Nordic walking no better than general advice in management of non-specific CLBP .
This report has been verified
by one or more authors of the
original publication.
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2013;1(9):59 BMC Musculoskelet Disord. 2010 Feb 10;11:30.136 patients with chronic low back pain were randomized into 3 groups that received a supervised nordic training, unsupervised training or a general advice on management of pain and functionality. At 8 weeks, there was no statistically significant effect of supervised Nordic Walking on the Low Back Pain Rating Scale (LBPRS) or the Patient Specific Function Scale (PSFS) when compared to non-supervised Nordic Walking group or group given advice to remain active.
Was the allocation sequence adequately generated?
Was allocation adequately concealed?
Blinding Treatment Providers: Was knowledge of the allocated interventions adequately prevented?
Blinding Outcome Assessors: Was knowledge of the allocated interventions adequately prevented?
Blinding Patients: Was knowledge of the allocated interventions adequately prevented?
Was loss to follow-up (missing outcome data) infrequent?
Are reports of the study free of suggestion of selective outcome reporting?
Were outcomes objective, patient-important and assessed in a manner to limit bias (ie. duplicate assessors, Independent assessors)?
Was the sample size sufficiently large to assure a balance of prognosis and sufficiently large number of outcome events?
Was investigator expertise/experience with both treatment and control techniques likely the same (ie.were criteria for surgeon participation/expertise provided)?
نعم = 1
غير مؤكد = 0.5
غير ذي صلة = 0
لا = 0
يقيّم تقييم معايير الإبلاغ الشفافية التي يبلغ بها المؤلفون عن الخصائص المنهجية والتجريبية للتجربة في المنشور. ينقسم التقييم إلى خمس فئات معروضة أدناه.
3/4
Randomization
3/4
Outcome Measurements
4/4
Inclusion / Exclusion
4/4
Therapy Description
4/4
Statistics
Detsky AS, Naylor CD, O'Rourke K, McGeer AJ, L'Abbé KA. J Clin Epidemiol. 1992;45:255-65
مؤشر الهشاشة هو أداة تساعد في تفسير النتائج المهمة، وتوفر مقياسًا لقوة النتيجة. ويمثل مؤشر الهشاشة عدد الأحداث المتتالية التي يجب إضافتها إلى نتيجة ثنائية التفرع لجعل النتيجة غير مهمة. يمثل الرقم الصغير نتيجة أضعف ويمثل الرقم الكبير نتيجة أقوى.
لماذا كانت هناك حاجة لهذه الدراسة الآن؟
Nordic walking involves walking with ski poles, aiding improvement of cardiovascular metabolism. It is yet unknown whether specific or unspecific exercise provides the most benefit for patients with chronic low back pain. This is the first study to investigate whether Nordic walking has a beneficial effects for patients with chronic low back pain.
ما هو سؤال البحث الرئيسي؟
Does supervised Nordic walking improve the pain and pain-related disability compared to non-supervised Nordic walking or advice to stay active in patients with chronic low back pain?
- Within the supervised NW group, the improvement in the pain scale of the LBPRS was significant at 11 weeks, 26 weeks, and 52 weeks (P=0.009, 0.01, and 0.03, respectively), and was consistently the largest average improvement among the three groups. Despite this, the improvements were not significantly different, at any time point, from the unsupervised NW group, who had a significant improvement at 26 weeks, nor the control group, whose improvement was significant at 11 and 26 weeks.
- Similar to the pain scale, while the average improvement on the disability scale of the LBPRS was greatest and significant at all time points in the supervised NW group, the differences compared to the unsupervised group and control group were not significant. Effect in the unsupervised group was borderline significant at 52 weeks (P=0.06), and in the control group at 11 and 26 weeks (P=0.01 and 0.03, respectively).
- On the PSFS, improvement within each group was significant at all time points (Supervised NW group: P= 0.009, 0.001, and 0.02, respectively) (Unsupervised NW group: P < 0.001, 0.004, and 0.001, respectively) (Control group: P=0.01, 0.01, and 0.004, respectively). The differences between groups were not significant at any time point.
- Minimum clinically important difference (MCID) on LBPRS pain subscale was achieved by 10 participants of the supervised NW group, 10 of the unsupervised NW group, and 8 in the control group by the end of 52 weeks. MCID on the disability scale of the LBPRS was attained by 7, 4, and 4, respectively. The difference between groups for either scale was not significant.
- There was no significant difference observed between groups at any point for outcome on the EQ5D.
ما الذي يجب أن أتذكره أكثر؟
8 weeks of bi-weekly supervised Nordic Walking resulted in small clinical effects but the results were not statistically different when compared to the unsupervised Nordic Walking group or the group only given advice to remain active.
كيف سيؤثر ذلك على رعاية مرضاي؟
Nordic Walking, although it offers a safe and cheap rehabilitation modality for various conditions including Lower Back Pain, has not been proven superior to conventional advice when assessed for improvement in pain and pain-related loss of function.
تنويه
هذا المحتوى الموجود في هذه الصفحة هو لأغراض إعلامية فقط وليس الغرض منه أن يكون بديلاً عن المشورة الطبية المتخصصة أو التشخيص أو العلاج. إذا كنت بحاجة إلى علاج طبي، اطلب دائمًا مشورة طبيبك أو اذهب إلى أقرب قسم طوارئ إليك. الآراء والمعتقدات ووجهات النظر التي يعبر عنها الأفراد في المحتوى الموجود في هذه الصفحة لا تعكس آراء ومعتقدات ووجهات نظر أورثوإيفيدنس.
0 من 4 مقالات مجانية شهرية غير مقفلة
