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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; Nakhsotin Ansari, Noureddin; Ingle, Lee


Ardalan Shariat

Reza Alizadeh

Vahideh Moradi

Elahe Afsharnia

Azadeh Hakakzadeh

Noureddin Nakhsotin Ansari


Objective: 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.
Methods: In this clinical trial, office workers with chronic low back pain were randomized to one of four groups including; Group 1- Exercise therapy; Group 2- Psychotherapy (relaxation therapy); Group 3-Combined protocol (exercise followed by relaxation therapy); Group 4- control (no intervention). Exercise time was three sessions per week for 6 weeks with each session consisting of a 40-45 min bout of exercise/relaxation. Outcome measures included changes in pain intensity, ROM, anxiety, and QoL were studied at baseline, 6 weeks, and 12 weeks at the end of the intervention.
Results: In 72 staff (20-50 years old) a significant decrease in pain intensity and anxiety was evident 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 group and the modified protocol group over time (after 6 and 12 weeks). A significant difference between groups was observed in quality of life with greater improvement in the psychotherapy and modified protocol groups.
Conclusion: This therapeutic package (including exercise and relaxation) showed a superior effect for all variables compared to other interventions with increased range of motion, quality of life, and reduction in pain and anxiety after 6 and 12 weeks. Thus, the combined protocol (exercise and relaxation) can be used as an efficient package for decreasing physical and psychological factors in people with chronic lower back pain.

Journal Article Type Article
Publication Date 2019-10
Journal Journal of Exercise Rehabilitation
Print ISSN 2288-176X
Peer Reviewed Peer Reviewed
Volume 15
Issue 5
Pages 703-708
APA6 Citation Shariat, A., Alizadeh, R., Moradi, V., Afsharnia, E., Hakakzadeh, A., Nakhsotin Ansari, N., & 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.
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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