Does physical activity change predict functional recovery in low back pain? Protocol for a prospective cohort study

Paul Hendrick, Stephan Milosavljevic, Melanie L Bell, Leigh Hale, Deirdre A Hurley, S M McDonough, Markus Melloh, David G Baxter

Research output: Contribution to journalArticle

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Abstract

Background: Activity advice and prescription are commonly used in the management of low backpain (LBP). Although there is evidence for advising patients with LBP to remain active, facilitating both recovery and return to work, to date no research has assessed whether objective measurements of free living physical activity (PA) can predict outcome, recovery and course of LBP.Methods: An observational longitudinal study will investigate PA levels in a cohort of community dwelling working age adults with acute and sub-acute LBP. Each participant's PA level, functional status, mood, fear avoidance behaviours, and levels of pain, psychological distress and occupational activity will be measured on three occasions during for 1 week periods at baseline, 3 months, and 1 year. Physical activity levels will be measured by self report, RT3 triaxial accelerometer, and activity recall questionnaires. The primary outcome measure of functional recovery will be the Roland Morris Disability Questionnaire (RMDQ). Free living PA levels and changes in functional status will be quantified in order to look at predictive relationships between levels and changes in free living PA and functional recovery in a LBP population.Discussion: This research will investigate levels and changes in activity levels of an acute LBPcohort and the predictive relationship to LBP recovery. The results will assess whetheroccupational, psychological and behavioural factors affect the relationship between free living PA and LBP recovery. Results from this research will help to determine the strength of evidence supporting international guidelines that recommend restoration of normal activity in managing LBP. Trial registration: [Clinical Trial Registration Number, ACTRN12609000282280]
LanguageEnglish
Pages136-144
JournalBMC Musculoskeletal Disorders
Volume10
Issue number1
DOIs
Publication statusPublished - 6 Nov 2009

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Low Back Pain
Cohort Studies
Prospective Studies
Exercise
Research
Psychology
Avoidance Learning
Independent Living
Return to Work
Self Report
Fear
Observational Studies
Prescriptions
Longitudinal Studies
Outcome Assessment (Health Care)
Clinical Trials
Guidelines
Pain
Population

Cite this

Hendrick, Paul ; Milosavljevic, Stephan ; Bell, Melanie L ; Hale, Leigh ; Hurley, Deirdre A ; McDonough, S M ; Melloh, Markus ; Baxter, David G. / Does physical activity change predict functional recovery in low back pain? Protocol for a prospective cohort study. In: BMC Musculoskeletal Disorders. 2009 ; Vol. 10, No. 1. pp. 136-144.
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Does physical activity change predict functional recovery in low back pain? Protocol for a prospective cohort study. / Hendrick, Paul; Milosavljevic, Stephan; Bell, Melanie L; Hale, Leigh; Hurley, Deirdre A; McDonough, S M; Melloh, Markus; Baxter, David G.

In: BMC Musculoskeletal Disorders, Vol. 10, No. 1, 06.11.2009, p. 136-144.

Research output: Contribution to journalArticle

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AU - Hendrick, Paul

AU - Milosavljevic, Stephan

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AU - Baxter, David G

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N2 - Background: Activity advice and prescription are commonly used in the management of low backpain (LBP). Although there is evidence for advising patients with LBP to remain active, facilitating both recovery and return to work, to date no research has assessed whether objective measurements of free living physical activity (PA) can predict outcome, recovery and course of LBP.Methods: An observational longitudinal study will investigate PA levels in a cohort of community dwelling working age adults with acute and sub-acute LBP. Each participant's PA level, functional status, mood, fear avoidance behaviours, and levels of pain, psychological distress and occupational activity will be measured on three occasions during for 1 week periods at baseline, 3 months, and 1 year. Physical activity levels will be measured by self report, RT3 triaxial accelerometer, and activity recall questionnaires. The primary outcome measure of functional recovery will be the Roland Morris Disability Questionnaire (RMDQ). Free living PA levels and changes in functional status will be quantified in order to look at predictive relationships between levels and changes in free living PA and functional recovery in a LBP population.Discussion: This research will investigate levels and changes in activity levels of an acute LBPcohort and the predictive relationship to LBP recovery. The results will assess whetheroccupational, psychological and behavioural factors affect the relationship between free living PA and LBP recovery. Results from this research will help to determine the strength of evidence supporting international guidelines that recommend restoration of normal activity in managing LBP. Trial registration: [Clinical Trial Registration Number, ACTRN12609000282280]

AB - Background: Activity advice and prescription are commonly used in the management of low backpain (LBP). Although there is evidence for advising patients with LBP to remain active, facilitating both recovery and return to work, to date no research has assessed whether objective measurements of free living physical activity (PA) can predict outcome, recovery and course of LBP.Methods: An observational longitudinal study will investigate PA levels in a cohort of community dwelling working age adults with acute and sub-acute LBP. Each participant's PA level, functional status, mood, fear avoidance behaviours, and levels of pain, psychological distress and occupational activity will be measured on three occasions during for 1 week periods at baseline, 3 months, and 1 year. Physical activity levels will be measured by self report, RT3 triaxial accelerometer, and activity recall questionnaires. The primary outcome measure of functional recovery will be the Roland Morris Disability Questionnaire (RMDQ). Free living PA levels and changes in functional status will be quantified in order to look at predictive relationships between levels and changes in free living PA and functional recovery in a LBP population.Discussion: This research will investigate levels and changes in activity levels of an acute LBPcohort and the predictive relationship to LBP recovery. The results will assess whetheroccupational, psychological and behavioural factors affect the relationship between free living PA and LBP recovery. Results from this research will help to determine the strength of evidence supporting international guidelines that recommend restoration of normal activity in managing LBP. Trial registration: [Clinical Trial Registration Number, ACTRN12609000282280]

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