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Acute back pain: a control-group comparison of behavioral versus traditional management methods
Fordyce WE, Brockway JA, Bergman JA, Spengler D
Journal of Behavioral Medicine 1986 Apr;9(2):127-140
clinical trial
4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

Back-pain patients with onset in the preceding 1 to 10 days and comparable on a back examination were randomly assigned to traditional management (A regimen) and behavioral treatment methods (B regimen). Patients were compared at 6 weeks and 9 to 12 months on a set of "Sick/Well" scores derived from patient reported vocational status (V), health-care utilization (HCU), claimed impairment (CI), and pain drawings (D) and on two measures of activity level. No differences were found at 6 weeks, but at 9 to 12 months, A-group S's were more "sick". No A/B differences were found on activity-level measures. Group A S's showed significant increases in claimed impairment from preonset to follow-up, whereas group B S's had returned at follow-up to preonset levels.

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