British Medical Journal 2008;337:a884.
Little P, Lewith G, Webley F, et al.
BRIEF SUMMARY OF RESULTS
One to one lessons in the Alexander technique from registered teachers have long term benefits for patients with chronic low back pain.
- 24 Alexander Technique lessons proved to be most beneficial - after 1 year those who had Alexander Technique lessons had an average 3 days of pain per month compared with 21 days per month with usual GP care
- Alexander Technique lessons led to less incapacity people were able to carry out significantly more types of daily tasks without being limited by back pain
- The study also looked at the additional effect of general regular aerobic exercise (such as walking) and found that 6 Alexander lessons followed by exercise were about 70% as effective as 24 lessons (with or without exercise) in terms of improvement in incapacity and 65% as effective in terms of reduction in number of days in pain
- Long-term benefits unlikely to be due to placebo effect
To determine the effectiveness of lessons in the Alexander technique, massage therapy, and advice from a doctor to take exercise (exercise prescription) along with nurse delivered behavioural counselling for patients with chronic or recurrent low back pain.
Factorial randomised trial.
There were two qualitative research studies following on from the ATEAM trial:
There was also an economic evaluation: