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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 and Baxter, David G (2009) Does physical activity change predict functional recovery in low back pain? Protocol for a prospective cohort study. BMC Musculoskeletal Disorders, 10 (1). pp. 136-144. [Journal article]

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URL: http://dx.doi.org/10.1186/1471-2474-10-136

DOI: doi:10.1186/1471-2474-10-136


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]

Item Type:Journal article
Faculties and Schools:Faculty of Life and Health Sciences
Faculty of Life and Health Sciences > School of Health Sciences
Research Institutes and Groups:Institute of Nursing and Health Research > Centre for Health and Rehabilitation Technologies
ID Code:9014
Deposited By: Professor Suzanne McDonough
Deposited On:26 Jan 2010 15:50
Last Modified:09 Dec 2015 10:40

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