Low back pain Musculoskeletal Diseases Dorsalgia
Conditions
Interventions
As this was a pragmatic trial the physiotherapists were permitted to use whatever form of treatment considered appropriate following individualised assessment
i.e. advice/education, manual therapy, exercise therapy, electrotherapy, cognitive behavioural therapy, multidisciplinary team management.
Total duration of treatment:
There was no limit on the tota
Sponsors
Health Research Board (HRB) (Ireland)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Male or female 2. Aged 18 to 65 years 3. Low back pain defined as pain radiation into the buttock and/or one or both lower limbs for at least 3 weeks 4. Referral by a general practitioner for physiotherapy treatment of low back pain
Exclusion criteria
Exclusion criteria: 1. Reflex and/or motor signs of nerve root, spinal cord or cauda equina compression as urgent surgical opinion is required for these patients 2. Recent spinal fracture as clinical outcomes are likely to be different and some treatment approaches may be contraindicated due to recent fracture, e.g. spinal manipulation 3. Physiotherapy for LBP in the previous 12 months as clinical outcomes are likely to be different with possible carry over effect of previous treatment 4. Medicolegal proceedings as clinical outcomes are likely to be different 5. History of psychological/psychiatric illness due to potential negative influence on patient outcomes 6. Lack of fluency in English which may limit patients? ability to complete questionnaires
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Roland Morris Disability Questionnaire, measured at 3, 6 and 12 months post-randomisation. | — |
Secondary
| Measure | Time frame |
|---|---|
| All measured at 3, 6 and 12 months post-randomisation: 1. 36-item Short Form health survey (version 2) 2. Fear Avoidance Beliefs Questionnaire 3. Back Beliefs Questionnaire 4. Euroqol Questionnaire 5. Patient Satisfaction with Outpatient Satisfaction Survey 6. Global Perceived Improvement Scale | — |
Countries
Ireland
Outcome results
None listed