Spine (Phila Pa 1976) December 2004 PMID 15564907

Does it matter which exercise? A randomized control trial of exercise for low back pain.

Audrey Long, Ron Donelson, Tak Fung

Mentions

32
Peak: 6 in Jun 2022
across 3 sources since Dec 2020

Extended reach

209,151
potential audience

Total likes

106

Video views

882

Mentions per month

Dec 2020 – Sep 2023

Where it's discussed

  • X / Twitter25 posts
  • News4 articles
  • YouTube3 videos

AI synopsis

What people are saying

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.

AgreementNeither agree nor disagree

Discussions are mixed, with some critics questioning external validity and bias, while others reference supportive studies, indicating neither strong support nor disagreement overall.

InterestModerate interest

The 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.

EngagementModerate engagement

Participants ask questions, reference other studies, and debate methodology, reflecting thoughtful engagement but not intense or highly detailed dialogue.

ImpactModerate impact

The 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.

Abstract in brief

  • 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.]

Top posts

Most liked on X and Bluesky
The Sp⚽️rts Physio
@AdamMeakins · X

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?

Jun 25, 2022 · 59 likes · 3 shares · 107,611 followers View post →
澤渡知宏 |理学療法士
@t_sawatari · X

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

Dec 8, 2020 · 8 likes · 1 share · 5,719 followers View post →
ɹǝʇlnoԀ pıʌɐᗡ
@Retlouping · X

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

Oct 9, 2021 · 5 likes · 26,360 followers View post →
Chris Boyer, DPT, OCS, Dip.MDT
@chrisboyerPT · X

@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

Jun 25, 2021 · 5 likes · 2 shares · 543 followers View post →
Chris Boyer, DPT, OCS, Dip.MDT
@chrisboyerPT · X

@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

Jun 25, 2021 · 4 likes · 1 share · 543 followers View post →
thinkin_mkdeabh
@thinkin_mkdeabh · X

@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

Jul 19, 2022 · 3 likes · 2,185 followers View post →

All mentions

Health & Performance Center
@HPC_STL · X

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

Sep 14, 2023 · 20 followers View post →
Mark Aarts
@Mark_AartsSE · X

@FFizzeo @marklaslett_NZ https://t.co/VHEA4kxPq6

May 31, 2023 · 80 followers View post →
仲松睦@岡山市役所近くの整体
@fX3FL2PD3bi5rF9 · X

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

Feb 16, 2023 · 2 likes · 326 followers View post →
仲松睦@岡山市役所近くの整体
@fX3FL2PD3bi5rF9 · X

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

Feb 15, 2023 · 2 likes · 326 followers View post →
仲松睦@岡山市役所近くの整体
@fX3FL2PD3bi5rF9 · X

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

Dec 11, 2022 · 326 followers View post →
thinkin_mkdeabh
@thinkin_mkdeabh · X

@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

Jul 19, 2022 · 3 likes · 2,185 followers View post →
Jeff Bridges
@JeffBri50092279 · X

RT @AdamMeakins: I really struggle to understand a lot of Mckenzie Method research that only includes subjects who respond to their directi…

Jun 26, 2022 · 3 shares · 9 followers View post →
jaque ❤️
@julianaaltamira · X

RT @AdamMeakins: I really struggle to understand a lot of Mckenzie Method research that only includes subjects who respond to their directi…

Jun 25, 2022 · 3 shares · 118 followers View post →
Salim Javed Ali Baig
@salimjaved_pt · X

Does it matter which exercise? A randomized control trial of exercise for low back pain https://t.co/QSWzkTBHLY

Jun 25, 2022 · 3 likes · 1,963 followers View post →
Adam Dobson
@adamdobson123 · X

RT @AdamMeakins: I really struggle to understand a lot of Mckenzie Method research that only includes subjects who respond to their directi…

Jun 25, 2022 · 3 shares · 12,687 followers View post →
The Sp⚽️rts Physio
@AdamMeakins · X

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?

Jun 25, 2022 · 59 likes · 3 shares · 107,611 followers View post →
Mark Aarts
@Mark_AartsSE · X

@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

Jun 25, 2022 · 1 like · 1 share · 80 followers View post →
thinkin_mkdeabh
@thinkin_mkdeabh · X

@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

Jan 10, 2022 · 1 like · 2,185 followers View post →
Mark Aarts
@Mark_AartsSE · X

@AdamMeakins @marklaslett_NZ For "derangement" a couple of weeks usually does it. According to Long 2014: https://t.co/VHEA4kxPq6

Nov 15, 2021 · 80 followers View post →
Geronimo Bejarano
@gero5 · X

@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

Oct 10, 2021 · 1 like · 1,518 followers View post →
ɹǝʇlnoԀ pıʌɐᗡ
@Retlouping · X

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

Oct 9, 2021 · 5 likes · 26,360 followers View post →
ɹǝʇlnoԀ pıʌɐᗡ
@Retlouping · X

@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

Aug 30, 2021 · 2 likes · 26,360 followers View post →
Geoffrey Daigle
@geoffrey_daigle · X

RT @chrisB0Y3R: @adamjh95 @marklaslett_NZ If you see centralization of symptoms in the spine you can bet it’s discogenic. Direction of exer…

Jun 30, 2021 · 2 shares · 14 followers View post →
Mark Laslett
@marklaslett_NZ · X

RT @chrisB0Y3R: @adamjh95 @marklaslett_NZ If you see centralization of symptoms in the spine you can bet it’s discogenic. Direction of exer…

Jun 25, 2021 · 2 shares · 9,413 followers View post →
Chris Boyer, DPT, OCS, Dip.MDT
@chrisboyerPT · X

@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

Jun 25, 2021 · 4 likes · 1 share · 543 followers View post →
Chris Boyer, DPT, OCS, Dip.MDT
@chrisboyerPT · X

@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

Jun 25, 2021 · 5 likes · 2 shares · 543 followers View post →
McKenzieSweden
@McKenzieSweden · X

@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?

Jun 20, 2021 · 236 followers View post →
名無しの田中
@tanaka_ayame · X

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…

Dec 14, 2020 · 1 share · 70 followers View post →
澤渡知宏 |理学療法士
@t_sawatari · X

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

Dec 8, 2020 · 8 likes · 1 share · 5,719 followers View post →
Mark Laslett
@marklaslett_NZ · X

@floteichert @MSmith_DPT @DerekGriffin86 Good questions Florian. I have had these Twitter discussions before. see https://t.co/F0OA6nUw3R and https://t.co/rIwyjtzDgA

Dec 1, 2020 · 1 like · 9,413 followers View post →
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