect
Global Perceived Effect Scale
Time frame: 6 weeks
Return to work
Patients will be asked if returned their professional activities.
Time frame: 6 weeks
Habitual physical activity
The Baecke questionnaire on habitual physical activity
Time frame: 6 weeks
Physical Capacity
physical capacity tests (sit-to-stand and 50-foot walk)
Time frame: 6 weeks
Kinesiophobia
self-applied questionnaire consisting of 17 items, which was developed to measure the fear of movement due to cLBP. Each question has 4 response options (strongly disagree, disagree, agree, and strongly agree) with scores respectively ranging from 1 to 4 points.
Time frame: Tampa Scale of Kinesophobia (TSK)
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