General strength and conditioning versus motor control with manual therapy for improving depressive symptoms in chronic low back pain: A randomised feasibility trial

• DOI: 10.1371/journal.pone.0220442
• Publication Date: 2019-08-01T17:33:54Z
• Authors: Megan Teychenne; Karen E. Lamb; Luana Main; Clint Miller; Andrew Hahne; Jon Ford; Simon Rosenbaum; Daniel Belavy
• Keywords: Depression

Objectives Exercise can be used as a treatment for depressive symptoms in the general population. However, little is known to whether exercise has mental health benefits adults experiencing chronic low back pain (CLBP). The aim of this study was examine feasibility two intervention protocols commonly clinical practice treating pain, but with differing dose, on symptoms. Methods Forty men and women (mean age = 35) persistent (>3 months), non-specific were recruited into randomised trial during 2015–2016. Participants receive motor control (low-dose exercise) manual therapy (n 20), or strength conditioning training (moderate-dose 20). Depressive assessed fortnightly throughout 6-month follow-up period using Centre Epidemiologic Studies Depression Scale (CES-D 10). Linear mixed models within-group between-group changes Results Mean CES-D 10 score at baseline 9.17 (SD 4.32). There evidence small decrease average over time (β -0.19 per fortnight, 95% CI -0.34, -0.02). there no that change dependent group. Conclusions Reduction amongst CLBP occurred both methods (motor [low-dose exercise] therapy; [moderate-dose exercise]). Further interventions including true group are needed draw conclusions effectiveness each these CLBP. Trial registration Australian New Zealand Clinical Trials Registry, ACTRN12615001270505. Registered 20 November 2015.