ArticleBMJ open2025
Treatment and exercise strategies and their associations with pain and disability: a prospective cohort study of patients with long-lasting low back pain.
Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectivesTo describe self-reported treatment and exercise strategies among patients with long-lasting low back pain (LBP) 1 month after consultation at a specialised hospital-based Medical Spine Clinic and evaluate their associations with changes in pain and disability 1 and 3 months after consultation.
designProspective cohort study using questionnaire data before consultation (baseline) and 1 and 3 months after consultation.
settingSpecialised hospital-based Medical Spine Clinic, Denmark.
participants1686 patients with long-lasting LBP completed the baseline questionnaire; 908 patients responded at 1 month, of them 623 responded at 3 month.
interventionsPatients were categorised by treatment (physiotherapy, chiropractic treatment, physiotherapy+chiropractic treatment and no recommended treatment) and exercise strategy (exercise continued, exercise ceased, exercise initiated and not exercising). PRIMARY AND SECONDARY OUTCOME MEASURES: Pain was assessed by the numeric rating scale (NRS: 0-10), and disability was assessed by the Oswestry disability index (ODI: 0-100).
results1-month postconsultation, half of the patients received no recommended treatment; most others received physiotherapy (42%). Nearly half of the patients continued exercise, 28% continued to be inactive, and 22% initiated exercise. For the population as a whole, pain changed by -0.74 (95% CI -0.90; -0.58) and
conclusionsMean improvement was negligible, with no differences between treatment strategies. However, patients not exercising showed no or less improvement, highlighting the importance of exercise in managing long-lasting LBP.
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