ArticleArthritis and rheumatism2009
Exercise prescription for chronic back or neck pain: who prescribes it? who gets it? What is prescribed?
Article in Arthritis and rheumatism, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Central neurobiological effects of physical exercise in individuals with chronic musculoskeletal pain: a systematic review.BMJ open · 2020Pooled it
- Yoga, Physical Therapy, and Back Pain Education for Sleep Quality in Low-Income Racially Diverse Adults with Chronic Low Back Pain: a Secondary Analysis of a Randomized Controlled Trial.Journal of general internal medicine · 2020Trial
- Global Postural Reeducation in patients with chronic nonspecific neck pain: cross-over analysis of a randomized controlled trial.La Medicina del lavoro · 2018Trial
- Trial
- Cost-effectiveness of spinal manipulative therapy, supervised exercise, and home exercise for older adults with chronic neck pain.The spine journal : official journal of the North American Spine Society · 2016Trial
- Chronic low back pain clinical outcomes present higher associations with the STarT Back Screening Tool than with physiologic measures: a 12-month cohort study.BMC musculoskeletal disorders · 2015Trial
- Trial
- Determining the Impact of a Physiotherapist-Led Primary Care Model for Low Back Pain: Protocol and Analysis Plan for a Cluster Randomized Controlled Trial and Embedded Process Evaluation.JMIR research protocols · 2026Article
- Electronic health record data extraction: Physical therapists' documentation of physical activity assessments and prescriptions for patients with chronic low back pain.Physiotherapy theory and practice · 2024Article
- Exercise and Dietary Recommendations for Women with Chronic Pain: What's Weight and Race Got To Do with It?The journal of pain · 2024Article
- The Use of Exercise Prescription in Australian Osteopathy Practice: Secondary Analysis of a Nationally Representative Sample of the Profession.TheScientificWorldJournal · 2024Article
- Exploring the implementation potential of physical activity assessment and prescription tools in physical therapy practice: a mixed-method study.Physiotherapy theory and practice · 2023Article
- Provision of physical activity advice for patients with chronic diseases in Shenzhen, China.BMC public health · 2021Article
- A strategic initiative to facilitate knowledge translation research in rehabilitation.BMC health services research · 2020Article
- Pain Intensity And Attribution Mediate The Impact Of Patient Weight And Gender On Activity Recommendations For Chronic Pain.Journal of pain research · 2019Article
- Managing patients with acute and chronic non-specific neck pain: are Danish chiropractors compliant with guidelines?Chiropractic & manual therapies · 2017Article
- Evidence-based practice, research utilization, and knowledge translation in chiropractic: a scoping review.BMC complementary and alternative medicine · 2016Article
- Testing the feasibility of a knowledge translation intervention designed to improve chiropractic care for adults with neck pain disorders: study protocol for a pilot cluster-randomized controlled trial.Pilot and feasibility studies · 2016Article
- Fast tracking the design of theory-based KT interventions through a consensus process.Implementation science : IS · 2015Article
- Web-based therapeutic exercise resource center as a treatment for knee osteoarthritis: a prospective cohort pilot study.BMC musculoskeletal disorders · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
objectiveTo describe exercise prescription in routine clinical practice for individuals with chronic back or neck pain because, although current practice guidelines promote exercise for chronic back and neck pain, little is known about exercise prescription in routine care.
methodsWe conducted a computer-assisted telephone survey of a representative sample of individuals (n = 684) with chronic back or neck pain who saw a physician, chiropractor, and/or physical therapist (PT) in the past 12 months. Individuals were asked about whether they were prescribed exercise, the amount of supervision received, and the type, duration, and frequency of the prescribed exercise. Descriptive and multivariable regression analyses were conducted.
resultsOf the 684 subjects, 48% were prescribed exercise. Of those prescribed exercise, 46% received the prescription from a PT, 29% from a physician, 21% from a chiropractor, and 4% from other. In multivariable analyses, seeing a PT or a chiropractor were the strongest predictors of exercise prescription. The likelihood of exercise prescription was increased in women, those with higher education, and those receiving worker's compensation. PTs were more likely to provide supervision and prescribe strengthening exercises compared with physicians and chiropractors, and were more likely to prescribe stretching exercises compared with physicians.
conclusionOur findings suggest that exercise is being underutilized as a treatment for chronic back and neck pain and, to some extent, that the amount of supervision and types of exercises prescribed do not follow current practice guidelines. Exercise prescription provided by PTs appears to be most in line with current guidelines.
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