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Table 4 Primary and secondary outcomes measured at baseline, 8 and 20 weeks with between-group comparisons based on intention-to-treat principle

From: Effectiveness of patient education plus motor control exercise versus patient education alone versus motor control exercise alone for rural community-dwelling adults with chronic low back pain: a randomised clinical trial

Outcome

Treatment group

Mean (SD)

Adjusted between-group difference

Mean (95% CI)

PE + MCE

PE

MCE

PE + MCE vs PE

PE + MCE vs MCE

PE vs MCE

Primary outcomes

NPRS (0–10)

  Baseline

6.20 (1.71)

6.25 (1.83)

5.80 (1.63)

  8 weeks

3.08 (1.65)

4.23 (1.70)

3.48 (1.73)

–1.15 (–2.04 to –0.25)b

–0.40 (–1.29 to 0.49)

0.75 (0.14 to 1.64)

  20 weeks

2.93 (1.62)

4.18 (1.73)

3.33 (1.54)

–1.25 (–2.14 to –0.35)b

–0.40 (–1.29 to 0.49)

0.85 (–0.04 to 1.74)

ODI (0–100)

  Baseline

23.4 (12.5)

25.2 (14.5)

23.8 (12.1)

  8 weeks

13.7 (6.77)

18.8 (10.7)

13.1 (7.21)

–5.04 (–9.57 to –0.52)a

0.63 (–3.88 to 5.16)

5.68 (1.15 to 10.2)b

  20 weeks

11.6 (5.12)

17.6 (9.99)

11.0 (5.58)

–5.96 (–9.84 to –2.07)b

0.61 (–3.26 to 4.49)

6.57 (2.69 to 10.4)b

Secondary outcomes

PCS-12 (0–100)

  Baseline

35.1 (8.36)

35.2 (8.05)

35.9 (7.97)

  8 weeks

43.3 (7.84)

41.7 (7.99)

43.4 (7.43)

1.60 (–1.66 to 4.86)

–0.16 (–3.41 to 3.10)

–1.76 (–5.02 to 1.50)

  20 weeks

45.5 (6.85)

44.5 (6.82)

45.6 (5.92)

1.03 (–2.23 to 4.29)

–0.13 (–3.40 to 3.13)

–1.16 (–4.43 to 2.10)

MCS-12 (0–100)

  Baseline

41.4 (8.19)

40.9 (10.9)

43.0 (9.01)

  8 weeks

46.2 (6.59)

47.8 (9.20)

47.6 (6.11)

–1.55 (–5.01 to 1.90)

–1.43 (–4.89 to 2.01)

0.11 (–3.34 to 3.57)

  20 weeks

46.6 (6.21)

45.2 (7.81)

46.6 (6.08)

1.20 (–4.66 to 2.25)

–0.14 (–3.60 to 3.30)

–1.35 (–4.80 to 2.10)

GRCS (–5 to + 5)

  Baseline

–1.25 (1.94)

–1.35 (1.81)

–1.25 (1.82)

  8 weeks

1.92 (2.12)

1.80 (1.97)

2.05 (1.99)

0.12 (–0.71 to 0.96)

–0.12 (0.96 to 0.71)

–0.25 (–1.09 to 0.59)

  20 weeks

2.20 (2.22)

1.35 (1.71)

1.82 (1.72)

0.85 (0.00 to 1.69)

0.37 (–0.46 to 1.21)

–0.47 (–1.31 to 0.36)

FABQ-PA (0–24)

  Baseline

11.6 (7.24)

13.7 (6.93)

13.9 (6.53)

  8 weeks

6.78 (5.44)

9.98 (5.46)

9.35 (5.25)

–3.20 (–5.71 to –0.68)a

–2.57 (–5.09 to –0.05)a

0.62 (–1.89 to 3.14)

  20 weeks

6.28 (4.76)

7.77 (4.87)

8.40 (4.95)

–1.49 (–4.01 to 1.01)

–2.12 (–4.64 to 0.39)

–0.62 (–3.14 to 1.89)

FABQ-W (0–42)

  Baseline

24.5 (8.15)

24.3 (8.45)

21.6 (10.5)

  8 weeks

17.2 (7.70)

15.1 (8.65)

15.2 (7.37)

2.10 (–1.39 to 5.59)

2.02 (–1.46 to 5.51)

–0.07 (–3.56 to 3.41)

  20 weeks

15.0 (7.46)

12.5 (7.17)

11.7 (5.97)

3.17 (–0.31 to 6.66)

3.57 (0.08 to 7.06)

0.39 (–3.09 to 3.89)

PCS (0–52)

  Baseline

31.3 (8.03)

29.2 (7.58)

31.0 (8.69)

  8 weeks

22.1 (7.74)

17.2 (7.02)

19.8 (6.97)

4.85 (1.69 to 8.01)b

2.25 (–0.91 to 5.41)

–2.60 (–5.76 to 0.56)

  20 weeks

20.4 (7.23)

15.3 (6.57)

18.3 (4.95)

5.15 (1.99 to 8.31)b

2.16 (–0.99 to 5.32)

–2.98 (–6.14 to 0.17)

BBQ (9–45)

  Baseline

17.5 (5.07)

17.9 (5.50)

18.4 (5.63)

  8 weeks

25.6 (6.68)

28.2 (7.44)

24.4 (6.28)

–2.60 (–5.37 to 0.15)

–1.21 (–1.54 to 3.98)

3.82 (1.06 to 6.58)b

  20 weeks

26.4 (6.90)

30.1 (7.25)

25.6 (6.01)

–3.74 (–6.50 to –0.98)b

0.78 (–1.97 to 3.54)

4.52 (1.76 to 7.29)b

Pain medication use

  Baseline

10.0 (8.14)

9.10 (6.81)

11.2 (8.51)

  8 weeks

5.05 (6.77)

9.37 (7.68)

7.10 (7.00)

–4.32 (–7.59 to –1.05)a

–2.05 (–5.32 to 1.22)

2.27 (–0.99 to 5.54)

  1. CI Confidence interval, PE Patient education, MCE Motor control exercise, NPRS Numerical pain rating scale, ODI Oswestry disability index, PCS-12 Physical component summary-12, MCS-12 Mental health component summary-12, GRCS Global rating of change scale, FABQ-PA Fear-avoidance beliefs questionnaire – (physical activity), FABQ-W Fear-avoidance beliefs questionnaire – (work), PCS Pain catastrophising scale, BBQ Back beliefs questionnaire, NA Not applicable
  2. Lower scores in NPRS, ODI, FABQ-PA, FABQ-W, and PCS indicate better improvement
  3. Higher scores in PCS-12, MCS-12, GRCS, and BBQ indicate better improvement
  4. Participants in PE plus MCE group = 40, PE group = 40, and MCE group = 40
  5. acomparison is significant at the 0.05 level,
  6. bcomparison is significant at the 0.01 level