Effectiveness of the back school and mckenzie techniques in patients with chronic non-specific low back pain: a protocol of a randomised controlled trial

BMC Musculoskeletal Disorders

Study Protocol

Alessandra N Garcia¹  Tatiane M Silva¹  Luciola CM Costa²  Leonardo OP Costa²  Renata A Costa³  Francine LB Gondo³  Fábio N Cyrillo³ 

[1] Masters Program in Physical Therapy, Universidade Cidade de São Paulo, Brazil;Masters Program in Physical Therapy, Universidade Cidade de São Paulo, Brazil;Musculoskeletal Division, The George Institute for Global Health, Sydney, Australia;School of Physical Therapy, Universidade Cidade de São Paulo, Brazil;

关键词: Pain Intensity;    Numerical Rate Scale;    Roland Morris Disability Questionnaire;    Pain Numerical Rate Scale;    Trunk Flexion;   

DOI  :  10.1186/1471-2474-12-179

 received in 2011-07-01, accepted in 2011-08-05,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundChronic low back pain is a highly prevalent condition, which is associated with high direct and indirect costs to the society. Although this condition is highly prevalent, it is still extremely difficult to treat. Two potentially useful treatments for patients with chronic low back pain are called the McKenzie and Back School treatment programs. These programs have good biological plausibility, are widely available and have a modest cost. Although these treatments are already available for patients, the evidence that supports their use is largely based on low quality methodological studies. Therefore, a high-quality randomised controlled trial is required to compare, for the first time, the effectiveness of these treatments in patients with chronic low back pain.Methods/designOne hundred and forty-eight patients will be randomly allocated to a four-week treatment program based upon the McKenzie or Back School principles. Clinical outcomes (pain intensity, disability, quality of life, and trunk flexion range of motion) will be obtained at follow-up appointments at 1, 3 and 6 months after randomisation. The data will be collected by an assessor who will be blinded to the group allocation.DiscussionThis will be the first study aimed to compare the McKenzie and Back School approaches in patients with chronic low back pain. The results of this trial may help in the decision-making process of allied health providers for the treatment of chronic low back pain and reduce the health-related costs of this condition.Trial RegistrationACTRN12610000435088

【 授权许可】

Unknown   
© Garcia et al; licensee BioMed Central Ltd. 2011. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.