0000000000763208
AUTHOR
Tiina Kuukkanen
An experimental controlled study on postural sway and therapeutic exercise in subjects with low back pain.
Objectives: To describe postural sway and its associations to background factors, low back pain and functional capacity. To evaluate the changes in postural sway after three months of therapeutic exercise in the gym or at home. Design: A one-year randomized experimental trial evaluated postural sway in three study groups: intensive training, home exercise and control group. Setting: Subjects were recruited from seven local occupational health care centres in Central Finland and were examined at Central Finland Hospital by medical doctors. Measurements and therapeutic exercise programmes were carried out in the Research Laboratory of Sport and Health Sciences at Jyväskylä University. Subjec…
Exercise treatment effect modifiers in persistent low back pain: an individual participant data meta-analysis of 3514 participants from 27 randomised controlled trials
BackgroundLow back pain is one of the leading causes of disability worldwide. Exercise therapy is widely recommended to treat persistent non-specific low back pain. While evidence suggests exercise is, on average, moderately effective, there remains uncertainty about which individuals might benefit the most from exercise.MethodsIn parallel with a Cochrane review update, we requested individual participant data (IPD) from high-quality randomised clinical trials of adults with our two primary outcomes of interest, pain and functional limitations, and calculated global recovery. We compiled a master data set including baseline participant characteristics, exercise and comparison characteristic…
Exercise treatment effect modifiers in persistent low back pain : an individual participant data meta-analysis of 3514 participants from 27 randomised controlled trials
Background: Low back pain is one of the leading causes of disability worldwide. Exercise therapy is widely recommended to treat persistent non-specific low back pain. While evidence suggests exercise is, on average, moderately effective, there remains uncertainty about which individuals might benefit the most from exercise. Methods: In parallel with a Cochrane review update, we requested individual participant data (IPD) from high-quality randomised clinical trials of adults with our two primary outcomes of interest, pain and functional limitations, and calculated global recovery. We compiled a master data set including baseline participant characteristics, exercise and comparison character…
Therapeutic exercise programs and subjects with low back pain : a controlled study of changes in function, activity and participation
Kaksi kolmasosaa yli 30-vuotiaista suomalaisista on kokenut ainakin yhdenselkäkipuepisodin elämänsä aikana. Suurimmalla osalla kipu kuitenkin häviää kuuden viikon kuluessa, mutta vaivan jatkuessa tai uusiutuessa ihmisen toimintakyvyssä tapahtuu muutoksia. - Pitkittyneestä tai toistuvasta selkävaivasta kärsivän pitäisi aktivoitua liikkumaan, sillä terapeuttisen harjoittelun avulla voidaan vaikuttaa selkävaivan aiheuttamiin haittoihin, väittelijä Tiina Kuukkanen sanoo. Selkäkipu merkitsee usein mm. heikentynyttä lihastoimintaa, alentunutta liikkuvuutta, muutoksia psykomotorisissa toiminnoissa ja tasapainossa. Se vaikeuttaa päivittäisten toimintojen suorittamista työssä ja kotona, on eräs suur…
Effectiveness of a home exercise programme in low back pain: a randomized five-year follow-up study
Background and Purpose. Therapeutic exercise has been shown to be beneficial in decreasing pain and in increasing functioning in patients with chronic low back pain. However, longitudinal follow-up studies are small in number, and often limited in the numbers of subjects due to drop-outs. In addition there is a shortage of real control groups in most cases. The purpose of the present study was to describe long-term changes in intensity of low back pain and in functioning for two study groups five years after undertaking a home exercise programme. Method. This was a randomized follow-up study over five years. Fifty-seven subjects were reassessed with questionnaires five years after their ini…