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Related Experiment Video

Updated: May 13, 2026

Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation
06:28

Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation

Published on: December 13, 2024

Pedometer-driven walking for chronic low back pain: a feasibility randomized controlled trial.

Suzanne M McDonough1, Mark A Tully, Adele Boyd

  • 1*Centre for Health and Rehabilitation Technologies, University of Ulster, Newtownabbey, County Antrim, UK ‡School of Psychology, University of Ulster, Londonderry, Co Londonderry, UK †UKCRC Centre of Excellence for Public Health (NI), Queens' University Belfast, UK ∥Frontier Science Scotland, Kingussie, UK §School of Health and Rehabilitation Science, University of Pittsburgh, Pittsburgh, PA ¶Walking Behavior Laboratory, Pennington Biomedical Research Center, Baton Rouge, LA #Centre for Physiotherapy Research, University of Otago, North Dunedin, New Zealand **School of Public Health, Physiotherapy and Population Science, University College Dublin, Dublin, Ireland.

The Clinical Journal of Pain
|March 1, 2013
PubMed
Summary

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A pedometer-driven walking program combined with education improved chronic low back pain (CLBP) function and pain. This feasible intervention increased physical activity and walking, showing promise for CLBP management.

Area of Science:

  • Physical Therapy
  • Rehabilitation Medicine
  • Clinical Trials

Background:

  • Chronic low back pain (CLBP) is a prevalent condition with significant impact on function and quality of life.
  • Current management often involves education and advice, but effective interventions to promote physical activity are needed.

Purpose of the Study:

  • To assess the feasibility of a randomized controlled trial (RCT) for a pedometer-driven walking program alongside education for CLBP.
  • To compare this intervention with education alone in managing CLBP.

Main Methods:

  • Fifty-seven CLBP participants were randomized to education/advice (E) or education/advice plus an 8-week pedometer-driven walking program (EWP).
  • The EWP group received step targets, and adherence, daily steps, and adverse events were recorded.

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  • Outcomes including functional disability (Oswestry Disability Questionnaire - ODQ) and pain scores were measured at baseline, 9 weeks, and 6 months.

    • Main Results:

    • The study demonstrated a feasible recruitment rate (22%) and low dropout rates (13%-18%).
    • EWP adherence was high (93%), with a significant increase in daily steps (+2776 steps/day, 59% increase).
    • The EWP group showed greater improvements in ODQ scores (8.2% vs 1.6%), pain, and physical activity levels at 6 months compared to the E group.

    Conclusions:

    • A pedometer-driven walking program intervention is feasible, safe, and effective for increasing walking and physical activity in CLBP patients.
    • This intervention led to meaningful improvements in function and pain, warranting further investigation in a larger, fully powered RCT.