Does it matter which exercise? A randomized control trial of exercise for low back pain.
Audrey Long, Ron Donelson, Tak Fung
December 2004 Spine (Phila Pa 1976)Synopsis of Social media discussions
The overall tone reflects moderate engagement and curiosity, with discussions about the study's relevance, such as mentions of 'selection bias' and 'external validity,' and references to previous studies. Words like 'questioning,' 'criticize,' and 'supportive' show critical yet engaged attitudes, indicating a nuanced evaluation of the publication's significance in the field.
Agreement
Neither agree nor disagreeDiscussions are mixed, with some critics questioning external validity and bias, while others reference supportive studies, indicating neither strong support nor disagreement overall.
Interest
Moderate level of interestThe discussions show a moderate level of curiosity, particularly around the study's methodology, bias, and implications, but lack of deep technical detail limits higher interest.
Engagement
Moderate level of engagementParticipants ask questions, reference other studies, and debate methodology, reflecting thoughtful engagement but not intense or highly detailed dialogue.
Impact
Moderate level of impactThe conversations acknowledge the importance of the study's findings but largely focus on methodological critiques and theoretical implications rather than immediate clinical or societal change.
Social Mentions
YouTube
3 Videos
25 Posts
News
4 Articles
Metrics
Video Views
882
Total Likes
106
Extended Reach
209,151
Social Features
32
Timeline: Posts about article
Top Social Media Posts
The Sp⚽️rts Physio
I really struggle to understand a lot of Mckenzie Method research that only includes subjects who respond to their directional preference methods to say directional preference is superior!
Isn’t this obvious selection bias?
view full post
澤渡知宏 ｜理学療法士
エビデンスに基づくケアよりも個人に基づくケアのほうが優れているということ。疾患に対してエビデンスでは「有効性がある」と文献が示しても目の前の患者が改善しないことはよくあること。症状を引き起こす原因がどこから起こっているのかを方向づけすることが重要だと理解。https://t.co/vwJcG73ePE
view full post
ɹǝʇlnoԀ pıʌɐᗡ
Strangely enough this is the only study of this type where people are tested prior to randomisation for treatment effect that is positive, then randomised.
https://t.co/voyzCJ8s0f
Does it Matter Which Exercise?
A Randomized Control Trial of Exercise for Low Back Pain https://t.co/2tX6nloZlw
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Chris Boyer, DPT, OCS, Dip.MDT
@adamjh95 @marklaslett_NZ If you see centralization of symptoms in the spine you can bet it’s discogenic. Direction of exercise matters https://t.co/ows6cy6eqx
view full post
Chris Boyer, DPT, OCS, Dip.MDT
@adamjh95 @marklaslett_NZ If you identify discogenic pain unresponsive to mechanics you might consider this study/center’s work on identifying better candidates for TESI and then taking another look at them post injection https://t.co/ows6cy6eqx
view full post
Posts referencing the article
Personalized Exercise Therapy for Low Back Pain Management
A large study tested whether personalized exercises based on a patient's specific low back pain response can improve outcomes, finding that matching exercises to a person's pain response led to better pain relief, less medication use, and faster recovery.
February 22, 2023
651 views
Personalized Exercises Improve Outcome for Low Back Pain Patients
Spine Phila Pa 1976 2004 Dec 129232593602 doi 10109701brs0000146464230072a Does it matter which exercise A randomized control trial of exercise for low back pain. The study highlights the benefits of tailoring exercises based on individual pain responses for better recovery.
December 22, 2022
129 views
Personalized Exercise Strategies for Low Back Pain Relief
This video discusses a landmark study testing personalized exercises based on patients' specific low back pain responses, showing improved pain relief, reduced medication use, and faster recovery through tailored treatment approaches.
