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The effect of health education in patients with chronic low back pain
Zhang Y, Wan L, Wang X
The Journal of International Medical Research 2014 Jun;42(3):815-820
clinical trial
6/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; 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*

OBJECTIVE: To assess the value of health education (active management and postural hygiene) over and above exercise alone, in patients with chronic low back pain. METHODS: Adults (aged 18 to 30 years) with low back pain of < 3 months' duration were randomized to undergo a 12-week programme of lumbar strengthening exercise and health education or exercise alone. Pain, disability (Oswestry Disability Index, ODI), static and dynamic muscle endurance, and health-related quality-of-life (short form-36, SF-36) were assessed at baseline and after completion of treatment. RESULTS: At the end of the 12-week intervention period, pain, disability, SF-36 physical component and SF-36 mental component were significantly better in the health education group (n = 25) than in the control group (n = 24). There were no significant between-group differences in static or dynamic endurance. CONCLUSION: Health education provides additional benefits to exercise alone for improving pain, disability and mental and physical health-related quality-of-life.

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