Evidence map›Paper›PMID 20633256›Full record

Trial reportBMC musculoskeletal disorders2010

The back 2 activity trial: education and advice versus education and advice plus a structured walking programme for chronic low back pain.

Suzanne M McDonough, Mark A Tully, Seán R O'Connor, Adele Boyd, Daniel P Kerr, Siobhán M O'Neill, Antony Delitto, Ian Bradbury, Catrine Tudor-Locke, David G Baxter and 1 more

Open access · goldAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC musculoskeletal disorders, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  5. Trial
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  7. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 7 institutions in 4 countries.

Suzanne M McDonoughHealth and Rehabilitation Sciences Research Institute, University of Ulster Shore Road, Newtownabbey, Co Antrim BT37 0QB, UK. s.mcdonough@ulster.ac.uk
Mark A Tully
Seán R O'Connor
Adele Boyd
Daniel P Kerr
Siobhán M O'Neill
Antony Delitto
Ian Bradbury
Catrine Tudor-Locke
David G Baxter
Deirdre A Hurley
University of Ulster · GBFrontier Agriculture (United Kingdom) · GBPennington Biomedical Research Center · USQueen's University Belfast · GBUniversity College Dublin · IEUniversity of Otago · NZUniversity of Pittsburgh · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCurrent evidence supports the use of exercise-based treatment for chronic low back pain that encourages the patient to assume an active role in their recovery. Walking has been shown it to be an acceptable type of exercise with a low risk of injury. However, it is not known whether structured physical activity programmes are any more effective than giving advice to remain active. METHODS/

designThe proposed study will test the feasibility of using a pedometer-driven walking programme, as an adjunct to a standard education and advice session in participants with chronic low back pain. Fifty adult participants will be recruited via a number of different sources. Baseline outcome measures including self reported function; objective physical activity levels; fear-avoidance beliefs and health-related quality of life will be recorded. Eligible participants will be randomly allocated under strict, double blind conditions to one of two treatments groups. Participants in group A will receive a single education and advice session with a physiotherapist based on the content of the 'Back Book'. Participants in group B will receive the same education and advice session. In addition, they will also receive a graded pedometer-driven walking programme prescribed by the physiotherapist. Follow up outcomes will be recorded by the same researcher, who will remain blinded to group allocation, at eight weeks and six months post randomisation. A qualitative exploration of participants' perception of walking will also be examined by use of focus groups at the end of the intervention. As a feasibility study, treatment effects will be represented by point estimates and confidence intervals. The assessment of participant satisfaction will be tabulated, as will adherence levels and any recorded difficulties or adverse events experienced by the participants or therapists. This information will be used to modify the planned interventions to be used in a larger randomised controlled trial. DISCUSSION: This paper describes the rationale and design of a study which will test the feasibility of using a structured, pedometer-driven walking programme in participants with chronic low back pain.

trial registration[ISRCTN67030896].

Indexed as

Activities of Daily LivingAdultChronic DiseaseCounselingDouble-Blind MethodExercise TherapyFemaleHumansLow Back PainMaleOutcome Assessment, Health CarePatient Education as TopicPhysical FitnessPhysical Therapy ModalitiesWalking

Identifiers

PMID20633256
PMCPMC2914699
OpenAlexW2076335332

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.