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The impact of modified exercise and relaxation therapy on chronic lower back pain in office workers: a randomized clinical trial

Shariat, Ardalan; Alizadeh, Reza; Moradi, Vahideh; Afsharnia, Elahe; Hakakzadeh, Azadeh; Ansari, Noureddin Nakhsotin; Ingle, Lee; Shaw, Brandon S.; Shaw, Ina


Ardalan Shariat

Reza Alizadeh

Vahideh Moradi

Elahe Afsharnia

Azadeh Hakakzadeh

Noureddin Nakhsotin Ansari

Brandon S. Shaw

Ina Shaw


This study aimed to evaluate the effectiveness of a modified package of exercise therapy combined with relaxation on pain intensity, range of motion (ROM), anxiety, and quality of life (QoL) in office workers with chronic lower back pain. In this clinical trial, 72 office workers aged 20 to 50 years with chronic low back pain were randomized to one of four groups including; group 1, exercise therapy; group 2, psychotherapy (relaxation therapy); group 3, modified protocol (exercise therapy followed by relaxation therapy); group 4, control group (no intervention). Participants exercised 3 times weekly for 6 weeks for 40-45 min of exercise/relaxation. Pain intensity, ROM, anxiety, and QoL were evaluated at baseline, 6 weeks, and 12 weeks after the end of the intervention. Re-sults showed significant decreases in pain intensity and anxiety in the three experimental groups compared to the control group. The three intervention groups indicated a significant decrease in pain intensity and anxiety after 6 and 12 weeks. ROM significantly improved in the exercise therapy and the modified protocol over time (after 6 and 12 weeks). A significant difference in QoL was found between the groups, with the greatest improvement found in the psychotherapy and modified protocol groups. This therapeutic package (including exercise movements and psychological interventions) was found to have a superior effect on pain intensity, ROM, anxiety, and QoL after 6 and 12 weeks compared to other interventions (only exercise and psychotherapy).


Shaw, I., Shaw, B. S., Shariat, A., Alizadeh, R., Moradi, V., Afsharnia, E., …Ingle, L. (2019). The impact of modified exercise and relaxation therapy on chronic lower back pain in office workers: a randomized clinical trial. Journal of Exercise Rehabilitation, 15(5), 703-708.

Journal Article Type Article
Acceptance Date Sep 18, 2019
Online Publication Date Oct 28, 2019
Publication Date 2019-10
Deposit Date Sep 18, 2019
Publicly Available Date Nov 29, 2019
Journal Journal of Exercise Rehabilitation
Print ISSN 2288-176X
Electronic ISSN 2288-1778
Peer Reviewed Peer Reviewed
Volume 15
Issue 5
Pages 703-708
Keywords Exercise therapy; Psychological; Low back pain; Office workers
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Copyright Statement
Copyright © 2019 Korean Society of Exercise Rehabilitation. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (
which permits unrestricted non-commercial use, distribution, and reproduction in any
medium, provided the original work is properly cited.

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