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Treatment of low back pain: randomized clinical trial comparing a multidisciplinary group‐based rehabilitation program with oral drug treatment up to 12 months
Author(s) -
Tavafian Sedigheh Sadat,
Jamshidi Ahmad Reza,
Mohammad Kazem
Publication year - 2014
Publication title -
international journal of rheumatic diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.795
H-Index - 41
eISSN - 1756-185X
pISSN - 1756-1841
DOI - 10.1111/1756-185x.12116
Subject(s) - medicine , physical therapy , randomized controlled trial , quality of life (healthcare) , rehabilitation , multidisciplinary approach , repeated measures design , low back pain , clinical trial , analysis of variance , intervention (counseling) , alternative medicine , nursing , social science , statistics , mathematics , pathology , sociology
Background This study aimed to examine the effects of a multidisciplinary treatment program on health‐related quality of life of Iranian patients living with chronic low back, at 12 months follow‐up. Methods This study is an extended follow‐up of an original randomized, controlled trial with registration number NCT 00600197. In the present study 87 patients in an intervention group and 91 patients in a control group were assessed at 12 months follow‐up. The intervention was a group‐based multidisciplinary rehabilitation program which continued by monthly motivational consultation by telephone from 6 to 12 months after intervention. Data from three standard measures, S hort F orm 36 ( SF ‐36), QDS and RDQ were collected at 3, 6 and 12 months follow‐up and analyzed through repeated measures analysis of variance. Results Despite the similarity between the two groups who completed the 6 month follow‐up in terms of all baseline variables, there were significant differences between the two groups in all domains of the SF ‐36 scale, as well as QDS and RDQ scales ( P < 0.05). Also, there were differences within each group over time in the SF ‐36 domains and disability measurements ( P < 0.05). The physical function mean score differed significantly when the interaction between groups and time points was examined ( P = 0.02). Conclusion This study indicates that the multidisciplinary program could improve the domains of health related quality of life and disability in chronic low back pain patients up to 12 months.