Effectiveness and cost-effectiveness of an individualised, progressive walking and education intervention for the prevention of low back pain recurrence in Australia (WalkBack): a randomised controlled trial

Review written by Robin Kerr info

Key Points

  1. Recurrent low back pain is the leading cause of years lived with disability.
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BACKGROUND & OBJECTIVE

In 2018 the Lancet published an important three-part series on low back pain (LBP), in which it was clearly demonstrated that LBP causes a heavy global burden of disability and cost to society. Poor outcomes, high levels of recurrence and the high costs associated with the current management of low back pain were highlighted. A call to action was made with the focus on identification of cost- effective strategies that targeted the prevention and recurrence of LBP (1).

This RCT investigated WalkBack, an individualized intervention that involved progressive walking plus health coaching by physiotherapists from 25 private practices across Australia.

Low back pain causes a heavy global burden of disability and cost to society.
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Exercise is the only effective intervention to reduce the risk of low back pain recurrence and walking is a cheap and accessible option for many individuals.

METHODS

Two arm RCT, n=701 (>18 years) from across Australia who had recovered from an episode of non-specific low back pain.

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