ISRCTN ISRCTN46141261
DOI https://doi.org/10.1186/ISRCTN46141261
Secondary identifying numbers N/A
Submission date
30/05/2007
Registration date
30/05/2007
Last edited
02/11/2022
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Musculoskeletal Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr W. van Mechelen
Scientific

Vrije University Medical Centre (VUMC)
Department of Social Medicine
P.O. Box 7057
Amsterdam
1007 MB
Netherlands

Phone +31 (0)20 4448410
Email w.vanmechelen@vumc.nl

Study information

Study designRandomised, single blinded, active controlled, parallel group trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typeTreatment
Scientific titleThe Amsterdam Graded Activity Study
Study acronymAGAS
Study objectivesA behaviour-oriented physical exercise program (graded activity) is more effective than usual care in sick-listed workers with low back pain with regard to return to work, disability, pain and pain-related fears.
Ethics approval(s)Ethics approval received from the local medical ethics committee
Health condition(s) or problem(s) studiedLow back pain
InterventionGraded activity:
The graded activity intervention consisted of two sessions of physical exercises a week until full return to regular work was achieved. The intervention was supervised by skilled physiotherapists. During the course of the intervention the load of the exercises was gradually increased towards a preset exercise goal, following a time-contingent exercise scheme. The exercise goals were connected with return-to-work goals. The intervention had a maximum duration of three months.

Usual care:
The workers who were allocated to the usual care group received the usual guidance by the occupational physician. There were no special requirements for other treatments except that the workers were not allowed to attend treatment sessions at the same physiotherapy practice where the workers of the graded activity group were treated.
Intervention typeOther
Primary outcome measure1. Days of sick leave due to low back pain
2. Disability
3. Pain
Secondary outcome measuresPain-related fears
Overall study start date01/04/1999
Completion date31/01/2002

Eligibility

Participant type(s)Patient
Age groupNot Specified
SexNot Specified
Target number of participants134
Total final enrolment134
Key inclusion criteria1. Sick leave because of non-specific low back pain. This could be either full or partial sick leave
2. A minimum duration of the complaints of four weeks in succession
Key exclusion criteria1. Radiation below the knee in combination with signs of nerve root compression
2. Cardiovascular contra-indications for physical activity, as checked by the Physical Activities Readiness Questionnaire
3. A conflict between worker and employer with legal involvement
4. Pregnancy
Date of first enrolment01/04/1999
Date of final enrolment31/01/2002

Locations

Countries of recruitment

  • Netherlands

Study participating centre

Vrije University Medical Centre (VUMC)
Amsterdam
1007 MB
Netherlands

Sponsor information

Vrije University Medical Centre (VUMC) (The Netherlands)
Hospital/treatment centre

Department of Public and Occupational Health
P.O. Box 7057
Amsterdam
1007 MB
Netherlands

Website http://www.vumc.nl/english/
ROR logo "ROR" https://ror.org/00q6h8f30

Funders

Funder type

Government

The Dutch Health Care Insurance Board (CVZ) (The Netherlands)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing planNot provided at time of registration

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article 20/01/2004 Yes No
Results article 01/12/2005 Yes No
Results article 01/07/2007 Yes No
Results article 15/05/2008 02/11/2022 Yes No

Editorial Notes

02/11/2022: Publication reference and total final enrolment added.