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Effectiveness of a Group-Based Progressive Strength Training in Primary Care to Improve the Recurrence of Low Back Pain Exacerbations and Function: A Randomised Trial

Author

Listed:
  • Joaquín Calatayud

    (Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, University of Valencia, 46010 Valencia, Spain
    National Research Centre for the Working Environment, 2100 Copenhagen, Denmark)

  • Benjamín Guzmán-González

    (Laboratory of Clinical Biomechanics, Department of Physical Therapy, Faculty of Medicine, University of Chile, Santiago 8380419, Chile)

  • Lars L. Andersen

    (National Research Centre for the Working Environment, 2100 Copenhagen, Denmark
    Sport Sciences, Department of Health Science and Technology, Aalborg University, 9220 Aalborg, Denmark)

  • Carlos Cruz-Montecinos

    (Laboratory of Clinical Biomechanics, Department of Physical Therapy, Faculty of Medicine, University of Chile, Santiago 8380419, Chile
    Laboratory of Biomechanics and Kinesiology, San José Hospital, Santiago 8380453, Chile)

  • María Teresa Morell

    (Primary Care Health Department Valencia Arnau-Llíria, 46015 Valencia, Spain)

  • Ricardo Roldán

    (Primary Care Health Department Valencia Arnau-Llíria, 46015 Valencia, Spain)

  • Yasmín Ezzatvar

    (Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, University of Valencia, 46010 Valencia, Spain)

  • José Casaña

    (Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, University of Valencia, 46010 Valencia, Spain)

Abstract

Low back pain (LBP) is the leading cause of disability and one of the most common reasons for physician visits in primary care, with a 33% rate of recurrence during the first year. However, the most optimal exercise program in this context remains unknown. The objective was to evaluate the effectiveness of a group-based progressive strength training program in non-specific chronic LBP (CLBP) patients in primary care on pain recurrence and physical function. Eighty-five patients with non-specific CLBP were separated into two groups (Intervention group: completed a progressive strength training program 3 days per week for 8 weeks; Control group: received the usual care). The intervention group showed a recurrence rate of 8.3%, while the control group had a recurrence rate of 33.3% and a shorter time until the first recurrent episode. The intervention group showed increased lumbar extensor strength, left-hand handgrip strength, and reduced the number of pain sites compared with the control group. Results also showed greater odds for reducing LBP intensity and disability in the intervention group. In conclusion, a group-based progressive strength training program is a more effective and efficient alternative than Back-School programs and can easily be carried out in the primary health care context.

Suggested Citation

  • Joaquín Calatayud & Benjamín Guzmán-González & Lars L. Andersen & Carlos Cruz-Montecinos & María Teresa Morell & Ricardo Roldán & Yasmín Ezzatvar & José Casaña, 2020. "Effectiveness of a Group-Based Progressive Strength Training in Primary Care to Improve the Recurrence of Low Back Pain Exacerbations and Function: A Randomised Trial," IJERPH, MDPI, vol. 17(22), pages 1-14, November.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:22:p:8326-:d:442989
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    Citations

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    Cited by:

    1. Dhananjaya Sutanto & Robin S. T. Ho & Eric T. C. Poon & Yijian Yang & Stephen H. S. Wong, 2022. "Effects of Different Trunk Training Methods for Chronic Low Back Pain: A Meta-Analysis," IJERPH, MDPI, vol. 19(5), pages 1-39, March.
    2. Przemysław Filipczyk & Karolina Filipczyk & Edward Saulicz, 2021. "Influence of Stabilization Techniques Used in the Treatment of Low Back Pain on the Level of Kinesiophobia," IJERPH, MDPI, vol. 18(12), pages 1-13, June.

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