Resistance training in addition to multidisciplinary rehabilitation for patients with chronic pain in the low back: Study protocol

Published on Jun 1, 2017in Contemporary clinical trials communications
· DOI :10.1016/j.conctc.2017.04.001
Vegard Moe Iversen2
Estimated H-index: 2
(NTNU: Norwegian University of Science and Technology),
Ottar Vasseljen16
Estimated H-index: 16
(NTNU: Norwegian University of Science and Technology)
+ 6 AuthorsMarius Steiro Fimland15
Estimated H-index: 15
(NTNU: Norwegian University of Science and Technology)
Abstract Introduction Chronic low back pain (LBP) is a major health problem worldwide. Multidisciplinary rehabilitation and exercise is recommended for the management of chronic LBP. However, there is a need to investigate effective exercise interventions that is available in clinics and as home-based training on a large scale. This article presents the design and rationale of the first randomized clinical trial investigating the effects of progressive resistance training with elastic bands in addition to multidisciplinary rehabilitation for patients with moderate to severe chronic LBP. Methods and analysis We aim to enroll 100 patients with chronic LBP referred to a specialized outpatient hospital clinic in Norway. Participants will be randomized equally to either; a) 3 tion including whole-body progressive resistance training using elastic bands – followed by home-based progressive resistance training for 9 weeks, or b) 3 weeks of multidisciplinary rehabilitation including general physical exercise – followed by home-based general physical exercise for 9 weeks. Questionnaires and strength tests will be collected at baseline, weeks 3 and 12, and at 6 and 12 months. The primary outcome is between-group changes in pain-related disability at week 12 assessed by the Oswestry disability index. Secondary outcomes include pain, work ability, work status, mental health, health-related quality of life, global rating of change, general health, and muscular strength and pain-related disability up to 12 months of follow-up. Discussion This study will provide valuable information for clinicians working with patients with chronic LBP. Trial registration , number NCT02420236.
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Published on Nov 1, 2016in Clinical Biomechanics1.98
Saied Jalal Aboodarda11
Estimated H-index: 11
(MUN: Memorial University of Newfoundland),
Phillip A. Page2
Estimated H-index: 2
(LSU: Louisiana State University),
David G. Behm42
Estimated H-index: 42
(MUN: Memorial University of Newfoundland)
Abstract Background Elastic resistance has been commonly used in the therapeutic and fitness setting; however, the ability of elastic resistance to overload and activate muscles has been questioned because of linear increase in elastic resistance as the device is elongated. The purpose of this meta-analysis was to examine the available literature on muscle activation associated with isoinertial and elastic resistance exercises, and to provide a quantitative summary comparing the two resistance t...
Published on Jan 1, 2016in Occupational and Environmental Medicine3.56
D Van Eerd4
Estimated H-index: 4
(UW: University of Waterloo),
Claire Munhall3
Estimated H-index: 3
+ 8 AuthorsC. Pinion1
Estimated H-index: 1
The burden of disabling musculoskeletal pain and injuries (musculoskeletal disorders, MSDs) arising from work-related causes in many workplaces remains substantial. There is little consensus on the most appropriate interventions for MSDs. Our objective was to update a systematic review of workplace-based interventions for preventing and managing upper extremity MSD (UEMSD). We followed a systematic review process developed by the Institute for Work & Health and an adapted best evidence synthesis...
Published on Dec 1, 2014in BMC Musculoskeletal Disorders2.00
Linn Karlsson5
Estimated H-index: 5
Esa-Pekka Takala29
Estimated H-index: 29
(Finnish Institute of Occupational Health)
+ 1 AuthorsBritt Larsson24
Estimated H-index: 24
Background Different types of exercises can help manage chronic neck pain. Supervised exercise interventions are widely used, but these protocols require substantial resources. The aim of this trial, which focused on adherence, was to evaluate two home exercise interventions.
