Effects in Short and Long Term of Global Postural Reeducation (GPR) on Chronic Low Back Pain: A Controlled Study with One-Year Follow-Up

ScientificWorldJournal. 2015;2015:271436. doi: 10.1155/2015/271436. Epub 2015 Apr 6.


Objective: Comparing global postural reeducation (GPR) to a standard physiotherapy treatment (PT) based on active exercises, stretching, and massaging for improving pain and function in chronic low back pain (CLBP) patients.

Design: Prospective controlled study. Setting. Outpatient rehabilitation facility.

Participants: Adult patients with diagnosis of nonspecific, chronic (>6 months) low back pain.

Interventions: Both treatments consisted of 15 sessions of one hour each, twice a week including patient education.

Measures: Roland Morris Disability Questionnaire to evaluate disability, and Numeric Analog Scale for pain. A score change >30% was considered clinically significant. Past treatments, use of medications, smoking habits, height, weight, profession, and physical activity were also recorded on baseline, on discharge, and 1 year after discharge (resp., T0, T1, and T2).

Results: At T0 103 patients with cLBP (51 cases and 52 controls) were recruited. The treatment (T1) has been completed by 79 (T1) of which 60 then carried out the 1-year follow-up (T2). Both GPR and PT at T1 were associated with a significant statistical and clinical improvement in pain and function, compared to T0. At T2, only pain in GPR still registered a statistically significant improvement.

MeSH terms

  • Case-Control Studies
  • Chronic Disease
  • Exercise Therapy
  • Female
  • Follow-Up Studies
  • Humans
  • Low Back Pain / diagnosis
  • Low Back Pain / rehabilitation
  • Low Back Pain / therapy*
  • Male
  • Middle Aged
  • Pain Management*
  • Pain Measurement
  • Physical Therapy Modalities*
  • Prospective Studies
  • Treatment Outcome