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The corresponding values for GDS-I were 14,and Physiotherapy movement based classification approaches to low back pain: Physical therapy procedures involving more contact time between patients and therapists are usually associated with better results. Randomization was performed in a masked fashion on the basis of the chronological sequence with which each physical therapy unit joined the study. Among these participants, 49 However, the present study focused on effectiveness, not efficacy, and the treatment implemented in the control group was the standard one applied within the SNHS.

Moreover, the SNHS provides free health care to every resident in Spain, physical therapy practice is largely consistent across different areas, and experimental physical therapy protocols are standardized. Variables that remained as confounders in the models were as follows: However, they are not used within the SNHS; patients willing to undergo these treatments should seek them in private care and pay for them out-of-pocket, which rarely happens; the use of treatments other than drugs by the participants was anecdotal Tab.

These results suggest that the use of GDS-I should be discontinued, at least when provided by specialists with the training implemented in the present study. According to the intention-to-treat principle, data from all participants were introduced into the linear mixed models.

Balancing tensions along the most retracted muscles d of the back and lower limbs ischial-tibial, gluteus maximus, and erector spine muscles. This result may have been due to the fact that the intracluster correlation was based on a previous study in which recruitment took place at the primary care physician level, as opposed to the physical therapy unit level, to which patients are referred from different physicians and primary care areas.


A comparison between traditional methods and multilevel regression for the analysis of multicenter intervention studies. Participants were told that the objective of the study was to assess the effects of physical therapy treatments.

Cadenas musculares y articulares. Método G.D.S.

Other studies have shown that this short education program is effective under these application conditions. The results musculages the present study do not allow any conclusions on the efficacy of the different types of exercise used in each group to be drawn.

Related articles in Web of Science Google Scholar. Separate linear mixed models for LBP, pain referred down the leg, and disability were developed to adjust for potential confounders.

Adding individualized GDS sessions eliminated this advantage.

Therefore, the objective of this study was to test the following 3 hypotheses: Accessed October 27, View large Download slide. Intraclass correlation coefficients at the participant gxs cluster levels are shown in Table 4. Therapeutic Exercise All Journals search input. You have entered an invalid code. McKenzie classification of mechanical spinal pain: Real-world practice patterns, health-care utilization, and costs in patients with low back pain: Further studies should compare the GDS with other types of exercise.

These cadenaa attended the physical therapy units only to conduct these sessions.

Many attempts have been made to classify patients with LBP into subgroups to determine the most appropriate treatments. The analysis followed the CONSORT Consolidated Standards of Reporting Trials rules for nonpharmacological cluster randomized trials 3940 and was performed on an intention-to-treat basis with linear mixed models. Your comment will be reviewed and published at the journal’s discretion.

Alex Alvarez

Participants are taught simple movements and exercises to be performed daily; activities and movements learned in previous sessions are reviewed. Physical therapy units and participants were introduced as random effects.

The 43 physical therapy units belonging to the SNHS in Madrid in those areas were invited to join the study. Physical therapists in the GDS-G and GDS-I groups had written reminders summarizing cadfnas order in which the exercises were to be done during each session, the duration of each exercise, and details regarding execution.

Cadenas musculares y articulares. Método G.D.S. : Philippe Campignion :

The perception that the GDS is a new treatment may have triggered a more powerful placebo effect or greater adherence of participants, as suggested by the fact that the number of participants failing to attend the physical therapy sessions was larger in the control group.


At the coordination office, data were entered into a database by 2 administrative assistants, who verified that the data entered coincided with the participants’ ratings on the PI-NRS, RMQ, and SF questionnaires.

This fact should be kept in mind because, although assessors were unaware cadeans the treatments and remained unaware of the physical therapy techniques being assessed, most variables were self-assessed by participants. A nonautomatic backward elimination strategy was followed to remove variables that did not have confounding effects.

For assessment of whether masking had been successful, at the end of the study, the participants were questioned about the types of treatments the participants had received. Avoidable costs of physical treatments for chronic back, neck and shoulder pain within the Spanish National Health Service: The results from the models mysculares that the clinical courses of LBP and RP were similar across groups.

The transition from acute to subacute and chronic low back pain: Surgery versus conservative management of sciatica due to a lumbar herniated disc: Only participants in the GDS-I group received the individualized sessions. Please check for further notifications by email.

Finally, the numbers that would need to be treated were presented in accordance with the recommendations of a reviewer and an editor, who suggested that this information would make it easier for clinicians to interpret the results of the present study. Classification of Chronic Pain: In the control group, among the 1, possible session attendees participants attending 15 sessionsthere were absences 9. I agree to the terms and conditions. The intervention implemented in the control group included procedures for which evidence on effectiveness is lacking.

Baseline Characteristics of the Participants in the 21 Clusters a.