Published on Dec 1, 2014in BMC Musculoskeletal Disorders2.00
Robert J. Froud12
Estimated H-index: 12
(Warw.: University of Warwick),
Sue Patterson1
Estimated H-index: 1
(QMUL: Queen Mary University of London)
+ 5 AuthorsMartin Underwood44
Estimated H-index: 44
(Warw.: University of Warwick)
Copyright @ 2014 Froud et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.
Published on Aug 1, 2014in Pain Medicine2.76
Nazdar Ghafouri9
Estimated H-index: 9
(Umeå University),
Bijar Ghafouri16
Estimated H-index: 16
+ 4 AuthorsBjörn Gerdle46
Estimated H-index: 46
(Linköping University)
Purpose. Chronic neck/shoulder pain (CNSP) is one of the most common pain conditions. The understanding of mechanisms, including the peripheral balance between nociceptive and antinociceptive proce ...
Published on Jul 1, 2014in Archives of Physical Medicine and Rehabilitation2.70
Anne Therese Tveter6
Estimated H-index: 6
(University of Oslo),
Hanne Dagfinrud23
Estimated H-index: 23
(University of Oslo)
+ 1 AuthorsInger Holm38
Estimated H-index: 38
(University of Oslo)
Objective: To provide reference values and reference equations for frequently used clinical field tests of health-related physical fitness for use in clinical practice. Design: Cross-sectional design. Setting: General community. Participants: Convenience sample of volunteers (NZ370) between 18 and 90 years of age were recruited from a wide range of settings (ie, work sites, schools, community centers for older adults) and different geographic locations (ie, urban, suburban, rural) in southeaster...
Published on Jan 1, 2014in Health and Quality of Life Outcomes2.32
Calypse Agborsangaya9
Estimated H-index: 9
(U of A: University of Alberta),
Markus Lahtinen4
Estimated H-index: 4
+ 1 AuthorsJeffrey A Johnson3
Estimated H-index: 3
(U of A: University of Alberta)
Background Studies comparing the measurement properties of EQ-5D 3L (3L) and EQ-5D 5L (5L) are limited to specific patient populations with small sample sizes. Using a general population sample, we compared 3L and 5L in terms of their measurement properties and association with number of chronic conditions, including multimorbidity – the concurrent occurrence of two or more chronic conditions.
Published on Dec 1, 2013in BMC Musculoskeletal Disorders2.00
Emil Sundstrup21
Estimated H-index: 21
(University of Southern Denmark),
Markus Due Jakobsen18
Estimated H-index: 18
(University of Southern Denmark)
+ 4 AuthorsLars L. Andersen38
Estimated H-index: 38
Background The prevalence of musculoskeletal pain in the shoulder, arm and hand is high among slaughterhouse workers, allegedly due to the highly repetitive and forceful exposure of these body regions during work. Work disability is a common consequence of these pains. Lowering the physical exposure through ergonomics intervention is the traditional strategy to reduce the workload. An alternative strategy could be to increase physical capacity of the worker through strength training. This study ...
Published on Nov 1, 2013in Spine2.90
Tamar Pincus32
Estimated H-index: 32
(Lond: University of London),
Peter Kent25
Estimated H-index: 25
+ 3 AuthorsJan Hartvigsen37
Estimated H-index: 37
Study Design.An integrated review of current knowledge about the biopsychosocial model of back pain for understanding etiology, prognosis, and interventions, as presented at the plenary sessions of the XII International Forum on LBP Research in Primary Care (Denmark; October 17–19, 2012).Objective.T
Cited By1
Published on Sep 1, 2018in Scandinavian Journal of Medicine & Science in Sports3.63
Vegard Moe Iversen2
Estimated H-index: 2
(NTNU: Norwegian University of Science and Technology),
Ottar Vasseljen16
Estimated H-index: 16
(NTNU: Norwegian University of Science and Technology)
+ 4 AuthorsMarius Steiro Fimland15
Estimated H-index: 15
(NTNU: Norwegian University of Science and Technology)
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