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A controlled study on the outcome of inpatient and outpatient treatment of low back pain. Part I. pain, disability, compliance, and reported treatment benefits three months after treatment
Harkapaa K, Jarvikoski A, Mellin G, Hurri H
Scandinavian Journal of Rehabilitation Medicine 1989;21(2):81-89
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: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: No. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

Outcome of inpatient and outpatient treatment of low back pain was studied in 459 patients (aged 35 to 54 years, 63% men); 156 inpatients, 150 outpatients and 153 controls. Changes in low back pain and in disability caused by it, and adherence and accomplishment of back exercises were used as short-term outcome criteria. The overall results showed a significant decrease in pain and disability and better compliance in the two treated groups when compared to the controls. There was also a significant difference in treatment gains between the inpatients and outpatients; ie, the decrease in pain was greater and the frequency of back exercises higher in the inpatients. The inpatients also estimated their treatment benefits more positively than the outpatients.

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