Clinical Rheumatology

, Volume 27, Issue 7, pp 873–881 | Cite as

Comparison of three different approaches in the treatment of chronic low back pain

  • Şebnem Koldaş DoğanEmail author
  • Birkan Sonel Tur
  • Yeşim Kurtaiş
  • Mesut Birol Atay
Original Article


Our aim is to investigate the effects of three therapeutic approaches in the chronic low back pain on pain, spinal mobility, disability, psychological state, and aerobic capacity. Sixty patients with chronic low back pain were randomized to three groups: group 1, aerobic exercise + home exercise; group 2, physical therapy (hot pack, ultrasound, TENS) + home exercise; group 3, home exercise only. Spinal mobility, pain severity, disability, and psychological disturbance of the patients were assessed before and after the treatment and at 1-month follow-up. Aerobic capacities of the patients were measured before and after treatment. All of the groups showed similar decrease in pain after the treatment and at 1-month follow-up, and there was no significant difference between the groups. In group 2, a significant decrease in Beck Depression Inventory scores was observed with treatment. At 1-month follow-up, group 1 and 2 showed significant decreases in General Health Assessment Questionnaire scores. In group 2, there was also a significant improvement in Roland Morris Disability scores. There were similar improvements in exercise test duration and the MET levels in all the three groups. All of the three therapeutic approaches were found to be effective in diminishing pain and thus increasing aerobic capacity in patients with chronic low back pain. On the other hand, physical therapy + home exercise was found to be more effective regarding disability and psychological disturbance.


Aerobic exercise Chronic low back pain Disability Home exercise and physiotherapy treatment 


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Copyright information

© Clinical Rheumatology 2007

Authors and Affiliations

  • Şebnem Koldaş Doğan
    • 1
    • 3
    Email author
  • Birkan Sonel Tur
    • 2
  • Yeşim Kurtaiş
    • 2
  • Mesut Birol Atay
    • 2
  1. 1.Department of Physical Medicine and RehabilitationUfuk University School of MedicineAnkaraTurkey
  2. 2.Department of Physical Medicine and RehabilitationAnkara University School of MedicineAnkaraTurkey
  3. 3.AnkaraTurkey

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