Patients with chronic (≥3 months) or recurrent (≥3 episodes in previous 12 months) LBP of mechanical origin with/without radiation to the lower limb |
Clinically diagnosed primary sleep disorder e.g sleep apnoea, primary insomnia |
Males/females between 18-70 years |
Currently or having received treatment for CLBP within previous 3 months |
No spinal surgery within the previous 12 months |
Patients scoring <10 indicating minimum disability on the Oswestry Disability Index |
Patients scoring ≥10 indicating moderate disability on the Oswestry Disability Index (ODI). |
Red flags indicating serious spinal pathology, e.g. cancer, cauda equina lesion |
Patients deemed suitable by their GP/hospital consultant to carry out an exercise programme |
Radicular pain indicative of nerve root compression |
Patients willing to attend for an 8-week treatment programme of exercise classes |
Patients diagnosed with severe spinal stenosis, spondylolisthesis, fibromyalgia |
Fluency in English (verbal and written) |
History of systemic/inflammatory disease, e.g. rheumatoid arthritis |
Access to a telephone (for follow-up support) |
Patients with any confounding conditions such as a neurological disorder or currently receiving treatment for cancer |
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Patients with acute (<6 weeks) or subacute LBP (6-12 weeks), provided that they have experienced <3 LBP episodes during previous 12 months |
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Unstable angina/uncontrolled cardiac dysrhythmias/severe aortic stenosis/acute systemic infection accompanied by fever |
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Medico-legal issues |
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Pregnancy |