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Evaluation of a back rehabilitation group for chronic low back pain in an out-patient setting
Callaghan MJ
Physiotherapy 1994 Oct;80(10):677-681
clinical trial
3/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

The purpose of this study was to evaluate a back rehabilitation group (BRG) for chronic low back pain (LBP). Eighty patients were assessed and randomly allocated to either an eight-session BRG, a four-session BRG or a control group. Results showed that patients in the eight-session BRG gained significant improvement over the controls in outcome measures of lumbar flexion, extension (p < 0.0005) and pain (p < 0.01). The four-session BRG was found to be equal to the eight session BRG in lumbar flexion, extension and pain. Patients who attended the four-session BRG had improved their progress further when reassessed at one month. This study confirms the benefit of a BRG compared to a control group; that a four-session BRG and an eight-session BRG are equally effective; that with a home exercise regime, patients at one-month follow-up can improve their progress further. It concludes that BRG in a busy out-patient setting can produce benefits similar to those of a specialised rehabilitation unit analysed in previous studies.

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