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首页> 外文期刊>Occupational and environmental medicine >Reducing sedentary behaviour to decrease chronic low back pain: the stand back randomised trial
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Reducing sedentary behaviour to decrease chronic low back pain: the stand back randomised trial

机译：减少久坐不动的行为来减少慢性低腰疼痛：待机随机试验

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The Stand Back study evaluated the feasibility and effects of a multicomponent intervention targeting reduced prolonged sitting and pain self-management in desk workers with chronic low back pain (LBP).This randomised controlled trial recruited 27 individuals with chronic LBP, Oswestry Disability Index (ODI) 10% and desk jobs (sitting ≥20 hours/week). Participants were randomised within strata of ODI (10%–20%, ≥20%) to receive bimonthly behavioural counselling (in-person and telephone), a sit-stand desk attachment, a wrist-worn activity-prompting device and cognitive behavioural therapy for LBP self-management or control. Self-reported work sitting time, visual analogue scales (VAS) for LBP and the ODI were assessed by monthly, online questionnaires and compared across intervention groups using linear mixed models.Baseline mean (SD) age was 52 (11) years, 78% were women, and ODI was 24.1 (10.5)%. Across the 6-month follow-up in models adjusted for baseline value, work sitting time was 1.5 hour/day (P0.001) lower comparing intervention to controls. Also across follow-up, ODI was on average 8 points lower in intervention versus control (P=0.001). At 6 months, the relative decrease in ODI from baseline was 50% in intervention and 14% in control (P=0.042). LBP from VAS was not significantly reduced in intervention versus control, though small-to-moderate effect sizes favouring the intervention were observed (Cohen’s d ranged from 0.22 to 0.42).An intervention coupling behavioural counselling targeting reduced sedentary behaviour and pain self-management is a translatable treatment strategy that shows promise for treating chronic LBP in desk-bound employees.NCT0224687; Pre-results.
机译：待命研究评估了患有慢性低腰疼痛（LBP）的桌面工人的长期坐和疼痛自我管理的多组分干预的可行性和效果。该随机对照试验，招募了27个慢性LBP，OSWestry残疾指数（ODI ）＆ 10％和桌面工作（休息≥20小时/周）。参与者在ODI的地层中随机分配（＆ 10％ - 20％，≥20％），以接收双峰行为咨询（亲自和电话），一个坐立的桌子附件，一个拧紧的活动提示装置对LBP自我管理或控制的认知行为治疗。每月，在线调查问卷评估LBP和ODI的自我报告的工作时间，视觉模拟秤（VAS），并使用线性混合模型进行干预组比较。基准平均值（SD）年龄为52（11）岁，78％是女性，odi是24.1（10.5）％。在适用于基线值的模型中的6个月后续行动中，工作时间为1.5小时/天（P＆ 0.001）降低对控制的比较。同时跨后续行动，干预与控制平均平均持续8点（P = 0.001）。在6个月，从基线中的odi的相对减少为50％，干预和14％（p = 0.042）。从VAS的介入和控制中没有显着减少VAS，尽管观察到干预的小于适度的效果大小（COHEN的D范围为0.22至0.42）。干预偶联行为咨询靶向减少久坐行为和疼痛自我管理一种可翻译的治疗策略，展示了在董事会雇员中治疗慢性LBP的承诺.NCT0224687;预先结果。

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