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The ESCAPE trial for older people with chronic low back pain: Protocol of a randomized controlled trial

BACKGROUND: Low-back pain is one of the most common health conditions worldwide. It is defined as pain below the costal margin and above the inferior gluteal folds. Current guidelines recommend management of chronic health (e.g., low back pain) conditions in older people at primary health care setti...

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Autores principales: Silva, Hytalo de Jesus, Fonseca, Leticia Soares, Mascarenhas, Rodrigo Oliveira, de Miranda, Júlio Pascoal, Almeida, Paulo André, Souza, Mateus Bastos, Pereira, Leani Souza Maximo, Oliveira, Murilo Xavier, Oliveira, Vinicius Cunha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9135264/
https://www.ncbi.nlm.nih.gov/pubmed/35617329
http://dx.doi.org/10.1371/journal.pone.0266613
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author Silva, Hytalo de Jesus
Fonseca, Leticia Soares
Mascarenhas, Rodrigo Oliveira
de Miranda, Júlio Pascoal
Almeida, Paulo André
Souza, Mateus Bastos
Pereira, Leani Souza Maximo
Oliveira, Murilo Xavier
Oliveira, Vinicius Cunha
author_facet Silva, Hytalo de Jesus
Fonseca, Leticia Soares
Mascarenhas, Rodrigo Oliveira
de Miranda, Júlio Pascoal
Almeida, Paulo André
Souza, Mateus Bastos
Pereira, Leani Souza Maximo
Oliveira, Murilo Xavier
Oliveira, Vinicius Cunha
author_sort Silva, Hytalo de Jesus
collection PubMed
description BACKGROUND: Low-back pain is one of the most common health conditions worldwide. It is defined as pain below the costal margin and above the inferior gluteal folds. Current guidelines recommend management of chronic health (e.g., low back pain) conditions in older people at primary health care settings using active strategies (e.g., exercise). In non-specific low back pain, high quality evidence supports active strategies for general population. However, the management of non-specific low back pain in the older people has been overlooked and evidence is limited to a small number of low powered randomized controlled trials with high risk of bias. METHODS: This is a prospectively registered, open, two-arm randomised controlled trial comparing the group-based exercise and waiting list in pain intensity (11-item Pain Numerical Rating Scale) and disability (Roland Morris questionnaire) of older people (i.e., 60 years old or over) with chronic non-specific low back pain. One hundred and twenty patients will be recruited from Diamantina, Brazil. Follow-ups will be conducted in post-treatment (8 week) and 6- and 12-months post-randomisation. DISCUSSION: Our hypothesis is that group-based exercise will be better than waiting list in reducing pain intensity and disability in older people with chronic non-specific low back pain. IMPACT: The practice of individualized exercise has been studied for the management of chronic non-specific low back pain in older people. However, the group exercise, even showing high quality evidence for the improvement of several important outcomes in this population, has been ignored until now. Thus, the results of this study have the potential to indicate a viable and accessible strategy for managing chronic non-specific low back pain in the older people. TRIAL REGISTRATION: The study was prospectively registered at www.ensaiosclinicos.gov.br (RBR-9j5pqs). Date-11/18/2020.
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spelling pubmed-91352642022-05-27 The ESCAPE trial for older people with chronic low back pain: Protocol of a randomized controlled trial Silva, Hytalo de Jesus Fonseca, Leticia Soares Mascarenhas, Rodrigo Oliveira de Miranda, Júlio Pascoal Almeida, Paulo André Souza, Mateus Bastos Pereira, Leani Souza Maximo Oliveira, Murilo Xavier Oliveira, Vinicius Cunha PLoS One Study Protocol BACKGROUND: Low-back pain is one of the most common health conditions worldwide. It is defined as pain below the costal margin and above the inferior gluteal folds. Current guidelines recommend management of chronic health (e.g., low back pain) conditions in older people at primary health care settings using active strategies (e.g., exercise). In non-specific low back pain, high quality evidence supports active strategies for general population. However, the management of non-specific low back pain in the older people has been overlooked and evidence is limited to a small number of low powered randomized controlled trials with high risk of bias. METHODS: This is a prospectively registered, open, two-arm randomised controlled trial comparing the group-based exercise and waiting list in pain intensity (11-item Pain Numerical Rating Scale) and disability (Roland Morris questionnaire) of older people (i.e., 60 years old or over) with chronic non-specific low back pain. One hundred and twenty patients will be recruited from Diamantina, Brazil. Follow-ups will be conducted in post-treatment (8 week) and 6- and 12-months post-randomisation. DISCUSSION: Our hypothesis is that group-based exercise will be better than waiting list in reducing pain intensity and disability in older people with chronic non-specific low back pain. IMPACT: The practice of individualized exercise has been studied for the management of chronic non-specific low back pain in older people. However, the group exercise, even showing high quality evidence for the improvement of several important outcomes in this population, has been ignored until now. Thus, the results of this study have the potential to indicate a viable and accessible strategy for managing chronic non-specific low back pain in the older people. TRIAL REGISTRATION: The study was prospectively registered at www.ensaiosclinicos.gov.br (RBR-9j5pqs). Date-11/18/2020. Public Library of Science 2022-05-26 /pmc/articles/PMC9135264/ /pubmed/35617329 http://dx.doi.org/10.1371/journal.pone.0266613 Text en © 2022 Silva et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Study Protocol
Silva, Hytalo de Jesus
Fonseca, Leticia Soares
Mascarenhas, Rodrigo Oliveira
de Miranda, Júlio Pascoal
Almeida, Paulo André
Souza, Mateus Bastos
Pereira, Leani Souza Maximo
Oliveira, Murilo Xavier
Oliveira, Vinicius Cunha
The ESCAPE trial for older people with chronic low back pain: Protocol of a randomized controlled trial
title The ESCAPE trial for older people with chronic low back pain: Protocol of a randomized controlled trial
title_full The ESCAPE trial for older people with chronic low back pain: Protocol of a randomized controlled trial
title_fullStr The ESCAPE trial for older people with chronic low back pain: Protocol of a randomized controlled trial
title_full_unstemmed The ESCAPE trial for older people with chronic low back pain: Protocol of a randomized controlled trial
title_short The ESCAPE trial for older people with chronic low back pain: Protocol of a randomized controlled trial
title_sort escape trial for older people with chronic low back pain: protocol of a randomized controlled trial
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9135264/
https://www.ncbi.nlm.nih.gov/pubmed/35617329
http://dx.doi.org/10.1371/journal.pone.0266613
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