Specific treatment of problems of the spine (STOPS): design of a randomised controlled trial comparing specific physiotherapy versus advice for people with subacute low back disorders
2011

Comparing Physiotherapy Treatments for Low Back Pain

Sample size: 250 publication Evidence: moderate

Author Information

Author(s): Hahne Andrew J, Ford Jon J, Surkitt Luke D, Richards Matthew C, Chan Alexander YP, Thompson Sarah L, Hinman Rana S, Taylor Nicholas F

Primary Institution: Musculoskeletal Research Centre and School of Physiotherapy, La Trobe University

Hypothesis

Participants who receive specific physiotherapy treatment according to their subgroup will achieve superior clinical outcomes to those who receive physiotherapy advice.

Conclusion

The study aims to evaluate the effectiveness of specific physiotherapy treatment versus advice for people with subacute low back disorders.

Supporting Evidence

  • Low back disorders affect up to 84% of people at some point in their lives.
  • Clinical heterogeneity in trials may reduce the likelihood of demonstrating treatment effects.
  • Specific treatment protocols have been developed for five subgroups of low back disorders.

Takeaway

This study is trying to find out if special physiotherapy helps people with back pain more than just giving them advice.

Methodology

A multi-centre parallel group randomised controlled trial with participants classified into five subgroups and randomly allocated to receive either physiotherapy advice or specific physiotherapy treatment.

Potential Biases

Potential bias due to the inability to blind participants and physiotherapists.

Limitations

The absence of a placebo control and the different number of sessions provided to each group could be perceived as limitations.

Participant Demographics

Participants aged between 18 and 65 with subacute low back pain lasting between 6 weeks and 6 months.

Digital Object Identifier (DOI)

10.1186/1471-2474-12-104

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