Low Back Pain
Conditions
Keywords
low back pain, lumbar pain
Brief summary
The purpose of the study is to determent whether there is a difference between two types of treatments in physiotherapy (individual vs group) for patients with low back pain (LBP), in terms of their sensation of how they have been helped and their treatments' outcomes measures. The study hypothesizes are: a) Based on the results of literature review which does not reveal a clear difference between group and individual treatments' outcomes for LBP, it is hypothesized that no difference will be found in treatment results for the two types of group treatments in the present study also, b) The assumption is that different distribution of therapeutic factors will be found in the two types of treatments (individual, group), C) Patients' sensation of how they have been helped will be connected to treatment results.
Detailed description
200 patients with LBP looking for physiotherapy treatment in 15 clinics at Maccabi Healthcare Service in Israel will be recruited. (100 after competion individual therapy, 100 after competion of group therapy). As part of the regular routine in these clinics, patients will be asked to fill the LFSQ, a questionnaire which deals with their back functional status, their level of pain and fear avoidance of physical activity before and after treatment. In the present study, patients will be asked to fill the LFSQ again, 6 months after treatment completion. In two weeks from treatment completion, patients will be interviewed on the telephone. The interview will focuse on their sensation of how they have been helped. It will include an open-ended question and 18 closed questions. The main study variables will include: participants' perception of functional status, level pain, level of fear avoidance of physical activity, patient-therapist bonding, and helpful therapeutic impacts (client's sense of how she or he has been helped).
Interventions
None listed
Sponsors
Maccabi Healthcare Services, Israel
Bait Balev Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Low back pain, * 18 years old and older * Hebrew speakers , who filled the LFSQ (Lumbar Functional Status Questionnaire) at first visit * Agreed to participate in this study
Exclusion criteria
* Pregnant * After back or hip operation in the last year * Back problem from non- orthopedic origin
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| lumbar functional status | at first and last visit and after 6 months | participants are asked to fill the LFSQ - lumbar functional status questionnaire before and after tretment completion and after 6 months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| patients' perception on how they have been helped | in two weeks after the last visit | data for this outcome measure will be collected through a telephone interview |
Other
| Measure | Time frame | Description |
|---|---|---|
| level of pain = NRPS | before and after treatment and after 6 months | self perception of patients' level of pain will be collected through the NRPSQ=numeric rate pain scale questionnaire |
| fear avoidance beliefs = FABS | before and after last treatment and after 6 months | FABS Questionnaire will be used to assess the level of fear of physical activity |
Countries
Israel
Outcome results
None listed