About this trial
This randomised controlled trial will evaluate the effectiveness of different exercise modalities for individuals with low back pain. Participants will be allocated to one of three groups: a control arm (usual exercise), a running-based intervention, or a swimming/cycling-based intervention. Outcomes related to pain and function will be measured at baseline, 8 weeks, and 12 months.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Aged 18-45 years
Participant is willing and able to give informed consent for participation in the study
Suffering from chronic NSLBP (more than 3 months, localised below the costal margin and above the gluteal folds)
Suffers from pain or functional limitations as a result of their LBP (minimum VAS (back) score of 3/10 or ODI score of at least 5/50 or RMD score of at least 5/24 (note, unlike ODI, RMD does not describe specific cuts offs for different levels of disability)
Disqualifiers
Radiating pain to leg / sciatica / acute radiculopathy
Specific diagnosis/condition for LBP (e.g. herniated disk, degenerative disk disease, spondylolysis, spinal stenosis, spinal tumour, facet joint damage)
History of osteoporosis , arthritis, scoliosis, or kyphosis.
Current spinal infection, cancer or a current fracture (any bone).
Trial design
Parallel
Treatments tested in this trial
Runner group
BehavioralThe intervention groups undertake 8 weeks of a combined exercise programme including aerobic elements (running), a schedule of gradually intensifying strengthening exercises and flexibility exercises
Swim/Cycle Group
BehavioralThe intervention groups undertake 8 weeks of a combined exercise programme including aerobic elements (swim/cycle), a schedule of gradually intensitfing strengthening exercises and flexibility exercises
Treatment groups
Trial outcomes
Primary outcomes
VAS pain score
VAS pain score on 100 point scale * Range: 0 to 100 * Anchors: 0 = no pain, 100 = worst imaginable pain * Interpretation: Higher scores indicate worse pain
Secondary outcomes
Oswestry disability index
Oswestry disability index (PROM questionnaire) * Range: 0 to 100 (expressed as a percentage) * Anchors: 0 = no disability, 100 = maximum disability * Interpretation: Higher scores indicate greater disability
Roland Morris Disability questionnaire
Roland Morris Disability questionnaire (PROM questionnaire) * Range: 0 to 24 (some versions extend to 0-23 or 0-25 depending on adaptation, but 0-24 is most common) * Anchors: 0 = no disability, 24 = maximum disability * Interpretation: Higher scores indicate greater disability
Sponsors and contacts
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