Department of Physical and Rehabilitation Medicine, Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland.
BMC Musculoskelet Disord. 2012 Apr 11;13:55. doi: 10.1186/1471-2474-13-55.
Practice guidelines recommend various types of exercise for chronic back pain but there have been few head-to-head comparisons of these interventions. General exercise seems to be an effective option for management of chronic low back pain (LBP) but very little is known about the management of a sub-acute LBP within sub-groups. Recent research has developed clinical tests to identify a subgroup of patients with chronic non-specific LBP who have movement control dysfunction (MD).
METHOD/DESIGN: We are conducting a randomized controlled trial (RCT) to compare the effects of general exercise and specific movement control exercise (SMCE) on disability and function in patients with MD within recurrent sub-acute LBP. The main outcome measure is the Roland Morris Disability Questionnaire.
European clinical guideline for management of chronic LBP recommends that more research is required to develop tools to improve the classification and identification of specific clinical sub-groups of chronic LBP patients. Good quality RCTs are then needed to determine the effectiveness of specific interventions aimed at these specific target groups. This RCT aims to test the hypothesis whether patients within a sub-group of MD benefit more through a specific individually tailored movement control exercise program than through general exercises.
实践指南推荐了各种类型的运动来治疗慢性背痛，但这些干预措施之间很少进行直接比较。一般运动似乎是治疗慢性下背痛（LBP）的有效选择，但对于亚急性 LBP 在亚组中的管理知之甚少。最近的研究已经开发出临床测试来识别患有运动控制障碍（MD）的慢性非特异性 LBP 患者亚组。
方法/设计：我们正在进行一项随机对照试验（RCT），比较一般运动和特定运动控制运动（SMCE）对 MD 复发性亚急性 LBP 患者残疾和功能的影响。主要结局指标是 Roland Morris 残疾问卷。
欧洲慢性 LBP 管理临床指南建议需要进一步研究以开发工具来改善慢性 LBP 患者特定临床亚组的分类和识别。然后需要进行高质量的 RCT 来确定针对这些特定目标群体的特定干预措施的有效性。这项 RCT 的目的是检验这样一个假设，即在 MD 亚组内，患者通过特定的个体化运动控制运动计划获益是否超过一般运动。
