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| Managing psychosocial contributors in low back pain patients -- a randomised controlled trial |
| Lee W-YA, Lee W-CE, Law S-W, Lau W-KA, Leung S-M, Sieh K-M, Luk F-YS, Law K-YR |
| Journal of Orthopaedics, Trauma and Rehabilitation 2013 Jun;17(1):46-51 |
| clinical trial |
| 6/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
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INTRODUCTION: The efficacy of integrated physiotherapy work rehabilitation program to occupational non-specific low back pain (NSLBP) patients triaged by Orebro Musculoskeletal Pain Questionnaire (OMPQ) for psychosocial risks was investigated. METHODS: 47 subjects were recruited and randomly allocated to either the integrated physiotherapy group or the conventional group. Red flags signs were screened out. The range of the age of the patients was between 18 and 55. They either had history injuries at work or were on sick leave upon recruitment with moderate psychosocial risk. RESULTS: Statistics was performed on an intention-to-treat analysis. At discharge, the patients of integrated physiotherapy group displayed significant improvement of work recovery expectation, pain self-efficacy, overall subjective progress and satisfaction in comparison with the conventional group (p < 0.05). Both groups demonstrated significant improvement of all outcome measures except the recovery expectation showed no difference in the conventional group. CONCLUSION: The work related treatment components of integrated physiotherapy group adopted a cognitive behavioral approach may contribute to better improvement.
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