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dc.contributor.authorChown, M.
dc.contributor.authorWhittamore, L.
dc.contributor.authorRush, M.
dc.contributor.authorAllan, S.
dc.contributor.authorStott, D.
dc.contributor.authorArcher, M.
dc.identifier.citationChown , M , Whittamore , L , Rush , M , Allan , S , Stott , D & Archer , M 2008 , ' A prospective study of patients with chronic back pain randomised to group exercise, physiotherapy or osteopathy ' , Physiotherapy , vol. 94 , no. 1 , pp. 21-28 .
dc.identifier.otherPURE: 116796
dc.identifier.otherPURE UUID: bef481db-9065-42c6-98a0-bd3c9b664aa4
dc.identifier.otherdspace: 2299/5290
dc.identifier.otherScopus: 44949155358
dc.descriptionOriginal article can be found at: Copyright Chartered Society of Physiotherapy [Full text of article is not available in the UHRA]
dc.description.abstractObjective: To investigate the difference in outcome between patients treated with group exercise, physiotherapy or osteopathy. Design: Prospective study of patients referred at random to one of three treatments, with follow-up 6 weeks after discharge and after 12 months. Setting: National Health Service physiotherapy department at St Albans City Hospital, part of the West Hertfordshire Musculoskeletal Therapy Service. Participants: Two hundred and thirty-nine patients aged 18–65 years recruited from referrals to the physiotherapy department with chronic low back pain. Interventions: Eligible patients were randomised to group exercises led by a physiotherapist, one-to-one predominantly manipulative physiotherapy, or osteopathy. Main outcomes: Oswestry Disability Index (ODI), EuroQol-5D, shuttle walking test and patients’ subjective responses to pain and treatment. Results: All three treatments indicated comparable reductions in mean (95% confidence intervals) ODI at 6-week follow-up: group exercise, −4.5 (−0.9 to −8.0); physiotherapy, −4.1 (−1.4 to −6.9); and osteopathy, −5.0 (−1.6 to −8.4). Attendance rates were significantly lower among the group exercise patients. One-to-one therapies provided evidence of greater patient satisfaction. Conclusion: The study supports the use of a variety of approaches for the treatment of chronic low back pain. Particular attention needs to be given to the problems of attracting enough participants for group sessions, as these can be difficult to schedule in ways that are convenient for different participants.en
dc.subjectGroup exercise
dc.subjectchronic back pain
dc.titleA prospective study of patients with chronic back pain randomised to group exercise, physiotherapy or osteopathyen
dc.contributor.institutionDepartment of Allied Health Professions and Midwifery
dc.description.statusPeer reviewed
rioxxterms.typeJournal Article/Review

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