(Cost-)effectiveness of a physical, a cognitive-behavioural and an integrated treatment in chronic low back pain disability

Conditions

Non-specific chronic low back pain Musculoskeletal Diseases Back pain

Brewer W, Swanson BT, Roddey TS, Adewale H, Ashmore C, Frerich J, Perrin C, Ortiz A.

2017-12-062 citations

Resistance training in addition to multidisciplinary rehabilitation for patients with chronic pain in the low back: Study protocol.

Iversen VM, Vasseljen O, Mork PJ, Berthelsen IR, Børke JB, Berheussen GF, Tveter AT, Salvesen Ø, Fimland MS.

2017-04-1212 citations

10.1016/j.conctc.2017.04.001

Improving the self-management of chronic pain: COping with persistent Pain, Effectiveness Research in Self-management (COPERS)

Stephanie Taylor, Dawn Carnes, Kate Homer, Tamar Pincus, Brennan C Kahan et al. (14 authors)

Programme Grants for Applied Research2016-09-0142 citations

10.3310/pgfar04140

Change in pain, disability and influence of fear-avoidance in a work-focused intervention on neck and back pain: a randomized controlled trial.

Marchand GH, Myhre K, Leivseth G, Sandvik L, Lau B, Bautz-Holter E, Røe C.

2015-04-2127 citations

10.1186/s12891-015-0553-y

Pedometer-Based Internet-Mediated Intervention For Adults With Chronic Low Back Pain: Randomized Controlled Trial

Sarah L. Krein, Reema Kadri, Maria Hughes, Eve A. Kerr, John D. Piette et al. (8 authors)

Journal of Medical Internet Research2013-08-19109 citations

10.2196/jmir.2605

Efficacy of graded activity versus supervised exercises in patients with chronic non-specific low back pain: protocol of a randomised controlled trial.

Magalhaes MO, França FJ, Burke TN, Ramos LA, de Moura Campos Carvalho e Silva AP, Almeida GP, Yuan SL, Marques AP.

2013-01-2110 citations

10.1186/1471-2474-14-36

Veterans walk to beat back pain: study rationale, design and protocol of a randomized trial of a pedometer-based internet mediated intervention for patients with chronic low back pain.

Krein SL, Metreger T, Kadri R, Hughes M, Kerr EA, Piette JD, Kim HM, Richardson CR.

2010-09-1322 citations

10.1186/1471-2474-11-205

Interventions

Active Physical Treatment (APT): Cardiovascular and leg/back extending muscle strengthening (three sessions/week for ten weeks) Cognitive-Behavioural Treatment (CBT): Combination of graded activity

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. Patients for the first time referred to three outdoor rehabilitation centers in the Netherlands 2. Age between 18 and 65 years 3. Non specific CLBP with or without irradiation to leg for more than three months resulting in disability (Roland Morris Disability score more than three) 4. Ability to walk at least 100 m without interruption

Exclusion criteria

Exclusion criteria: 1. Vertebral fracture 2. Spinal inflammatory disease 3. Spinal infections or malignancy 4. Current nerve root pathology 5. Spondylolysis or -listhesis 6. Lumbar spondylodesis 7. Medical co-morbidity making intensive exercising impossible (e.g. cardiovascular or metabolic disease) 8. Ongoing diagnostic procedures or treatment for their CLBP at the time of referral 9. Not proficient in Dutch 10. Pregnancy 11. Substance abuse that could intervene with the rehabilitation treatment 12. Patients have to stop other therapies except pain medication for their back complaints 13. The Symptom Checklist (SCL-90) and the Dutch Personality Questionnaire (NPV) are used to check for psychopathology that would hamper individual or group processes

Design outcomes

Primary

Measure	Time frame
Roland Disability Questionnaire (RDQ)	—

Secondary

Measure	Time frame
1. Three patient specific main complaints by using the patient specific approach method (Tugwell et. al.) 2. Current pain by using the Visual Analogue Scale (VAS) for pain at this moment 3. Pain Rating Index (total score) of the McGill Pain Questionnaire 4. Beck Depression Inventory 5. Patients? global assessment of overall result measured by a transitional seven-point ordinal scale (1 = vastly worsened, 7 = completely recovered) 6. Treatment satisfaction by using VAS for the overall treatment provided to the patient 7. Six performance tests: a. five minutes walking (meters) b. fifty foot walking (seconds) c. five times sit to stand, performed twice and average time needed to perform a series of five times is calculated (seconds) d. loaded forward reaching by holding a stick with a weight of 2.25 or 4.5 kg in front of the body at shoulder height and extend as far as possible (centimeters) e. one minute stair climbing (number of stairs) f. Progressive Isoinertial Lifting Evaluation (PILE)-test weight lifting from floor to waist	—

Measure

Time frame

1. Three patient specific main complaints by using the patient specific approach method (Tugwell et. al.) 2. Current pain by using the Visual Analogue Scale (VAS) for pain at this moment 3. Pain Rating Index (total score) of the McGill Pain Questionnaire 4. Beck Depression Inventory 5. Patients? global assessment of overall result measured by a transitional seven-point ordinal scale (1 = vastly worsened, 7 = completely recovered) 6. Treatment satisfaction by using VAS for the overall treatment provided to the patient 7. Six performance tests: a. five minutes walking (meters) b. fifty foot walking (seconds) c. five times sit to stand, performed twice and average time needed to perform a series of five times is calculated (seconds) d. loaded forward reaching by holding a stick with a weight of 2.25 or 4.5 kg in front of the body at shoulder height and extend as far as possible (centimeters) e. one minute stair climbing (number of stairs) f. Progressive Isoinertial Lifting Evaluation (PILE)-test weight lifting from floor to waist

—

Countries

Netherlands

Outcome results

None listed