February 23, 2023
102 views
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In conclusion, this study provides evidence that patient specific treatment is superior to others when you are able to find a DP and that some exercises can actually be counterproductive to relieving pain. 10.1097/01.brs.0000146464.23007.2a
view full postSeptember 14, 2023
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Mark Aarts
@Mark_AartsSE (Twitter)@FFizzeo @marklaslett_NZ https://t.co/VHEA4kxPq6
view full postMay 31, 2023
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仲松睦@岡山市役所近くの整体
@fX3FL2PD3bi5rF9 (Twitter)Clinical Trial Spine (Phila Pa 1976) . 2004 Dec 1;29(23):2593-602. doi: 10.1097/01.brs.0000146464.23007.2a. Does it matter which exercise? A randomized control trial of exercise for low back pain Audrey Long 1, Ron Donelson, Tak Fung
view full postFebruary 16, 2023
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仲松睦@岡山市役所近くの整体
@fX3FL2PD3bi5rF9 (Twitter)参考論文 Clinical Trial Spine (Phila Pa 1976) . 2004 Dec 1;29(23):2593-602. doi: 10.1097/01.brs.0000146464.23007.2a. Does it matter which exercise? A randomized control trial of exercise for low back pain Audrey Long 1, Ron Donelson, Tak Fung
view full postFebruary 15, 2023
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仲松睦@岡山市役所近くの整体
@fX3FL2PD3bi5rF9 (Twitter)参考論文 Spine (Phila Pa 1976) . 2004 Dec 1;29(23):2593-602. doi: 10.1097/01.brs.0000146464.23007.2a. Does it matter which exercise? A randomized control trial of exercise for low back pain Audrey Long 1, Ron Donelson, Tak Fung
view full postDecember 11, 2022
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@thinkin_mkdeabh (Twitter)@GeekNfit @__PatK__ En fait, les McKenzistes s'agrippent très très fort à une étude de 2004, qui est bien construite mais manque de cohérence externe (c'est à dire que les résultats trouvés dans les autres études ne vont pas dans le même sens du tout). https://t.co/i92epYBlGG
view full postJuly 19, 2022
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Jeff Bridges
@JeffBri50092279 (Twitter)RT @AdamMeakins: I really struggle to understand a lot of Mckenzie Method research that only includes subjects who respond to their directi…
view full postJune 26, 2022
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jaque ❤️
@julianaaltamira (Twitter)RT @AdamMeakins: I really struggle to understand a lot of Mckenzie Method research that only includes subjects who respond to their directi…
view full postJune 25, 2022
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Salim Javed Ali Baig
@salimjaved_pt (Twitter)Does it matter which exercise? A randomized control trial of exercise for low back pain https://t.co/QSWzkTBHLY
view full postJune 25, 2022
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Adam Dobson
@adamdobson123 (Twitter)RT @AdamMeakins: I really struggle to understand a lot of Mckenzie Method research that only includes subjects who respond to their directi…
view full postJune 25, 2022
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The Sp⚽️rts Physio
@AdamMeakins (Twitter)I really struggle to understand a lot of Mckenzie Method research that only includes subjects who respond to their directional preference methods to say directional preference is superior! Isn’t this obvious selection bias?
view full postJune 25, 2022
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Mark Aarts
@Mark_AartsSE (Twitter)@adamdobson123 Here are two papers that indicate MDT based care is superior to other care for patients that showed a DP. Long 2014: https://t.co/VHEA4kxPq6 Long 2018: https://t.co/oHpJvH21Qg
view full postJune 25, 2022
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@thinkin_mkdeabh (Twitter)@buzzastley @joshlavalleeMK Oui totalement, c'est fait par exemple dans l'étude de Long 2004, ils ont juste fait ça un poil trop tôt à mon sens, ils auraient, je crois, mieux fait d'attendre l'allocation des traitements https://t.co/i92epYBlGG
view full postJanuary 10, 2022
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Mark Aarts
@Mark_AartsSE (Twitter)@AdamMeakins @marklaslett_NZ For "derangement" a couple of weeks usually does it. According to Long 2014: https://t.co/VHEA4kxPq6
view full postNovember 15, 2021
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Geronimo Bejarano
@gero5 (Twitter)@Retlouping @giovanni_ef @JSagorro Yes this is a bad trial. MDT has another one that is similar to this that is much larger and also a bad trial. They report baseline characteristics in table 3 and results in table 6
view full postOctober 10, 2021
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ɹǝʇlnoԀ pıʌɐᗡ
@Retlouping (Twitter)Strangely enough this is the only study of this type where people are tested prior to randomisation for treatment effect that is positive, then randomised. https://t.co/voyzCJ8s0f Does it Matter Which Exercise? A Randomized Control Trial of Exercise for Low Back Pain https://t.co/2tX6nloZlw
