Effects of the active break intervention on nonspecific low back pain among young people: a randomized controlled trial

Abstract Introduction Every end-range position maintained for a prolonged time causes a static load on the spine and may lead to musculoskeletal discomfort. Prolonged flexed sitting is a strong predictor of low back pain (LBP). The study aimed to evaluate the effectiveness of the Active Break progra...

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Main Authors: Marta Kinga Labecka, Magdalena Plandowska, Aleksandra Truszczyńska-Baszak, Reza Rajabi, Dorota Różańska, Maciej Płaszewski
Format: Article
Language:English
Published: BMC 2024-12-01
Series:BMC Musculoskeletal Disorders
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Online Access:https://doi.org/10.1186/s12891-024-08186-3
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author Marta Kinga Labecka
Magdalena Plandowska
Aleksandra Truszczyńska-Baszak
Reza Rajabi
Dorota Różańska
Maciej Płaszewski
author_facet Marta Kinga Labecka
Magdalena Plandowska
Aleksandra Truszczyńska-Baszak
Reza Rajabi
Dorota Różańska
Maciej Płaszewski
author_sort Marta Kinga Labecka
collection DOAJ
description Abstract Introduction Every end-range position maintained for a prolonged time causes a static load on the spine and may lead to musculoskeletal discomfort. Prolonged flexed sitting is a strong predictor of low back pain (LBP). The study aimed to evaluate the effectiveness of the Active Break program, implemented among young people, in reducing perceived low back pain and discomfort, as well as associated disability level resulting from prolonged sitting. Methods A randomized controlled trial was conducted among young people with non-specific LBP. Participants were randomized into groups: an experimental group participating in the tested Active Break intervention (AB-group, n = 25), and a control group (C-group, n = 25) with self-administered care recommendations. The program took 12 weeks. The outcomes were average pain intensity (Visual Analogue Scale, VAS), disability (Oswestry Disability Index, ODI), perceived low back discomfort (LBD) during prolonged sitting (Borg scale), and global perceived improvement (Global Perceived Effect, GPE). Results VAS, ODI, and LBD scores after the 12-week intervention were significantly lower than those at baseline in the AB-group. In the C-group, differences were not statistically significant. Post-intervention inter-group VAS, LBD, and GPE differences were significant. Conclusions The 12-week study of the Active Break intervention for young people with non-specific low back pain demonstrated significant improvement. Our research offers valuable evidence-based practices for managing and preventing low back pain, benefiting individuals, educators, healthcare professionals, personal trainers, and family physicians. Trial registration The study was registered at ClinicalTrials.gov [NCT05810519], registration date: 31/03/2023.
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spelling doaj-art-6aedf94f0e8643eeb7f71c255ae5d2432025-08-20T02:39:54ZengBMCBMC Musculoskeletal Disorders1471-24742024-12-0125111110.1186/s12891-024-08186-3Effects of the active break intervention on nonspecific low back pain among young people: a randomized controlled trialMarta Kinga Labecka0Magdalena Plandowska1Aleksandra Truszczyńska-Baszak2Reza Rajabi3Dorota Różańska4Maciej Płaszewski5Faculty of Rehabilitation, Jozef Pilsudski University of Physical EducationFaculty of Physical Education and Health in Biala Podlaska, Jozef Pilsudski University of Physical Education in WarsawFaculty of Rehabilitation, Jozef Pilsudski University of Physical EducationDepartment of Health and Sport Medicine, Faculty of Sport Sciences and Health, University of TehranFaculty of Physical Education and Health in Biala Podlaska, Jozef Pilsudski University of Physical Education in WarsawFaculty of Physical Education and Health in Biala Podlaska, Jozef Pilsudski University of Physical Education in WarsawAbstract Introduction Every end-range position maintained for a prolonged time causes a static load on the spine and may lead to musculoskeletal discomfort. Prolonged flexed sitting is a strong predictor of low back pain (LBP). The study aimed to evaluate the effectiveness of the Active Break program, implemented among young people, in reducing perceived low back pain and discomfort, as well as associated disability level resulting from prolonged sitting. Methods A randomized controlled trial was conducted among young people with non-specific LBP. Participants were randomized into groups: an experimental group participating in the tested Active Break intervention (AB-group, n = 25), and a control group (C-group, n = 25) with self-administered care recommendations. The program took 12 weeks. The outcomes were average pain intensity (Visual Analogue Scale, VAS), disability (Oswestry Disability Index, ODI), perceived low back discomfort (LBD) during prolonged sitting (Borg scale), and global perceived improvement (Global Perceived Effect, GPE). Results VAS, ODI, and LBD scores after the 12-week intervention were significantly lower than those at baseline in the AB-group. In the C-group, differences were not statistically significant. Post-intervention inter-group VAS, LBD, and GPE differences were significant. Conclusions The 12-week study of the Active Break intervention for young people with non-specific low back pain demonstrated significant improvement. Our research offers valuable evidence-based practices for managing and preventing low back pain, benefiting individuals, educators, healthcare professionals, personal trainers, and family physicians. Trial registration The study was registered at ClinicalTrials.gov [NCT05810519], registration date: 31/03/2023.https://doi.org/10.1186/s12891-024-08186-3ExerciseTreatmentSpinePostureYoung adultsPain
spellingShingle Marta Kinga Labecka
Magdalena Plandowska
Aleksandra Truszczyńska-Baszak
Reza Rajabi
Dorota Różańska
Maciej Płaszewski
Effects of the active break intervention on nonspecific low back pain among young people: a randomized controlled trial
BMC Musculoskeletal Disorders
Exercise
Treatment
Spine
Posture
Young adults
Pain
title Effects of the active break intervention on nonspecific low back pain among young people: a randomized controlled trial
title_full Effects of the active break intervention on nonspecific low back pain among young people: a randomized controlled trial
title_fullStr Effects of the active break intervention on nonspecific low back pain among young people: a randomized controlled trial
title_full_unstemmed Effects of the active break intervention on nonspecific low back pain among young people: a randomized controlled trial
title_short Effects of the active break intervention on nonspecific low back pain among young people: a randomized controlled trial
title_sort effects of the active break intervention on nonspecific low back pain among young people a randomized controlled trial
topic Exercise
Treatment
Spine
Posture
Young adults
Pain
url https://doi.org/10.1186/s12891-024-08186-3
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