ECU convention 2017 research presentations

walking subscale, and the Numeric Pain Scale (NPS) for low back and leg pain.Intention-to-treat analysis was performed for all outcomes. ResultsFifty-one participants were randomized to the comprehensive and 53 to the self-directed group.The adjusted mean difference in walking distance in the comprehensive group verses the self directed group at 8 weeks was 345.4 metres (m) (95% confidence interval (CI), 150.0 to 540.7), at 3 months, 304.1 m (95% CI, 77.9 to 530.3), at 6 months, 421.0 m (95%CI, 181.4 to 660.6) and at 12 months, 436.8m (95% CI, 200.3 to 673.4).At 12 months, 81% and 74% of participants in the comprehensive group achieved at least 30% and 50% improvement in walking distance respectively compared to 59% and 50% of participants respectively in the self-directed group.At 12 months all secondary outcomes showed significant improvement from baseline in both groups with the comprehensive group demonstrating significantly greater improvement in the ZCQ functional scale, -0.27 (95% CI, -0.49 to -0.04) and the composite ZCQ score, -48 (95% CI, -0.90 to -0.06). ConclusionsBoth approaches showed significant improvement in walking distance at each follow-up period with the comprehensive approach demonstrating superior improvement.The superior benefits of the comprehensive approach were sustained through 12 months even after the active intervention was terminated.It appears that manual therapy combined with one-on-one instruction on daily exercises and self-management strategies can provide better outcomes than a self-directed approach.Mount Sinai Hospital Research Ethics Board No. 14-0020 ClinicalTrials.govnumber, NCT02592642