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Auteur Scott A. Burns
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Ajouter le résultat dans votre panier Affiner la rechercheWhen Treating Coexisting Low Back Pain and Hip Impairments, Focus on the Back: Adding Specific Hip Treatment Does Not Yield Additional Benefits—A Randomized Controlled Trial / Scott A. Burns in Journal of Orthopaedic & Sports Physical Therapy, Vol. 51,12 (décembre 21)
[article]
in Journal of Orthopaedic & Sports Physical Therapy > Vol. 51,12 (décembre 21) . - p. 581-601
Titre : When Treating Coexisting Low Back Pain and Hip Impairments, Focus on the Back: Adding Specific Hip Treatment Does Not Yield Additional Benefits—A Randomized Controlled Trial Type de document : article de périodique Auteurs : Scott A. Burns ; [et al.] Année de publication : 0021 Article en page(s) : p. 581-601 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus HELB]:Paramédical:thérapie manuelle
[Thésaurus Mesh]Hanche
[Thésaurus Mesh]LombalgieRésumé : To determine whether adding hip treatment to usual care for low back pain (LBP) improved disability and pain in individuals with LBP and a concurrent hip impairment.
Design
Randomized controlled trial.
Methods
Seventy-six participants (age, 18 years or older; Oswestry Disability Index, 20% or greater; numeric pain-rating scale, 2 or more points) with LBP and a concurrent hip impairment were randomly assigned to a group that received treatment to the lumbar spine only (LBO group) (n = 39) or to one that received both lumbar spine and hip treatments (LBH group) (n = 37). The individual treating clinicians decided which specific low back treatments to administer to the LBO group. Treatments aimed at the hip (LBH group) included manual therapy, exercise, and education, selected by the therapist from a predetermined set of treatments. Primary outcomes were disability and pain, measured by the Oswestry Disability Index and the numeric pain-rating scale, respectively, at baseline, 2 weeks, discharge, 6 months, and 12 months. The secondary outcomes were fear-avoidance beliefs (work and physical activity subscales of the Fear-Avoidance Beliefs Questionnaire), global rating of change, the Patient Acceptable Symptom State, and physical activity level. We used mixed-model 2-by-3 analyses of variance to examine group-by-time interaction effects (intention-to-treat analysis).
Results
Data were available for 68 patients at discharge (LBH group, n = 33; LBO group, n = 35) and 48 at 12 months (n = 24 for both groups). There were no between-group differences in disability at discharge (−5.0; 95% confidence interval [CI]: −10.9, 0.89; P = .09), 12 months (−1.0; 95% CI: −4.44, 2.35; P = .54), and all other time points. There were no between−group differences in pain at discharge (−0.2; 95% CI: −1.03, 0.53; P = .53), 12 months (0.1; 95% CI: −0.53, 0.72; P = .76), and all other time points. There were no between-group differences in secondary outcomes, except for higher Fear-Avoidance Beliefs Questionnaire (work subscale) scores in the LBH group at 2 weeks (−3.35; 95% CI: −6.58, −0.11; P = .04) and discharge (−3.45; 95% CI: − 6.30, −0.61; P = .02).
Conclusion
Adding treatments aimed at the hip to usual low back physical therapy did not provide additional short- or long-term benefits in reducing disability and pain in individuals with LBP and a concurrent hip impairment. Clinicians may not need to include hip treatments to achieve reductions in low back disability and pain in individuals with LBP and a concurrent hip impairment.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire When Treating Coexisting Low Back Pain and Hip Impairments, Focus on the Back: Adding Specific Hip Treatment Does Not Yield Additional Benefits—A Randomized Controlled Trial / Scott A. Burns in Journal of Orthopaedic & Sports Physical Therapy, Vol 51, 12 (Décembre 2021)
[article]
in Journal of Orthopaedic & Sports Physical Therapy > Vol 51, 12 (Décembre 2021) . - p. 581-601
Titre : When Treating Coexisting Low Back Pain and Hip Impairments, Focus on the Back: Adding Specific Hip Treatment Does Not Yield Additional Benefits—A Randomized Controlled Trial Type de document : article de périodique Auteurs : Scott A. Burns ; [et al.] Année de publication : 2021 Article en page(s) : p. 581-601 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus HELB]:Paramédical:thérapie manuelle
[Thésaurus HELB]:Paramédical:thérapie physique
[Thésaurus Mesh]Essai contrôlé randomisé
[Thésaurus Mesh]Hanche
[Thésaurus Mesh]LombalgieRésumé : Objective
To determine whether adding hip treatment to usual care for low back pain (LBP) improved disability and pain in individuals with LBP and a concurrent hip impairment.
Design
Randomized controlled trial.
Methods
Seventy-six participants (age, 18 years or older; Oswestry Disability Index, 20% or greater; numeric pain-rating scale, 2 or more points) with LBP and a concurrent hip impairment were randomly assigned to a group that received treatment to the lumbar spine only (LBO group) (n = 39) or to one that received both lumbar spine and hip treatments (LBH group) (n = 37). The individual treating clinicians decided which specific low back treatments to administer to the LBO group. Treatments aimed at the hip (LBH group) included manual therapy, exercise, and education, selected by the therapist from a predetermined set of treatments. Primary outcomes were disability and pain, measured by the Oswestry Disability Index and the numeric pain-rating scale, respectively, at baseline, 2 weeks, discharge, 6 months, and 12 months. The secondary outcomes were fear-avoidance beliefs (work and physical activity subscales of the Fear-Avoidance Beliefs Questionnaire), global rating of change, the Patient Acceptable Symptom State, and physical activity level. We used mixed-model 2-by-3 analyses of variance to examine group-by-time interaction effects (intention-to-treat analysis).
Results
Data were available for 68 patients at discharge (LBH group, n = 33; LBO group, n = 35) and 48 at 12 months (n = 24 for both groups). There were no between-group differences in disability at discharge (−5.0; 95% confidence interval [CI]: −10.9, 0.89; P = .09), 12 months (−1.0; 95% CI: −4.44, 2.35; P = .54), and all other time points. There were no between−group differences in pain at discharge (−0.2; 95% CI: −1.03, 0.53; P = .53), 12 months (0.1; 95% CI: −0.53, 0.72; P = .76), and all other time points. There were no between-group differences in secondary outcomes, except for higher Fear-Avoidance Beliefs Questionnaire (work subscale) scores in the LBH group at 2 weeks (−3.35; 95% CI: −6.58, −0.11; P = .04) and discharge (−3.45; 95% CI: − 6.30, −0.61; P = .02).
Conclusion
Adding treatments aimed at the hip to usual low back physical therapy did not provide additional short- or long-term benefits in reducing disability and pain in individuals with LBP and a concurrent hip impairment. Clinicians may not need to include hip treatments to achieve reductions in low back disability and pain in individuals with LBP and a concurrent hip impairment.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité J Périodique Erasme - périodiques Périodiques Disponible J Périodique Erasme - périodiques Périodiques Disponible