Long-term exercise adherence after intensive rehabilitation for chronic low back pain

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Deutscher übersetzter Titel:Langzeit-Kontinuitaet des Trainingsverhaltens nach intensiver Rehabilitation aufgrund lumbaler Rueckenschmerzen
Autor:Hartigan, C.; Rainville, J.; Sobel, J.B.; Hipona, M.
Erschienen in:Medicine and science in sports and exercise
Veröffentlicht:32 (2000), 3, S. 551-557, Lit.
Format: Literatur (SPOLIT)
Publikationstyp: Zeitschriftenartikel
Medienart: Gedruckte Ressource
Sprache:Englisch
ISSN:0195-9131, 1530-0315
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Erfassungsnummer:PU199912405922
Quelle:BISp

Abstract des Autors

Purpose: The purpose of this study was to examine exercise compliance in patients with chronic low back pain (CLBP) after participation in an intensive spine rehabilitation program. Methods: Exercise behaviors in 122 consecutive subjects with CLBP who completed a program of quota based exercise were examined. Frequency per week of performance of four exercise activities, Oswestry disability scores, and visual analog scale (VAS) scores were assessed at evaluation, 3-month, and 12-month follow-up by patient-completed questionnaires. Results: Percentage of patients responding to initial, 3-month, and 12-month questionnaires were 100%, 86%, and 71%, respectively. Frequencies of exercise behaviors were compared by Wilcoxon signed-rank test and were found to increase significantly between evaluation and 3 months (P<0.000), and evaluation and 12-month follow-up (P<0.000). The percentages of patients reporting three or more times weekly performance of the following activities at evaluation and at three month follow-up, respectively, were: 1) stretching for the back and legs, 35% and 93%; 2) aerobic exercise, 44% and 87%; 3) back-strengthening exercises, 15% and 82%; and, 4) weight training, 6% and 71%. Evaluation and follow-up Oswestry disability and visual analog scale (VAS) scores for back pain were compared using Student's t-test. Significant improvements (P<0.000) were noted for each of these scales at 3-month follow-up that were maintained at 12-month follow-up. Conclusion: It is concluded that exercise behaviors can be increased and maintained in CLBP patients without adversely affecting pain or function. Verf.-Referat