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Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/46485
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dc.creatorCrystian Bitencourt Soares de Oliveirapt_BR
dc.creatorMárcia Rodrigues Francopt_BR
dc.creatorChristopher Gerard Maherpt_BR
dc.creatorAnne Tiedemannpt_BR
dc.creatorFernanda Gonçalves Silvapt_BR
dc.creatorTatiana Machado de Mattos Damatopt_BR
dc.creatorMichael Nicholaspt_BR
dc.creatorDiego Giulliano Destro Christofaropt_BR
dc.creatorRafael Zambelli de Almeida Pintopt_BR
dc.date.accessioned2022-10-21T14:15:07Z-
dc.date.available2022-10-21T14:15:07Z-
dc.date.issued2018-
dc.citation.volume19pt_BR
dc.citation.issue40pt_BR
dc.citation.spage1pt_BR
dc.citation.epage10pt_BR
dc.identifier.doihttps://doi.org/10.1186/s13063-017-2436-zpt_BR
dc.identifier.issn1745-6215pt_BR
dc.identifier.urihttp://hdl.handle.net/1843/46485-
dc.description.resumoBackground: Physical activity plays an important role in the management of chronic low back pain (LBP). Engaging in an active lifestyle is associated with a better prognosis. Nevertheless, there is evidence to suggest that patients with chronic LBP are less likely to meet recommended physical activity levels. Furthermore, while exercise therapy has been endorsed by recent clinical practice guidelines, evidence from systematic reviews suggests that its effect on pain and disability are at best moderate and not sustained over time. A limitation of current exercises programmes for chronic LBP is that these programmes are not designed to change patients’ behaviour toward an active lifestyle. Therefore, we will investigate the short- and long-term efficacy of a multimodal intervention, consisting of supervised exercises, health coaching and use of an activity monitor (i.e. Fitbit Flex) compared to supervised exercises plus sham coaching and a sham activity monitor on physical activity levels, pain intensity and disability, in patients with chronic, nonspecific LBP. Methods: This study will be a two-group, single-blind, randomised controlled trial. One hundred and sixty adults with chronic, nonspecific LBP will be recruited. Participants allocated to both groups will receive a group exercise programme. In addition, the intervention group will receive health coaching sessions (i.e. assisting the participants to achieve their physical activity goals) and an activity monitor (i.e. Fitbit Flex). The participants allocated to the control group will receive sham health coaching (i.e. encouraged to talk about their LBP or other problems, but without any therapeutic advice from the physiotherapist) and a sham activity monitor. Outcome measures will be assessed at baseline and at 3, 6 and 12 months post randomisation. The primary outcomes will be physical activity, measured objectively with an accelerometer, as well as pain intensity and disability at 3 months post randomisation. Secondary outcomes will be physical activity, pain intensity and disability at 6 and 12 months post randomisation as well as other self-report measures of physical activity and sedentary behaviour, depression, quality of life, pain self-efficacy and weight-related outcomes at 3, 6, and 12 months post randomisation. Discussion: This study is significant as it will be the first study to investigate whether a multimodal intervention designed to increase physical activity levels reduces pain and disability, and increases physical activity levels compared to a control intervention in patients with chronic LBP.pt_BR
dc.description.sponsorshipCNPq - Conselho Nacional de Desenvolvimento Científico e Tecnológicopt_BR
dc.description.sponsorshipFAPESP - Fundação de Amparo à Pesquisa do Estado de São Paulopt_BR
dc.description.sponsorshipOutra Agênciapt_BR
dc.format.mimetypepdfpt_BR
dc.languageengpt_BR
dc.publisherUniversidade Federal de Minas Geraispt_BR
dc.publisher.countryBrasilpt_BR
dc.publisher.departmentEEF - DEPARTAMENTO DE FISIOTERAPIApt_BR
dc.publisher.initialsUFMGpt_BR
dc.relation.ispartofTrialspt_BR
dc.rightsAcesso Abertopt_BR
dc.subjectLow back painpt_BR
dc.subjectPhysical activitypt_BR
dc.subjectExercise therapypt_BR
dc.subjectHealth coachingpt_BR
dc.subjectActivity monitorpt_BR
dc.subject.otherDor lombarpt_BR
dc.subject.otherExercícios físicospt_BR
dc.subject.otherExercícios terapêuticospt_BR
dc.subject.otherMonitoramento de pacientept_BR
dc.titleThe efficacy of a multimodal physical activity intervention with supervised exercises, health coaching and an activity monitor on physical activity levels of patients with chronic, nonspecific low back pain (Physical Activity for Back Pain (PAyBACK) trial): study protocol for a randomised controlled trialpt_BR
dc.typeArtigo de Periódicopt_BR
dc.url.externahttps://trialsjournal.biomedcentral.com/articles/10.1186/s13063-017-2436-zpt_BR
dc.identifier.orcidhttps://orcid.org/0000-0002-6911-7018pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0002-1628-7857pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0002-5116-6751pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0001-5532-8984pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0001-9917-9992pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0002-2775-860Xpt_BR
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