Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-1210
Publication type: Article in scientific journal
Type of review: Peer review (publication)
Title: A tailored exercise program versus general exercise for a subgroup of patients with low back pain and movement control impairment : short-term results of a randomised controlled trial
Authors: Saner, Jeannette
Sieben, Judith M.
Kool, Jan
Luomajoki, Hannu
Bastiaenen, Caroline H.G.
de Bie, Rob A.
DOI: 10.21256/zhaw-1210
10.1016/j.jbmt.2015.08.001
Published in: Journal of Bodywork and Movement Therapies
Volume(Issue): 20
Issue: 1
Page(s): 189
Pages to: 202
Issue Date: 2016
Publisher / Ed. Institution: Elsevier
ISSN: 1360-8592
1532-9283
Language: English
Subject (DDC): 362: Health and social services
617: Surgery
Abstract: Background: Exercise is an effective treatment for patients with sub-acute and chronic low back pain (LBP). Patients with a movement control impairment (MCI) can be diagnosed as a subgroup of patients with LBP. Unknown is which exercise intervention is most beneficial for this subgroup. This study assessed the short-term effect of a specific exercise program targeting movement control impairment versus general exercise treatment on disability in patients with LBP and MCI. Methods: In a multicentre parallel group randomised controlled pragmatic trial, patients with sub-acute and chronic LBP were included. Further inclusion criteria were disability of ≥5 points on the Roland-Morris Disability Questionnaire and ≥2 positive tests out of a set of 6 movement control impairment tests. A total of 106 patients were randomly assigned to either tailored movement control exercise intervention (MC, n=52) or a general exercise intervention (GE, n=54); both 9-18 individual treatment sessions, over a maximum of 12 weeks. . The primary outcome was disability measured with the Patient Specific Functional scale (PSFS). Secondary outcome was the Roland-Morris disability scale (RMDQ). Measurements were taken pre- and posttreatment. Results: No significant difference was found following the treatment period. Baselineadjusted between-group mean difference for the PSFS was 0.5 (SD = 0.5; p = 0.32) in favour of MC exercises. The Roland-Morris Disability Questionnaire revealed a significant, but not clinically relevant, between-group difference of 2.0 points (SD = 0.8; p= 0.01). Conclusion: Disability in LBP patients was reduced considerably by both interventions. However, the limited contrast between the two exercise programs may have influenced outcomes.
Further description: The project was supported by the Swiss National Science Foundation (SNSF, Project no. 127240).
URI: https://digitalcollection.zhaw.ch/handle/11475/1219
Fulltext version: Accepted version
License (according to publishing contract): CC BY-NC-ND 4.0: Attribution - Non commercial - No derivatives 4.0 International
Restricted until: 2017-01-31
Departement: School of Health Sciences
Organisational Unit: Institute of Physiotherapy (IPT)
Appears in collections:Publikationen Gesundheit

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Saner, J., Sieben, J. M., Kool, J., Luomajoki, H., Bastiaenen, C. H. G., & de Bie, R. A. (2016). A tailored exercise program versus general exercise for a subgroup of patients with low back pain and movement control impairment : short-term results of a randomised controlled trial. Journal of Bodywork and Movement Therapies, 20(1), 189–202. https://doi.org/10.21256/zhaw-1210
Saner, J. et al. (2016) ‘A tailored exercise program versus general exercise for a subgroup of patients with low back pain and movement control impairment : short-term results of a randomised controlled trial’, Journal of Bodywork and Movement Therapies, 20(1), pp. 189–202. Available at: https://doi.org/10.21256/zhaw-1210.
J. Saner, J. M. Sieben, J. Kool, H. Luomajoki, C. H. G. Bastiaenen, and R. A. de Bie, “A tailored exercise program versus general exercise for a subgroup of patients with low back pain and movement control impairment : short-term results of a randomised controlled trial,” Journal of Bodywork and Movement Therapies, vol. 20, no. 1, pp. 189–202, 2016, doi: 10.21256/zhaw-1210.
SANER, Jeannette, Judith M. SIEBEN, Jan KOOL, Hannu LUOMAJOKI, Caroline H.G. BASTIAENEN und Rob A. DE BIE, 2016. A tailored exercise program versus general exercise for a subgroup of patients with low back pain and movement control impairment : short-term results of a randomised controlled trial. Journal of Bodywork and Movement Therapies. 2016. Bd. 20, Nr. 1, S. 189–202. DOI 10.21256/zhaw-1210
Saner, Jeannette, Judith M. Sieben, Jan Kool, Hannu Luomajoki, Caroline H.G. Bastiaenen, and Rob A. de Bie. 2016. “A Tailored Exercise Program versus General Exercise for a Subgroup of Patients with Low Back Pain and Movement Control Impairment : Short-Term Results of a Randomised Controlled Trial.” Journal of Bodywork and Movement Therapies 20 (1): 189–202. https://doi.org/10.21256/zhaw-1210.
Saner, Jeannette, et al. “A Tailored Exercise Program versus General Exercise for a Subgroup of Patients with Low Back Pain and Movement Control Impairment : Short-Term Results of a Randomised Controlled Trial.” Journal of Bodywork and Movement Therapies, vol. 20, no. 1, 2016, pp. 189–202, https://doi.org/10.21256/zhaw-1210.


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