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| The effects of the CORE programme on pain at rest, movement-induced and secondary pain, active range of motion, and proprioception in female office workers with chronic low back pain: a randomized controlled trial [with consumer summary] |
| Kim TH, Kim E-H, Cho H-Y |
| Clinical Rehabilitation 2015 Jul;29(7):653-662 |
| clinical trial |
| 5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: 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* |
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OBJECTIVE: To investigate the effects of the CORE programme on pain at rest, movement-induced pain, secondary pain, active range of motion, and proprioception deficits in female office workers with chronic low back pain. DESIGN: Randomized controlled trial. SETTING: Rehabilitation clinics. SUBJECTS: A total of 53 participants with chronic low back pain were randomized into the CORE group and the control group. INTERVENTION: CORE group participants underwent the 30-minute CORE programme, five times per week, for eight weeks, with additional use of hot-packs and transcutaneous electrical nerve stimulation, while the control group used only hot-packs and transcutaneous electrical nerve stimulation. MAIN MEASURES: Participants were evaluated pretest, posttest, and two months after the intervention period to measure resting and movement-induced pain, pressure pain as secondary pain, active range of pain-free motion, and trunk proprioception. RESULTS: Pain intensity at rest (35.6 +/- 5.9 mm) and during movement (39.4 +/- 9.1 mm) was significantly decreased in the CORE group following intervention compared with the control group. There were significant improvements in pressure pain thresholds (quadratus lumborum 2.2 +/- 0.7 kg/cm2; sacroiliac joint 2.0 +/- 0.7 kg/cm2), active range of motion (flexion 30.8 +/- 14.3 degrees; extension 6.6 +/- 2.5 degrees), and proprioception (20 degrees flexion 4.3 +/- 2.4 degrees; 10 degrees extension 3.1 +/- 2.0 degrees) in the CORE group following intervention (all p < 0.05). These improvements were maintained at the two-month follow-up. The control group did not show significant improvements in any measured parameter. CONCLUSION: The CORE programme is an effective intervention for reducing pain at rest and movement-induced pain, and for improving the active range of motion and trunk proprioception in female office workers with chronic low back pain.
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