Low Back Pain Clinical Trial
Official title:
Early Coordinated Multidisciplinary Intervention to Prevent Sickness Absence and Labor Market Exclusion in Patients With Low Back Pain. A Randomized Controlled Trial
In Denmark the number of patients, sick listed for more than four weeks is increasing, and
patients suffering from musculoskeletal disorders make one third of the total amount of
long-term absenteeism. Compared to other diagnoses, patients suffering from musculoskeletal
diseases, including low back pain, are less likely to return to work after a period of sick
leave. It seems that a multidisciplinary intervention, including cooperation between the
health sector, the social sector and in the work place, has a positive effect on days off
work due to musculoskeletal disorders and particularly low back pain. The aim of this study
is to evaluate the effect of a work oriented multidisciplinary intervention.
A randomized controlled trial will include 770 patients with low back pain. The study
population consists of patients, who are sick listed or at risk of sick leave due to LBP.
The control group is treated with usual care in a team with participation of a
physiotherapist, a chiropractor, a rheumatologist and a local employed social worker The
Intervention group is treated with usual care and in addition intervention of a
psychologist, an occupational physician, an ergonomist and a social worker from the local
sickness benefit office. The treating physiotherapist will be the RTW-coordinator. Outcome
will be reported at the end of treatment as well as 6 and 12 months follow up. The primary
outcome is number of days of work. Secondary outcomes are disability, pain, and quality of
life.
This large RCT study is testing the effectiveness of a preventive intervention targeting
patients on short term sick leave or at risk being sick listed because of low back pain. We
have developed a novel multidisciplinary team structure using the treating physiotherapist
as the return to work coordinator, and having the case manager from the sickness benefit
office participating in team meetings.
n/a
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Factorial Assignment, Masking: Double Blind (Investigator, Outcomes Assessor), Primary Purpose: Treatment
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