Abstract
Objective
To investigate the difference in outcome between patients treated with group exercise, physiotherapy or osteopathy.
Design
Prospective study of patients referred at random to one of three treatments, with follow-up 6 weeks after discharge and after 12 months.
Setting
National Health Service physiotherapy department at St Albans City Hospital, part of the West Hertfordshire Musculoskeletal Therapy Service.
Participants
Two hundred and thirty-nine patients aged 18–65 years recruited from referrals to the physiotherapy department with chronic low back pain.
Interventions
Eligible patients were randomised to group exercises led by a physiotherapist, one-to-one predominantly manipulative physiotherapy, or osteopathy.
Main outcomes
Oswestry Disability Index (ODI), EuroQol-5D, shuttle walking test and patients’ subjective responses to pain and treatment.
Results
All three treatments indicated comparable reductions in mean (95% confidence intervals) ODI at 6-week follow-up: group exercise, −4.5 (−0.9 to −8.0); physiotherapy, −4.1 (−1.4 to −6.9); and osteopathy, −5.0 (−1.6 to −8.4). Attendance rates were significantly lower among the group exercise patients. One-to-one therapies provided evidence of greater patient satisfaction.
Conclusion
The study supports the use of a variety of approaches for the treatment of chronic low back pain. Particular attention needs to be given to the problems of attracting enough participants for group sessions, as these can be difficult to schedule in ways that are convenient for different participants.
Citation
A prospective study of patients with chronic back pain randomised to group exercise, physiotherapy or osteopathy
Marjorie Chown, Lynne Whittamore, Mark Rush, Sally Allan, David Stott, Mark Archer
Physiotherapy - March 2008 (Vol. 94, Issue 1, Pages 21-28, DOI: 10.1016/j.physio.2007.04.014)