Compared with PE alone, the PE plus MCE showed a significantly greater reduction in pain intensity by an additional –1.15 (95% confidence interval, –2.04 to –0.25) points at the 8-week follow-up and –1.25 (95% CI, –2.14 to –0.35) points at the 20-week follow-up. ResultsĪll the groups showed significant improvements in all the primary and secondary outcomes evaluated over time. Blinded assessments for pain intensity and disability level as primary outcomes, and quality of life, global perceived recovery, fear-avoidance beliefs, pain catastrophising, back pain consequences belief and pain medication use as secondary outcomes were conducted at baseline, 8-week (immediately after intervention) and 20-week follow-ups. All interventions were administered for 8 weeks. Each group also received stretching and aerobic exercises twice weekly. The PE was administered once weekly and the MCE twice weekly.
#Combining personal image plus text for poster trial#
MethodsĪ single-blind, three-arm parallel-group, randomised clinical trial including 120 adult rural dwellers (mean age, 46.0 years) with CLBP assigned to PE plus MCE group ( n = 40), PE group ( n = 40), and MCE group ( n = 40) was conducted. This study determined the effectiveness of PE plus motor control exercise (MCE) compared with either therapy alone among rural community-dwelling adults with CLBP. However, the specific content of these interventions and how they are best delivered remain to be well-described, particularly for low-resource communities.
Current clinical guidelines unanimously recommend patient education (PE) including instruction on self‐management, and exercises as frontline interventions for CLBP. Chronic low back pain (CLBP) is a common health problem in rural Nigeria but access to rehabilitation is limited.
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