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document
Nordic walking and chronic low back pain : design of a randomized clinical trial . BACKGROUND Low Back Pain is a major public health problem all over the western world . Active approaches including exercise in the treatment of low back pain results in better outcomes for patients , but it is not known exactly which types of back exercises are most beneficial or whether general physical activity provide similar benefits . Nordic Walking is a popular and fast growing type of exercise in Northern Europe . Initial studies have demonstrated that persons performing Nordic Walking are able to exercise longer and harder compared to normal walking thereby increasing their cardiovascular metabolism . Until now no studies have been performed to investigate whether Nordic Walking has beneficial effects in relation to low back pain . The primary aim of this study is to investigate whether supervised Nordic Walking can reduce pain and improve function in a population of chronic low back pain patients when compared to unsupervised Nordic Walking and advice to stay active . In addition we investigate whether there is an increase in the cardiovascular metabolism in persons performing supervised Nordic Walking compared to persons who are advised to stay active . Finally , we investigate whether there is a difference in compliance between persons receiving supervised Nordic Walking and persons doing unsupervised Nordic Walking . METHODS One hundred and fifty patients with low back pain for at least eight weeks and referred to a specialized secondary sector outpatient back pain clinic are included in the study . After completion of the standard back centre treatment patients are randomized into one of three groups : A ) Nordic Walking twice a week for eight weeks under supervision of a specially trained instructor ; B ) Unsupervised Nordic Walking for eight weeks after one training session with an instructor ; C ) A one hour motivational talk including advice to stay active . Outcome measures are pain , function , overall health , cardiovascular ability and activity level . RESULTS No results available at this point . DISCUSSION This study will investigate the effect of Nordic Walking on pain and function in a population of people with chronic LBP .
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Intervention_Physical
Nordic walking
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Intervention_Physical
Nordic Walking
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Intervention_Physical
Nordic Walking
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Intervention_Physical
Nordic Walking
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Intervention_Physical
supervised Nordic Walking
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Intervention_Physical
unsupervised Nordic Walking and advice to stay active .
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Intervention_Physical
supervised Nordic Walking
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Intervention_Educational
advised to stay active .
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Intervention_Physical
supervised Nordic Walking
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Intervention_Physical
unsupervised Nordic Walking .
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Intervention_Physical
Nordic Walking twice a week for eight weeks under supervision of a specially trained instructor ;
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Intervention_Physical
Unsupervised Nordic Walking for eight weeks after one training session with an instructor
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Intervention_Educational
A one hour motivational talk including advice to stay active
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Intervention_Physical
Nordic Walking
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Outcome_Other
effects
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Outcome_Pain
reduce pain
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Outcome_Other
improve function
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Outcome_Other
compliance
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Outcome_Pain
pain
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Outcome_Pain
function
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Outcome_Other
overall health
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Outcome_Physical
cardiovascular ability
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Outcome_Pain
activity level
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Participant_Condition
in a population of chronic low back pain patients
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Participant_Condition
One hundred and fifty patients with low back pain for at least eight weeks and referred to a specialized secondary sector outpatient back pain clinic are included in the study .