THERAPEUTICS
Alexander technique lessons were effective for chronic or recurrent back pain at 1 year
| The first 150 words of the full text of this article appear below. |
P Little
P Little, University of Southampton, Southampton, UK; psl3@soton.ac.uk
STUDY DESIGN
factorial randomised controlled trial. National Research Register N0028108728.
concealed.*
blinded (data entry personnel).*
STUDY QUESTION
64 general practices in Southampton and Bristol, UK.
579 patients 18–65 years of age (mean age 45 y, 69% women) who had low back pain for >3 months, Roland Morris disability scores 
4, and current pain for 3 weeks. Exclusion criteria were previous experience with the Alexander technique, serious spinal disease, nerve root pain, previous spinal surgery, pending litigation, history of psychosis or alcohol misuse, and perceived inability to walk 100 metres.
24 lessons in the Alexander technique (n = 144), 6 lessons in the Alexander technique (n = 144), 6 sessions of massage (n = 147), or usual care (n = 144). Half of each group was then randomised to doctor prescription for exercise with nurse-delivered behavioural counselling, and the other half was allocated to usual
University of Pennsylvania, Philadelphia, Pennsylvania, USA
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