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Prescriptive hip exercises improve pain, satisfaction in patients with LBP

21 Apr 2017

Including manual therapy of the hip joints and prescriptive exercise programmes of the gluteal muscles in a low-back pain (LBP) intervention may improve clinical outcomes in individuals with a primary complaint of LBP, a new randomized controlled trial (RCT) shows.

Investigators randomly assigned 90 participants to receive either LBP treatment only (LBP) or both LBP and prescriptive hip treatment (LBP +HIP). Only patients at least 18 years of age who presented a primary complaint of LBP and showed improvements in pain and/or range of motion during the assessment visit were included.

Aside from a pragmatic, guideline-oriented treatment for LBP, participants in the LBP + HIP group received prescriptive hip treatments, which included exercises that targeted both hips and the hip joint. The primary outcome of the study was Modified Oswestry Disability Index (ODI) scores.

Only 84 of the 90 participants (aged 46.1 [16.2] years)completed all follow-up measures and were thus included in the analysis. Of the six lost to follow-up, two belonged to the LBP + HIP group and four to the LBP group.

The average duration of back pain symptoms was 19.7±7.2 and 20.3±6.5 weeks in the LBP and LBP + HIP groups, respectively. Baseline ODI scores were 36.7±2.1 and 36.4±1.5, and baseline numeric pain rating scale (NPRS) scores were 5.4±0.3 and 5.1±0.3, respectively. There were no significant differences in any of the baseline characteristics between the two groups.

At the end of two weeks, there were no significant between-group differences in ODI (mean difference [MD], 2.6; 95 percent CI, 0.67 to 4.43; p=0.01) and NPRS (MD, 0.2; -0.6 to 0.5; p=0.27). The LBP + HIP group had significant improvements in patient satisfaction (p<0.01) and global rating of change (GRoC; p<0.01).

At discharge, the LBP + HIP group had significantly more favourable ODI (p=0.03), NPRS (p=0.02), patient satisfaction (p<0.01) and GRoC (p<0.01).

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Most Read Articles
11 Aug 2017
Magnetoencephalography (MEG) can detect functional network alterations accompanied by amyloid-β (Aβ) deposition in cognitively normal (CN) elderly adults before anatomical changes can be observed, a new study shows.
2 days ago
Intra-articular injections of botulinum toxin-A deliver substantial short-term benefits in terms of pain reduction in patients with refractory joint pain, according to a meta-analysis.
3 days ago
At least one dose of the 13-valent pneumococcal conjugate vaccine (PCV13) has high individual vaccine effectiveness (VE) in preventing invasive pneumococcal disease (IPD) in a paediatric population with suboptimal vaccination coverage, a new study has shown.
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