view full postOctober 9, 2021
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ɹǝʇlnoԀ pıʌɐᗡ
@Retlouping (Twitter)@BarryPhysio @84SantosP @AdamMeakins @PaulBliton https://t.co/voyzCJ8s0f Does it Matter Which Exercise? A Randomized Control Trial of Exercise for Low Back Pain https://t.co/Fp1qig6muN
view full postAugust 30, 2021
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Geoffrey Daigle
@geoffrey_daigle (Twitter)RT @chrisB0Y3R: @adamjh95 @marklaslett_NZ If you see centralization of symptoms in the spine you can bet it’s discogenic. Direction of exer…
view full postJune 30, 2021
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Mark Laslett
@marklaslett_NZ (Twitter)RT @chrisB0Y3R: @adamjh95 @marklaslett_NZ If you see centralization of symptoms in the spine you can bet it’s discogenic. Direction of exer…
view full postJune 25, 2021
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Chris Boyer, DPT, OCS, Dip.MDT
@chrisboyerPT (Twitter)@adamjh95 @marklaslett_NZ If you identify discogenic pain unresponsive to mechanics you might consider this study/center’s work on identifying better candidates for TESI and then taking another look at them post injection https://t.co/ows6cy6eqx
view full postJune 25, 2021
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Chris Boyer, DPT, OCS, Dip.MDT
@chrisboyerPT (Twitter)@adamjh95 @marklaslett_NZ If you see centralization of symptoms in the spine you can bet it’s discogenic. Direction of exercise matters https://t.co/ows6cy6eqx
view full postJune 25, 2021
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McKenzieSweden
@McKenzieSweden (Twitter)@DerekGriffin86 @MaryOKeeffe007 @Pain_NeuRa @AidanCashin That wasn't the specific question of this trial but I would say it kind of shows that it does make a difference. https://t.co/Ug0kFP2BW0 And this: https://t.co/ZqOVrzNEO7 Do you agree?
view full postJune 20, 2021
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名無しの田中
@tanaka_ayame (Twitter)RT @t_sawatari: エビデンスに基づくケアよりも個人に基づくケアのほうが優れているということ。疾患に対してエビデンスでは「有効性がある」と文献が示しても目の前の患者が改善しないことはよくあること。症状を引き起こす原因がどこから起こっているのかを方向づけすることが重要…
view full postDecember 14, 2020
1
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澤渡知宏 ｜理学療法士
@t_sawatari (Twitter)エビデンスに基づくケアよりも個人に基づくケアのほうが優れているということ。疾患に対してエビデンスでは「有効性がある」と文献が示しても目の前の患者が改善しないことはよくあること。症状を引き起こす原因がどこから起こっているのかを方向づけすることが重要だと理解。https://t.co/vwJcG73ePE
view full postDecember 8, 2020
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Mark Laslett
@marklaslett_NZ (Twitter)@floteichert @MSmith_DPT @DerekGriffin86 Good questions Florian. I have had these Twitter discussions before. see https://t.co/F0OA6nUw3R and https://t.co/rIwyjtzDgA
view full postDecember 1, 2020
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Classification Approaches For Treating Low Back Pain Have Small ...
597 doi:10.1097/01.brs.0000146464.23007.2a. 598 69. Luomajoki HA, Bonet Beltran MB, Careddu S, Bauer CM. Effectiveness of movement control. 599 exercise on ...
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Lam 2018 Effectiveness of The McKenzie Method of Mechanical ...
https://doi.org/10.1097/01. sion exercises and their associated postures in art.20063 brs.0000146464.23007.2a patients with acute low back pain. Spine ...
view full postDecember 11, 2025
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McKenzie Method - Physiopedia | PDF | Low Back Pain | Back Pain
10.1097/01.brs.0000146464.23007.2a. PMID: 15564907. 19. Liebenson C. Rehabilitation of the spine: a practitioner's manual, second edition. Lipincott ...
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Devasahayam Et Al 2014 Delivering A Back School Programme ...
Spine 2004;29(23):2593–602 doi: 10.1097/01. 18. Lambeek LC, Mechelen WV, Knol DL, Loisel P, Anema JR. brs.0000146464.23007.2a. Randomised controlled trial ...
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Abstract Synopsis
- A large study tested whether personalized exercises based on a patient's specific low back pain response can improve outcomes, finding that matching exercises to a person's pain response led to better pain relief, less medication use, and faster recovery.
- The study identified a subgroup of low back pain patients with a directional preference (DP), meaning their pain improved immediately with certain movements, and these patients responded significantly better to exercises that matched their DP.
- Overall, tailoring exercise prescriptions to individual patient responses could be an effective approach in managing low back pain, emphasizing the importance of personalized treatment strategies.]
Health & Performance Center
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