Efficacy of Graded Activity with and without Daily-Monitored- Walking on Pain and Back Endurance among Patients with Concomitant Low-Back Pain and Type-2 Diabetes: A Randomized Trial

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dc.contributor.authorOpeyemi Idowu
dc.date.accessioned2025-05-01T07:32:50Z
dc.date.available2025-05-01T07:32:50Z
dc.date.issued2020-03-01
dc.description.abstractBACKGROUND: There is evidence supporting the efficacy of Graded Activity (GA) in managing clinical attributes of patients with Low-Back Pain (LBP) in the general population. However, it is unknown whether GA alone is efficacious in managing these clinical attributes in patients with concomitant LBP and Type-2 Diabetes (T2D) or additional daily-monitored walking will be required. METHODS: A single-blind controlled trial involving 58 patients (mean age: 48.3±9.4 years, 64.7% females) with concomitant LBP and T2D who received treatment twice weekly for twelve weeks was conducted. Participants were randomized into GA or GA with daily-monitored-walking (GAMW) groups. Pain Intensity (PI), Static Back Extensors Endurance (SBEE), Static Abdominal Muscular Endurance (SAME) and Glycaemic Control (GC) were assessed using Visual Analogue Scale, Biering-Sorensen test, flexor endurance test, and in2itTM device respectively at baseline, 4th, 8th and 12th week. Data were analysed using repeated- measures ANOVA and Unpaired t-tests at α = 0.05. RESULTS: There were significant differences in PI, SAME and SBEE among participants in each of GA and GAMW groups respectively (p<0.05). Within-group difference on GC was significant for GAMW (6.3±0.9%, 5.7±0.7%) but not GA (6.3±0.9%, 6.3±0.9%). There was significant difference (p<0.05) between GA and GAMW group participants for SBEE (7.2±0.1 sec, 7.3±0.1 sec) at week 8 of the study and GC (-0.5±0.2%, -0.6±0.5%) at the end of the study. No differences were found between GA and GAMW groups for PI and SAME. CONCLUSION: Graded activity with daily-monitored-walking produced positive effects on GC and yielded a better improvement on SAME and SBEE.
dc.identifier.citationIdowu, O.A. and Adeniyi, A.F., 2020. Efficacy of graded activity with and without daily-monitored-walking on pain and back endurance among patients with concomitant low-back pain and type-2 diabetes: a randomized trial. Ethiopian Journal of Health Sciences, 30(2).
dc.identifier.urihttp://dx. doi.org/10.4314/ejhs.v30 i2.11
dc.identifier.urihttps://repository.run.edu.ng/handle/123456789/4334
dc.language.isoen
dc.publisherEthiopian Journal of Health Sciences
dc.relation.ispartofseries30; 2
dc.titleEfficacy of Graded Activity with and without Daily-Monitored- Walking on Pain and Back Endurance among Patients with Concomitant Low-Back Pain and Type-2 Diabetes: A Randomized Trial
dc.typeArticle
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