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• W4387444482 abstract "Introduction: Low back pain (LBP) is the most prevalent musculoskeletal (MSK) among military personnel in the Canadian Armed Forces (CAF). Given the nature of their job that requires a high level of physical fitness, LBP disorder are the first source of disability amoung military. Although the available evidence supports exercise-based rehabilitation programs for the management of LBP, access to rehabilitation services has been hindered due to recent CAF resources limitations. To overcome this issue, a supervised-group program (SGP) has been developed. It has been suggested that the use of SGP could reduce the waiting time and as SGP focus exclusively on active exercises, it could promote participation in physical activities and reduce kinesiophobia (fear of movement) related to LBP. However, the clinical effectiveness of SGP has not yet been evaluated. The main objective of this project is to compare the effectiveness of SGP to that of usual physiotherapy care (UPC) on functional limitations, pain, kinesiophobia and satisfaction for the treatment of LBP in CAF soldiers. These preliminary results compare the effectiveness of SGP to UPC on functional limitations and pain. Methods: This single blind randomized clinical trial included CAF soldiers suffering from LBP randomly assigned in a 1:1 ratio to either SGP or UPC. The two 12-week programs were supervised by CAF physiotherapists. UPC included education, manual therapy, proprioceptive training, as well as strengthening, neuromuscular and stretching exercises. The SGP included education and strength, neuromuscular and proprioceptive trainings; each soldier performed their own exercises in a group setting, and the level of supervision was adapted to soldier’s needs. The primary outcome was the functional limitations as measured with the pain interference subscale of the Brief Pain Inventory (BPI) (/10, 0=no limitation, 10=total incapacity) and the Oswestry Disability Index (ODI) (0%=minimal disability, 100%=maximal disability). Secondary outcome was pain severity as measured with the BPI pain severity scale (/10, 0=no pain, 10=worst imaginable pain). All outcomes were assessed at baseline, and 6 and 12 weeks after baseline. Two-way repeated-measures ANOVAs were be used to compare interventions. Results: These preliminary results include forty-six soldiers with LBP that completed their 12-week follow-up (SGP n=22, UPC n=24). Baseline characteristics were similar between groups (age, weight, height and pain duration, p˃.05). As for functional limitations, there was no difference between the two groups (BPI interference subscale Time x Group p=.70, ODI scores Time x Group p=0.79). Both groups showed significant improvement over time (Time effect p<.04), reaching the clinical important difference. Similar results were obtained for pain severity: no difference between the two groups was observed (Time x Group, p = .45), but both groups showed clinically and statistically significant improvement over time (Time effect p=.02). Discussion: Preliminary results suggest that SGP is as effective as UPC in reducing functional limitations and pain in soldiers with LBP. Impact/Application to the field: The validation of SGP effectiveness provides a novel active approach to manage LBP disorders among military personnel, which could improve timely access to adequate rehabilitation care, reduce associated costs and generate direct improvements to the health and quality of life of military personnel. Declaration: My co-authors and I acknowledge that we have no conflict of interest of relevance to the submission of this abstract." @default.
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• W4387444482 date "2023-10-01" @default.
• W4387444482 modified "2023-10-11" @default.
• W4387444482 title "A group-supervised neuromuscular training program for the treatment of low back pain in military personnel – Preliminary results of a randomized controlled trial" @default.
• W4387444482 doi "https://doi.org/10.1016/j.jsams.2023.08.168" @default.
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