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| Cesar-therapie tijdelijk effectiever dan standaardbehandeling door de huisarts bij patienten met chronische aspecifieke large rugklachten: gerandomiseerd, gecontroleerd en geblindeerd onderzoek met 1 jaar follow-up (Cesar therapy is temporarily more effective than a standard treatment from the general practitioner in patients with chronic aspecific lower back pain; randomized, controlled and blinded study with a I year follow-up) [Dutch] |
| Hildebrandt VH, Roper KI, van den Berg R, Douwes M, van den Heuvel SG, van Buuren S |
| Nederlands Tijdschrift voor Geneeskunde 2000;144(47):2258-2264 |
| clinical trial |
| 7/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: No; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
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OBJECTIVE: To determine the effectiveness of a special form of exercise therapy ("Cesar therapy") on self reported recovery and improvement of posture amongst patients with chronic aspecific lower back pain. DESIGN: Prospective randomised controlled and blinded investigation. METHOD: After informed consent had been obtained, patients with chronic aspecific lower back pain were given, on a randomised basis, either an exercise therapy (experimental group, n = 112) or a standard treatment by their general practitioner (control group, n = 110). Outcome measures were self reported recovery of (from?) back pain and improvement of posture (thoracic and lumber spine, pelvis). Self reported recovery was determined by means of a dichotomised 7-point scale (questionnaire). Posture was measured qualitatively by a panel of 11 Cesar therapists (blinded) and quantitatively by an optical -electronic posture recording system (Vicon). Measurements were taken at baseline (pre-randomisation) and at 3,6, and 12 months after randomisation. RESULTS: Three months after randomistation, patients who were treated according to Cesar therapy, reported an improvement their back symptoms (80%) significantly more often than the control group (47%). In both groups, however, only small improvements in positive were found. The judgement of the Cesar panel exhibited a significant difference between the months after randomisation, but could no longer be detected at 12 months after randomisation. CONCLUSION: Cesar therapy was significantly more effective than standard treatment among patients with chronic lower back pain for a period of 6 months after randomisation.
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