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SAT0427 How Effective a Modified Exercise Program on its Own or with Back School in Chronic Low Back Pain? A Randomized-Controlled Clinical Trial
  1. D. Durmus1,
  2. M. unal2,
  3. O. Kuru1
  1. 1Ondokuz Mayis University, Medical Faculty, Department of Physical Medicine and Rehabilitation
  2. 2Ondokuz Mayis University, Medical Faculty, Department of Family Medicine, Samsun, Turkey


Background Chronic low back pain (CLBP) is seen frequently in all societies of the world that causes significant loss of working days. Many treatment modalities have been proposed for its treatment.

Objectives The aim of this trial is to search effectiveness of specifically adopted exercise programs on its own and with low back school on pain, disability, trunk and quadriceps muscle strength, walking performance, spinal mobility, quality of life (QOL), and depression in the patients with CLBP.

Methods A total of 121 patients with definite CLBP were included in this study. The patients were randomized into two groups. Group 1 (n = 60) was given exercises only and accepted as the control group. Group 2 (n = 61) received back school program and exercises. The exercise treatment was performed 3 days a week, for 3 months. The pain (visual analog scale, VAS), disability (Oswestry Disability Questionnaire, ODQ), walking performance (6 minute walking test, 6MWT), depression (Beck Depression Inventory scores, BDI), and QOL (Short Form 36, SF-36) of all participants were evaluated. The trunk and knee muscle strength were measured with a handheld dynamometer. Patients were assessed at baseline (BT), at the end of treatment (AT), and at the six month follow-up (F).

Results Statistically significant improvements were found between groups regarding all of the clinical parameters over time. Pain, disability, muscle strength, endurance, 6MWT, mobility, QOL, and depression of both groups also showed improvements AT. These improvements persisted at 6-months follow-ups (P < 0.05). There were statistically significant differences between the groups for pain, disability, muscle strength, endurance, 6MWT, QOL, and depression regarding the change scores between AT–BT test and F–BT test (P < 0.05). Group 2 fared better than group 1 except for mobility.

Conclusions Exercise programs can be modified and used successfully in CLBP and this effect can be increased with addition of back school further.

Disclosure of Interest None Declared

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