Publications by authors named "Luke D Surkitt"
Objectives: To determine whether individualised manual therapy plus guideline-based advice results in superior outcomes to advice alone in participants with clinical features potentially indicative of lumbar zygapophyseal joint pain.
Design: Multi centre parallel group randomised controlled trial.
Setting: 14 physiotherapy clinics in Melbourne, Australia.
Objective: To identify predictors for back pain, leg pain, and activity limitation in patients with early persistent low back disorders (LBDs).
Design: Prospective inception cohort study.
Setting: Primary care private physiotherapy clinics in Melbourne, Australia.
Study Design: A preplanned effect modifier analysis of the Specific Treatment of Problems of the Spine randomized controlled trial.
Objective: To identify characteristics associated with larger or smaller treatment effects in people with low back disorders undergoing either individualized physical therapy or guideline-based advice.
Summary Of Background Data: Identifying subgroups of people who attain a larger or smaller benefit from particular treatments has been identified as a high research priority for low back disorders.
Objectives: To evaluate the effectiveness of individualised functional restoration plus guideline-based advice compared to advice alone in people with non-reducible discogenic pain (NRDP).
Design: Subgroup analysis within a multicentre, parallel group randomised controlled trial.
Setting: Fifteen primary care physiotherapy clinics.
Background Context: Physical therapy is commonly sought by people with lumbar disc herniation and associated radiculopathy. It is unclear whether physical therapy is effective for this population.
Purpose: To determine the effectiveness of physical therapist-delivered individualized functional restoration as an adjunct to guideline-based advice in people with lumbar disc herniation and associated radiculopathy.
Background: Low back disorders are prevalent and directional preference management is a common treatment with mixed evidence for effectiveness.
Objectives: To determine the effectiveness of individualised directional preference management plus guideline-based advice versus advice alone in participants with reducible discogenic pain of 6-week to 6-month duration.
Design: Pre-planned secondary analysis of a multicentre, parallel group randomised controlled trial.
Study Design: A cost-utility analysis within a randomized controlled trial was conducted from the health care perspective.
Objective: The aim of this study was to determine whether individualized physical therapy incorporating advice is cost-effective relative to guideline-based advice alone for people with low back pain and/or referred leg pain (≥6 weeks, ≤6 months duration of symptoms).
Summary Of Background Data: Low back disorders are a burdensome and costly condition across the world.
Article Synopsis
- The study examines the effectiveness of individualized physiotherapy combined with guideline-based advice compared to just advice alone for patients with low-back disorders lasting more than 6 weeks.
- Conducted in Melbourne, Australia, the trial involved 300 participants, with 156 receiving personalized physiotherapy treatment and 144 receiving only advice over varying time points.
- Results indicated that those who received individualized physiotherapy experienced significantly better outcomes in pain relief and functional improvement at multiple follow-ups, demonstrating a higher likelihood of achieving clinical improvement over time.
Background: The effectiveness of multidisciplinary treatment for post-acute (>6 weeks) low back pain (LBP) has been established. Physiotherapists have sufficient training to conduct less intensive functional restoration. The effectiveness of physiotherapy functional restoration (PFR) has not been evaluated using current systematic review methodology.
View Article and Find Full Text PDFBackground: Manual therapy is frequently used to treat low back pain (LBP), but evidence of its effectiveness is limited. One explanation may be sample heterogeneity and inadequate sub-grouping of participants in randomized controlled trials (RCTs) where manual therapy has not been targeted toward those likely to respond.
Objectives: To determine the effectiveness of specific manual therapy provided to sub-groups of participants identified as likely to respond to manual therapy.
Background: Providing specific treatment based on symptom response for people with low back pain (LBP) and a directional preference (DP) is a widely used treatment approach. The efficacy of treatment using the principles of directional preference management (DPM) for LBP is unclear.
Objective: The purpose of this study was to determine the efficacy of treatment using the principles of DPM for people with LBP and a DP.
Background: Low back disorders are a common and costly cause of pain and activity limitation in adults. Few treatment options have demonstrated clinically meaningful benefits apart from advice which is recommended in all international guidelines. Clinical heterogeneity of participants in clinical trials is hypothesised as reducing the likelihood of demonstrating treatment effects, and sampling of more homogenous subgroups is recommended.
View Article and Find Full Text PDFPurpose: To report the outcomes and adverse events of people diagnosed with lumbar disc herniation with associated radiculopathy (LDHR) who were treated with a physiotherapy functional restoration programme.
Method: Data on functional outcome (Oswestry score), work status, global rating of change, and adverse events were extracted from the files of all people with LDHR treated by three physiotherapists using functional restoration principles from 2001 to 2009.
Results: Ninety-five participants were included.