Effects in Short and Long Term of Global Postural Reeducation (GPR) on Chronic Low Back Pain: A Controlled Study with One-Year Follow-Up

Objective. Comparing global postural reeducation (GPR) to a standard physiotherapy treatment (PT) based on active exercises, stretching, and massaging for improving pain and function in chronic low back pain (CLBP) patients. Design. Prospective controlled study. Setting. Outpatient rehabilitation fa...

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Main Authors: Chiara Castagnoli, Francesca Cecchi, Antonio Del Canto, Anita Paperini, Roberta Boni, Guido Pasquini, Federica Vannetti, Claudio Macchi
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2015/271436
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author Chiara Castagnoli
Francesca Cecchi
Antonio Del Canto
Anita Paperini
Roberta Boni
Guido Pasquini
Federica Vannetti
Claudio Macchi
author_facet Chiara Castagnoli
Francesca Cecchi
Antonio Del Canto
Anita Paperini
Roberta Boni
Guido Pasquini
Federica Vannetti
Claudio Macchi
author_sort Chiara Castagnoli
collection DOAJ
description Objective. Comparing global postural reeducation (GPR) to a standard physiotherapy treatment (PT) based on active exercises, stretching, and massaging for improving pain and function in chronic low back pain (CLBP) patients. Design. Prospective controlled study. Setting. Outpatient rehabilitation facility. Participants. Adult patients with diagnosis of nonspecific, chronic (>6 months) low back pain. Interventions. Both treatments consisted of 15 sessions of one hour each, twice a week including patient education. Measures. Roland Morris Disability Questionnaire to evaluate disability, and Numeric Analog Scale for pain. A score change >30% was considered clinically significant. Past treatments, use of medications, smoking habits, height, weight, profession, and physical activity were also recorded on baseline, on discharge, and 1 year after discharge (resp., T0, T1, and T2). Results. At T0 103 patients with cLBP (51 cases and 52 controls) were recruited. The treatment (T1) has been completed by 79 (T1) of which 60 then carried out the 1-year follow-up (T2). Both GPR and PT at T1 were associated with a significant statistical and clinical improvement in pain and function, compared to T0. At T2, only pain in GPR still registered a statistically significant improvement.
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spelling doaj-art-e788f4775d024905945904ea5b0b11822025-08-20T03:26:09ZengWileyThe Scientific World Journal2356-61401537-744X2015-01-01201510.1155/2015/271436271436Effects in Short and Long Term of Global Postural Reeducation (GPR) on Chronic Low Back Pain: A Controlled Study with One-Year Follow-UpChiara Castagnoli0Francesca Cecchi1Antonio Del Canto2Anita Paperini3Roberta Boni4Guido Pasquini5Federica Vannetti6Claudio Macchi7Fondazione Don Carlo Gnocchi, IRCCS, Scientific Institute, 50143 Florence, ItalyFondazione Don Carlo Gnocchi, IRCCS, Scientific Institute, 50143 Florence, ItalyFondazione Don Carlo Gnocchi, IRCCS, Scientific Institute, 50143 Florence, ItalyFondazione Don Carlo Gnocchi, IRCCS, Scientific Institute, 50143 Florence, ItalyFondazione Don Carlo Gnocchi, IRCCS, Scientific Institute, 50143 Florence, ItalyFondazione Don Carlo Gnocchi, IRCCS, Scientific Institute, 50143 Florence, ItalyFondazione Don Carlo Gnocchi, IRCCS, Scientific Institute, 50143 Florence, ItalyFondazione Don Carlo Gnocchi, IRCCS, Scientific Institute, 50143 Florence, ItalyObjective. Comparing global postural reeducation (GPR) to a standard physiotherapy treatment (PT) based on active exercises, stretching, and massaging for improving pain and function in chronic low back pain (CLBP) patients. Design. Prospective controlled study. Setting. Outpatient rehabilitation facility. Participants. Adult patients with diagnosis of nonspecific, chronic (>6 months) low back pain. Interventions. Both treatments consisted of 15 sessions of one hour each, twice a week including patient education. Measures. Roland Morris Disability Questionnaire to evaluate disability, and Numeric Analog Scale for pain. A score change >30% was considered clinically significant. Past treatments, use of medications, smoking habits, height, weight, profession, and physical activity were also recorded on baseline, on discharge, and 1 year after discharge (resp., T0, T1, and T2). Results. At T0 103 patients with cLBP (51 cases and 52 controls) were recruited. The treatment (T1) has been completed by 79 (T1) of which 60 then carried out the 1-year follow-up (T2). Both GPR and PT at T1 were associated with a significant statistical and clinical improvement in pain and function, compared to T0. At T2, only pain in GPR still registered a statistically significant improvement.http://dx.doi.org/10.1155/2015/271436
spellingShingle Chiara Castagnoli
Francesca Cecchi
Antonio Del Canto
Anita Paperini
Roberta Boni
Guido Pasquini
Federica Vannetti
Claudio Macchi
Effects in Short and Long Term of Global Postural Reeducation (GPR) on Chronic Low Back Pain: A Controlled Study with One-Year Follow-Up
The Scientific World Journal
title Effects in Short and Long Term of Global Postural Reeducation (GPR) on Chronic Low Back Pain: A Controlled Study with One-Year Follow-Up
title_full Effects in Short and Long Term of Global Postural Reeducation (GPR) on Chronic Low Back Pain: A Controlled Study with One-Year Follow-Up
title_fullStr Effects in Short and Long Term of Global Postural Reeducation (GPR) on Chronic Low Back Pain: A Controlled Study with One-Year Follow-Up
title_full_unstemmed Effects in Short and Long Term of Global Postural Reeducation (GPR) on Chronic Low Back Pain: A Controlled Study with One-Year Follow-Up
title_short Effects in Short and Long Term of Global Postural Reeducation (GPR) on Chronic Low Back Pain: A Controlled Study with One-Year Follow-Up
title_sort effects in short and long term of global postural reeducation gpr on chronic low back pain a controlled study with one year follow up
url http://dx.doi.org/10.1155/2015/271436
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