Neck Pain Clinical Trial
Official title:
The Long-term Effect of an Outpatient Intervention Program With a Behavioral Therapy Approach in Patients With Chronic Back or Neck Pain With a Focus on Psychosocial Aspects
To investigated whether an ambulant intervention program with a behavioral therapy approach would exert a long-term effect on chronic unspecific back or neck pain. Specifically, the effect on patients with pronounced fear avoidance behavior and/or with psychosocial limitations was addressed.
BACKGROUND: Sustained success of ambulant intervention programs consisting of individual and
group physiotherapy in patients with with chronic unspecific back or neck pain (cBP) has not
been conclusively proven. It's still not clear whether one can achieve such success by
devoting greater attention to psychosocial factors.
OBJECTIVE: We investigated whether an ambulant intervention program with a behavioral
therapy approach would exert a long-term effect on cBP. Specifically, the effect on patients
with pronounced fear avoidance behavior and/or with psychosocial limitations was addressed.
DESIGN: Prospective, randomized controlled trial
SETTINGS, INTERVENTION: 64 patients were assigned to intervention group (IG) and 57 to
control group (CG). All were examined, informed about cBP, and were encouraged to stay
active and perform exercises according to specific instructions provided in a neck- or
back-book. The IG received 9 units of physiotherapy and 2 units of occupational therapy,
conducted with a behavioral therapy approach. Efficacy of treatment was evaluated after 6
and 58 weeks.
MEASUREMENTS: Pain (VAS), quantity of painkillers consumed, sick leave days,
Oswestry-Disability-Index (ODI), SF-36, FABQ.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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