Randomised controlled trial of Alexander technique lessons, exercise, and massage (ATEAM) for chronic and recurrent back pain
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چکیده
Objective To determine the effectiveness of lessons in the Alexander technique,massage therapy, and advice froma doctor to take exercise (exercise prescription) along with nurse delivered behavioural counselling for patients with chronic or recurrent back pain. Design Factorial randomised trial. Setting 64 general practices in England. Participants 579 patients with chronic or recurrent low back pain; 144 were randomised to normal care, 147 to massage, 144 to six Alexander technique lessons, and 144 to 24 Alexander technique lessons; half of each of these groups were randomised to exercise prescription. Interventions Normal care (control), six sessions of massage, six or 24 lessons on the Alexander technique, and prescription for exercise from a doctor with nurse delivered behavioural counselling. Main outcome measures Roland Morris disability score (number of activities impaired by pain) and number of
منابع مشابه
Randomised controlled trial of Alexander technique lessons, exercise, and massage (ATEAM) for chronic and recurrent back pain: economic evaluation
OBJECTIVE To determine the effectiveness of lessons in the Alexander technique, massage therapy, and advice from a doctor to take exercise (exercise prescription) along with nurse delivered behavioural counselling for patients with chronic or recurrent back pain. DESIGN Factorial randomised trial. Setting 64 general practices in England. PARTICIPANTS 579 patients with chronic or recurrent l...
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Low back pain is a major health problem in developed countries, and it is most commonly treated in primary healthcare settings. Lifetime prevalence ranges from 49% to 70% and point prevalence from 12% to 30%.1 The management of patients with chronic low back pain varies considerably within and between countries, and within and between healthcare professions.1 In the linked randomised controlled...
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BACKGROUND Randomised controlled trial evidence indicates that Alexander Technique is clinically and cost effective for chronic back pain. The aim of this mixed methods evaluation was to explore the role and perceived impact of Alexander Technique lessons in the naturalistic setting of an acute hospital Pain Management Clinic in England. METHODS To capture changes in health status and resourc...
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