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Auteur Jennifer Eadie
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Physiotherapy for Sleep Disturbance in People With Chronic Low Back Pain: Results of a Feasibility Randomized Controlled Trial / Jennifer Eadie in Archives of Physical Medicine and Rehabilitation, 2013/11 (2013)
Titre : Physiotherapy for Sleep Disturbance in People With Chronic Low Back Pain: Results of a Feasibility Randomized Controlled Trial Type de document : Article Auteurs : Jennifer Eadie ; Alexander Van de Water ; Chris Lonsdale ; [et al.] Article en page(s) : pp. 2083-2092 Langues : Anglais (eng) Descripteurs : HE Vinci
Kinésithérapie (spécialité) ; Lombalgie ; Rééducation et réadaptation
Mots-clés : Actigraphy Actigraphie Dyssomnias Dyssomnies Low back pain Physical Therapy Specialty Résumé : Objective
To determine the feasibility of a randomized controlled trial investigating the effectiveness of physiotherapy for sleep disturbance in chronic low back pain (CLBP) (≥12wks).
Randomized controlled trial with evaluations at baseline, 3 months, and 6 months.
Outpatient physiotherapy department in an academic teaching hospital.
Participants with CLBP were randomly assigned to a walking program (n=20; mean age + SD, 46.4+13.8y), supervised exercise class (n=20; mean age + SD, 41.3+11.9y), or usual physiotherapy (n=20; mean age + SD, 47.1+14.3y). The 3-month evaluation was completed by 44 participants (73%), and 42 (70%) participants completed the 6-month evaluation.
Participants received a physiotherapy-delivered 8-week walking program, an 8-week group supervised exercise class (1 class/wk), or 1-to-1 usual physiotherapy (advice, manual therapy, and exercise).
Main Outcome Measures
Sleep was assessed by the self-reported Pittsburgh Sleep Quality Index (PSQI), Insomnia Severity Index (ISI), Pittsburgh Sleep Diary, and objective actigraphy.
Groups were comparable at baseline. Most (95%, n=57) of the participants had sleep disturbance. The acceptability of actigraphy was excellent at baseline (58 of 60 participants), but dropped at 3 months (26 of 44 participants). There were improvements on the PSQI and ISI in all groups at 3 and 6 months, with predominantly medium effect sizes (Cohen d=0.20.5).
The high prevalence of sleep disturbance indicated the feasibility of good recruitment in future trials. The PSQI would be a suitable screening tool and outcome measure alongside an objective nonobtrusive sleep outcome measure. The effectiveness of physiotherapy for sleep disturbance in CLBP warrants investigation in a fully powered randomized controlled trial.
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in Archives of Physical Medicine and Rehabilitation > 2013/11 (2013) . - pp. 2083-2092[article]