| Titre : | Family History Influences the Effectiveness of Home Exercise in Older People With Chronic Low Back Pain: A Secondary Analysis of a Randomized Controlled Trial (2020) |
| Auteurs : | Joshua R. Zadro ; Debra Shirley ; Tom I.L. Nilsen ; Paul J. Mork ; Paulo H. Ferreira |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 101, n° 8, 2020) |
| Article en page(s) : | p. 1322-1331 |
| Note générale : | https://doi.org/10.1016/j.apmr.2020.03.019 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Exercice physique ; Jeu vidéo ; Lombalgie ; Réadaptation ; Recueil de l'anamnèse ; Sujet âgé |
| Résumé : |
Objective
To investigate whether a family history of low back pain (LBP) influences patient outcomes and treatment effects following home exercises in older people with chronic LBP. Design Secondary analysis of a randomized controlled trial. Setting Local community. Participants People older than 55 years with chronic LBP (N=60). Interventions Participants in the intervention group completed video game exercises for 60 minutes 3 times per week for 8 weeks. Participants in the control group were instructed to maintain their usual levels of activity and care seeking behaviors. Main Outcomes Measures Participants indicated whether any of their immediate family members had a history of “any” LBP or “activity-limiting” LBP at baseline. We collected self-reported measures of pain, function, pain self-efficacy, care seeking, physical activity, disability, fear of movement and/or reinjury, and falls efficacy at baseline, 8 weeks, 3 months, and 6 months. We performed regression analyses to determine whether a family history of LBP predicted patient outcomes and moderated the effects of home exercise. Results Participants with a family history of any LBP were less likely to be highly active than those without a family history (odds ratio, 0.08; 95% CI, 0.01-0.42; P=.003). Home-based video game exercises led to improvements in function in those without a family history of activity-limiting LBP (β=1.78; 95% CI, 0.56-3.00; P=.006) but not in those with a family history (β=−0.17; 95% CI, −2.56 to 2.21; P=.880) (interaction P=.049). A family history of LBP did not influence the remaining patient outcomes or treatment effects. Conclusions A family history of LBP appears to negatively influence physical activity levels in older people with chronic LBP. Further, home-based video game exercises appear to be beneficial for older people with chronic LBP that do not have a family history of LBP. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999320302276 |
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