Acute low back pain Musculoskeletal Diseases Back pain
Conditions
Interventions
1. A brief pain management programme with no 'hands on' physiotherapy but focusing on education to change behaviour and attitudes, in addition to exercises to increase fitness.
2. A course of "hands
Sponsors
Keele University (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Aged 18 - 64 years inclusive 2. Acute episode of low back pain of less than 12 weeks duration 3. First or second consultation with general practitioner (GP) 4. Able to give written informed consent
Exclusion criteria
Exclusion criteria: 1. On long term sick leave for low back pain 2. Already seen by other health care professional (e.g. physio) for this episode of back pain prior to randomisation 3. Diagnosis of osteoporosis or inflammatory arthritis 4. Systemic steroid therapy for more than three months duration 5. Pregnancy 6. Undergoing current treatment for cancer 7. Terminal illness 8. Previous hip or back surgery or fracture 9. Abdominal surgery within the last three months 10. Roland and Morris Disability Questionnaire score (primary outcome measure) less than 2
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome was change in self-reported back pain related disability at 12 months as measured on the Roland and Morris Disability Questionnaire. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Participants? global assessment of change compared with baseline 2. Pain location (body chart) 3. Rating of pain severity (visual analogue scale [VAS]) and pain nature (short form McGill pain questionnaire) 4. Psychological distress (the distress and risk assessment method [DRAM]) 5. Fear of movement (Tampa scale of kinesiophobia), coping strategies (coping strategies questionnaire) 6. Satisfaction with treatment (VAS) 7. Days off work since start of current episode 8. Co-interventions (health care utilisation and medication usage) | — |
Countries
United Kingdom
Outcome results
None listed