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|Publication type:||Article in scientific journal|
|Type of review:||Peer review (publication)|
|Title:||Does the performance of five back-associated exercises relate to the presence of low back pain? : a cross-sectional observational investigation in regional Australian council workers|
|Authors:||Gabel, Charles Philip|
Mokhtarinia, Hamid Reza
|Published in:||BMJ Open|
|Publisher / Ed. Institution:||BMJ Publishing Group|
|Subjects:||Functional exercises; Low back pain; Preventive medicine; Rehabilitation medicine|
|Subject (DDC):||617.5: Orthopaedic surgery|
|Abstract:||Objectives: Investigate the relationships between the ability/inability to perform five physical test exercises and the presence or absence of low back pain (LBP). Setting Regional Australian council training facility. Participants: Consecutive participants recruited during 39 back education classes (8–26 participants per class) for workers in general office/administration, parks/gardens maintenance, roads maintenance, library, child care and management. Total sample (n=539) was reduced through non-consent and insufficient demographic data to n=422. Age 38.6±15.3 years, range 18–64 years, 67.1% male. Methods: Cross-sectional, exploratory, observational investigation. LBP presence was ascertained from a three-response option questionnaire: 0=none/rarely (no) 1=sometimes (some), 2=mostly/always (most). Statistical correlation was performed with the number of the five test exercises the individual successfully performed: (1) extension in lying: 3 s; (2) ‘toilet squat’; feet flat, feet touched: 3 s; (3) full squat then stand up: 5 times; (4) supine sit-up, knees flexed: 10 times; and (5) leg extension, supine bilateral: 10 times. Interventions: Nil. Results: For the group ‘no-some’, 94.3% completed 4–5 test exercises, while for group ‘With’, 95.7% completed 0–1 test exercises. The relationship between LBP presence and number of exercises performed was highly significant (χ2 (10)=300.61, p<0.001). Furthermore, multinomial logistic regression predicting LBP (0=no, 1=some, 2=most) from the number of exercises completed, substantially improved the model fit (initial-2LL=348.246, final-2LL=73.620, χ2 (2)=274.626, p<0.001). As the number of exercises performed increased, the odds of reporting ‘some LBP’ or ‘most LBP’ dropped substantially (ORs of 0.34 and 0.17, respectively). Conclusion: The ability to complete/not complete five test exercises correlated statistically and significantly with a higher LBP absence/presence in a general working population. Training individuals to complete such exercises could facilitate reductions in LBP incidence; however, causality cannot be inferred. Randomised trials are recommended to establish the potential efficacy of exercise-based approaches, considering these five selected exercises, for predicting and managing LBP.|
|Fulltext version:||Published version|
|License (according to publishing contract):||CC BY-NC 4.0: Attribution - Non commercial 4.0 International|
|Departement:||School of Health Sciences|
|Organisational Unit:||Institute of Public Health (IPH)|
|Appears in collections:||Publikationen Gesundheit|
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Gabel, C. P., Mokhtarinia, H. R., Hoffman, J., Osborne, J., Laakso, E.-L., & Melloh, M. (2018). Does the performance of five back-associated exercises relate to the presence of low back pain? : a cross-sectional observational investigation in regional Australian council workers. BMJ Open, 8(8). https://doi.org/10.21256/zhaw-4989
Gabel, C.P. et al. (2018) ‘Does the performance of five back-associated exercises relate to the presence of low back pain? : a cross-sectional observational investigation in regional Australian council workers’, BMJ Open, 8(8). Available at: https://doi.org/10.21256/zhaw-4989.
C. P. Gabel, H. R. Mokhtarinia, J. Hoffman, J. Osborne, E.-L. Laakso, and M. Melloh, “Does the performance of five back-associated exercises relate to the presence of low back pain? : a cross-sectional observational investigation in regional Australian council workers,” BMJ Open, vol. 8, no. 8, 2018, doi: 10.21256/zhaw-4989.
Gabel, Charles Philip, et al. “Does the Performance of Five Back-Associated Exercises Relate to the Presence of Low Back Pain? : A Cross-Sectional Observational Investigation in Regional Australian Council Workers.” BMJ Open, vol. 8, no. 8, 2018, https://doi.org/10.21256/zhaw-4989.
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