Talk to the Veterans Crisis Line now
U.S. flag
An official website of the United States government

Health Services Research & Development

Go to the ORD website
Go to the QUERI website

HSR&D Citation Abstract

Search | Search by Center | Search by Source | Keywords in Title

Adverse events experienced by participants in a back pain walking intervention: A descriptive study.

Krein SL, Abdul-Wahab Y, Kadri R, Richardson CR. Adverse events experienced by participants in a back pain walking intervention: A descriptive study. Chronic Illness. 2016 Mar 1; 12(1):71-80.

Related HSR&D Project(s)

Dimensions for VA is a web-based tool available to VA staff that enables detailed searches of published research and research projects.

If you have VA-Intranet access, click here for more information

VA staff not currently on the VA network can access Dimensions by registering for an account using their VA email address.
   Search Dimensions for VA for this citation
* Don't have VA-internal network access or a VA email address? Try searching the free-to-the-public version of Dimensions


OBJECTIVE: To understand the range and potential severity of adverse events reported by patients with back pain who were participating in a walking intervention. METHODS: Data were obtained from participants in a randomized trial of a pedometer-based Internet-mediated intervention to promote walking and reduce back pain-related disability (n? = 229 participants, 118 usual care, and 111 intervention). Participants reported adverse events throughout the 12-month study period. All reported events were reviewed and classified by system, severity, and study relatedness. RESULTS: A total of 600 adverse events were reported, 250 by those in usual care and nearly 350 by those in the intervention. After worsening back pain (27%), musculoskeletal events were the most commonly reported events (19%), followed by cardiovascular events (14%), infection (11%), and medical procedures (9%). There were three times as many musculoskeletal events in the intervention compared to the usual care group. Cardiovascular events, which were generally not serious and not walking related, were far less common than musculoskeletal injuries. CONCLUSIONS: Individuals with chronic back pain can safely engage in a pedometer-based, unsupervised walking program. However, patients may benefit from focused counseling about musculoskeletal risks with specific attention to injury prevention measures such as gradually incrementing activity levels.

Questions about the HSR&D website? Email the Web Team.

Any health information on this website is strictly for informational purposes and is not intended as medical advice. It should not be used to diagnose or treat any condition.