Cited by 104Musculoskeletal pain and rehabilitationMedical Practices and RehabilitationPregnancy-related medical research

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INTENSIVE GROUP TRAINING VERSUS COGNITIVE INTERVENTION IN SUB-ACUTE LOW BACK PAIN: SHORT-TERM RESULTS OF A SINGLE-BLIND RANDOMIZED CONTROLLED TRIAL

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Storheim, Kjersti, Brox, Jens Ivar, Holm, Inger, Koller, Anne Kathrine, Bø, Kari·2003·Journal of Rehabilitation Medicine

DOI 10.1080/16501970310010484

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Abstract

OBJECTIVE: To evaluate the short-term effect of physical exercise and a cognitive intervention in low back pain. DESIGN: Randomized controlled trial. SUBJECTS: Ninety-three patients sick-listed for 8-12 weeks for sub-acute low back pain were randomized to an exercise regime (n = 30), a cognitive intervention (n = 34) or a control group (n = 29). METHODS: Primary outcome measures were pain, disability, sick-listing and satisfaction with care. Secondary outcome measures were self-efficacy for pain and for function, fear-avoidance beliefs, emotional distress, generic health status and life satisfaction. RESULTS: Eighteen percent of subjects dropped out. Drop-out was most frequent in the exercise group. At 18 weeks after inclusion fear-avoidance beliefs were reduced in both intervention groups. The cognitive group demonstrated significant improvement in disability, self-efficacy for pain, emotional distress, general health and life satisfaction. Patients in the exercise group were significantly more satisfied with the treatment, and patients following the exercise protocol reduced pain significantly. No effect on sick-listing was seen. CONCLUSION: Cognitive intervention improved disability and may be feasible for most patients sick-listed in the sub-acute phase. Physical exercise reduced patients' symptoms, but requires high motivation by patients. Despite positive effects in intervention groups on variables considered as negative prognostic factors for long-term disability and sickness absence, interventions had no effect on sick-listing.

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Authors: Storheim, K., Brox, J. I., Holm, I., Koller, A. K., & Bø, K.
Affiliations: Norwegian School of Sport Sciences (NO)
ORCID: Storheim, Kjersti
Brox, Jens Ivar
Holm, Inger
Bø, Kari
Venue: Journal of Rehabilitation Medicine
Publisher: Medical Journals Sweden AB
Published: 2003-01-01
Volume: 35
Issue: 3
Pages: 132-140
ISSN: 1650-1977 (ISSN-L)
DOI: 10.1080/16501970310010484
OpenAlex: W2116144078
Cited by: 104
References: 36
Citations by year: 2026: 1 · 2025: 4 · 2024: 3 · 2022: 5 · 2021: 3 · 2020: 2 · 2018: 3 · 2017: 4 · 2016: 1 · 2015: 2 · 2014: 3 · 2013: 4 · 2012: 5
FWCI: 5.93
Type: journal article
Language: en
Open access: gold
doi.org
Locations: Journal of Rehabilitation Medicine (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy-related medical research
Keywords: subacute low back pain, physical activity, cognitive intervention, sick-listing, disability, fear-avoidance beliefs, self-efficacy, emotional distress, life satisfaction, treatment satisfaction, short-term outcomes
MeSH terms: Adult, Exercise Therapy, Female, Health Status, Humans, Male, Middle Aged, Patient Compliance, Patient Education as Topic, Quality of Life, Treatment Outcome, Low Back Pain

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INTENSIVE GROUP TRAINING VERSUS COGNITIVE INTERVENTION IN SUB-ACUTE LOW BACK PAIN: SHORT-TERM RESULTS OF A SINGLE-BLIND RANDOMIZED CONTROLLED TRIAL

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