Title
Cesar-therapie tijdelijk effectiever dan standaardbehandeling door de huisarts bij patiënten met chronische aspecifieke lage rugklachten: Gerandomiseerd, gecontroleerd en geblindeerd onderzoek met 1 jaar follow-up [Cesar therapy is temporarily more effective than a standard treatment from the general practitioner in patients with chronic aspecific lower back pain; randomized, controlled and blinded study with a I year follow-up]
Author
Hildebrandt, V.H.
Proper, K.I.
van den Berg, R.
Douwes, M.
van den Heuvel, S.G.
van Buuren, S.
TNO Preventie en Gezondheid
Publication year
2000
Abstract
Objective. To determine the effectiveness of a special form of exercise therapy ('Cesar therapy') on self reported recovery and improvement of posture amongst patients with chronic aspecific lower back pain. Design. Prospective randomized controlled and blinded investigation. Method. After informed consent had been obtained, patients with chronic aspecific lower back pain were given, on a randomized basis, either an exercise therapy (experimental group, n = 112) or a standard treatment by their general practitioner (control group, n = 110). Outcome measures were self reported recovery of back pain and improvement of posture (thoracic and lumbar spine, pelvis). Self reported recovery was determined by means of a dichotomized 7-point scale (questionnaire). Posture was measured qualitatively by a panel of 11 Cesar therapists (blinded) and quantitatively by an optical-electronic posture recording system (Vicon). Measurements were taken at baseline (pre-randomization) and at 3, 6 and 12 months after randomization. Results. Three months after randomization, patients who were treated according to Cesar therapy, reported an improvement in their back symptoms (8o%) significantly more often than the control group (47%). In both groups, however, only small improvements in posture were found. The judgement of the Cesar panel exhibited a significant difference between the two groups, with respect to the spine, in favour of Cesar therapy. Differences between the groups were still present 6 months after randomization, but could no longer be detected at 12 months after randomization. Conclusion. Cesar therapy was significantly more effective than standard treatment among patients with chronic lower back pain for a period of 6 months after randomization.
Doel van dit onderzoek was het vaststellen van korte- en langetermijneffecten van Cesar-therapie op zelfgerapporteerd herstel en op houdingsverandering bij patiënten met chronische aspecifieke lage rugklachten. Patiënten met chronische aspecifieke lage rugklachten werden, nadat 'informed consent' was verkregen, 'at random' verdeeld over een groep die gedurende circa drie maanden Cesar-therapie kreeg en een controlegroep die de standaardbehandeling van de eigen huisarts kreeg. Uitkomstmaten waren zelfgerapporteerd herstel en houdingsverandering (thoracale en lumbale wervelkolom, bekken). Patiënten die met Cesar-therapie behandeld waren, gaven drie maanden na randomisatie significant vaker aan dat hun rugklachten verbeterd waren. Cesar-therapie blijkt significant effectiever dan standaardbehandeling bij patiënten met chronische lage rugklachten op een termijn van zes maanden na randomisatie.
Subject
Health
Rugklachten
Hernia
Therapie
Fysiotherapie
Intermethod comparison
Kinesiotherapy
Major clinical study
Randomized controlled trial
Self report
Adult
Chronic Disease
Exercise Therapy
Family Practice
Female
Follow-Up Studies
Humans
Low Back Pain
Male
Netherlands
Pain Measurement
Posture
Practice Guidelines
Questionnaires
Recovery of Function
Single-Blind Method
Spine
Time Factors
Treatment Outcome
To reference this document use:
http://resolver.tudelft.nl/uuid:19c36d5b-cdc0-401d-90e5-0d79f8d966fe
TNO identifier
276579
Source
Nederlands tijdschrift voor geneeskunde, 144 (47), 2258-2264
Document type
article