81608
document
A randomized trial of exercise therapy in patients with acute low back pain . Efficacy on sickness absence . STUDY DESIGN A randomized , placebo-controlled trial in which patients received either usual care by a general practitioner ( information and analgesics ) , or placebo physiotherapy given by a physiotherapist , or exercise therapy given by a physiotherapist . OBJECTIVE To assess the efficacy of exercise therapy on sickness absence from work in patients with acute low back pain . SUMMARY OF BACKGROUND DATA Exercise therapy during the nonchronic phase of back pain is considered to reduce sickness absence , but this opinion is controversial . METHODS Patients with acute nonspecific low back pain and a paid job were included for analysis . Sickness absence ( number of days ) was checked monthly during the 1-year follow-up period and compliance was also assessed . RESULTS From 40 general practices 363 patients who were gainfully employed were included . In the exercise therapy group the percentage of patients with sickness absence was higher and the duration of absence was longer than in the placebo and usual care groups , but these differences were not significant . Indications of more absence in the exercise therapy group appeared to be based largely on a greater number of patients with absences during the first 3 months . Patients in the exercise group who had not reported sick at entry had more sickness absences during the follow-up year than patients in the usual care and placebo group . Good compliance did not affect the results . CONCLUSIONS Exercise therapy for patients with acute low back pain does not reduce sickness absence .
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Intervention_Physical
exercise therapy
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Intervention_Control
placebo-controlled
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Intervention_Physical
usual care
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Intervention_Control
placebo physiotherapy
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Intervention_Physical
exercise therapy
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Intervention_Physical
exercise therapy
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Intervention_Physical
Exercise therapy
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Intervention_Physical
exercise therapy
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Intervention_Control
placebo
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Intervention_Pharmacological
usual care
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Intervention_Physical
exercise therapy group
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Intervention_Physical
exercise group
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Intervention_Pharmacological
usual care
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Intervention_Control
placebo
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Intervention_Physical
Exercise therapy
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Outcome_Physical
sickness absence
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Outcome_Physical
sickness absence from work
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Outcome_Physical
sickness absence
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Outcome_Physical
Sickness absence ( number of days )
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Outcome_Mental
compliance
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Outcome_Physical
sickness absence
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Outcome_Other
duration of absence
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Outcome_Other
absence
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Outcome_Physical
sickness absences
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Outcome_Mental
compliance
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Outcome_Physical
sickness absence
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Participant_Condition
acute low back pain
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Participant_Condition
acute nonspecific low back pain
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Participant_Condition
paid job
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Participant_Sample-size
363