Early intervention options for acute low back pain patients: a randomized clinical trial with one-year follow-up outcomes.
Introduction In an earlier study, Gatchel et al. (J Occup Rehabil 13:1-9, 2003) demonstrated that participants at high risk for developing chronic low back pain disability (CLBPD), who received a biopsychosocial early intervention treatment program, displayed significantly more symptom improvement,...
| Publicado en: | Journal of Occupational Rehabilitation Vol. 20; no. 2; pp. 256 - 264 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Springer Nature
Jun2010
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105038096&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105038096 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10530487 JOR jtl: Journal of Occupational Rehabilitation issn: 10530487 maglogo: N pubinfo: dt: Jun2010 vid: 20 iid: 2 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 105038096 2010696073 10.1007/s10926-010-9238-4 NLM20369277 105038096 ppf: 256 ppct: 8 formats: fmt: @attributes: type: P tig: atl: Early intervention options for acute low back pain patients: a randomized clinical trial with one-year follow-up outcomes. aug: au: Whitfill T Haggard R Bierner SM Pransky G Hassett RG Gatchel RJ affil: Division of Clinical Psychology, The University of Texas Southwestern Medical Center at Dallas, Dallas USA sug: subj: Behavior Therapy Early Intervention Job Re-Entry Low Back Pain Rehabilitation Physical Therapy Adult Chi Square Test Clinical Assessment Tools Randomized Controlled Trials Combined Modality Therapy Data Analysis Software DSM Female Fisher's Exact Test Funding Source Human Male One-Way Analysis of Variance Outcome Assessment Paired T-Tests Psychological Tests Questionnaires Scales Short Form-36 Health Survey (SF-36) T-Tests Ways of Coping Questionnaire Adult: 19-44 years Female Male ab: Introduction In an earlier study, Gatchel et al. (J Occup Rehabil 13:1-9, 2003) demonstrated that participants at high risk for developing chronic low back pain disability (CLBPD), who received a biopsychosocial early intervention treatment program, displayed significantly more symptom improvement, as well as cost savings, relative to participants receiving standard care. The purpose of the present study was to expand on these results by examining whether the addition of a work-transition component would further strengthen the effectiveness of this early intervention treatment. Methods Using an existing algorithm, participants were identified as being high-risk (HR) or low-risk (LR) for developing CLBPD. HR participants were then randomly assigned to one of three groups: early intervention (EI); early intervention with work transition (EI/WT); or standard care (SC). Participants provided information regarding pain, disability, work status, and psychosocial functioning at baseline, periodically during treatment, and again 1 year following completion of treatment. Results At 1-year follow-up, no significant differences were found between the EI and EI/WT groups in terms of occupational status, self-reports of pain and disability, coping ability or psychosocial functioning. However, significant differences in all these outcomes were found comparing these groups to standard care. Conclusion The addition of a work transition component to an early intervention program for the treatment of ALBP did not significantly contribute to improved work outcomes. However, results further support the effectiveness of early intervention for high-risk ALBP patients. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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