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Treatment of low back pain: First extended follow up of an original trial ( NCT 00600197) comparing a multidisciplinary group‐based rehabilitation program with oral drug treatment alone up to 24 months
Author(s) -
Tavafian Sedigheh Sadat,
Jamshidi Ahmad Reza,
Shay Barbara
Publication year - 2017
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.12468
Subject(s) - medicine , rehabilitation , physical therapy , quality of life (healthcare) , multidisciplinary approach , intervention (counseling) , repeated measures design , randomized controlled trial , clinical trial , mental health , low back pain , treatment and control groups , alternative medicine , psychiatry , nursing , social science , statistics , mathematics , pathology , sociology
Background This study aimed to examine the effects of the extended follow‐up of an original trial ( NCT 00600197) which has been published in The Clinical Journal of Pain . Methods Eighty‐three percent (165 of 197) of the original study, including 82 patients in intervention and 83 patients in the control group, provided extended 24‐month follow‐up data. The intervention was a group‐based multidisciplinary rehabilitation program which was continued by monthly motivational consultation. Data on measures of Short Form 36 ( SF ‐36), Quebec Disability Scale ( QDS ) and Ronald Morris Disability ( RDQ ) were collected at 12‐, 18‐ and 24‐month follow‐ups and analyzed through repeated measures analysis of variance. Results The patients who responded ( n = 165) and who did not respond ( n = 32) to the questionnaires were the same in terms of all baseline data except for physical function which was better for respondents ( P < 0.05). Among the respondents, both intervention and control groups were the same at baseline except for education level and mental health which was better in the intervention group ( P < 0.05). As a result, the intervention group had consistently better outcomes regarding all variables except for social function at all follow‐up times. Furthermore, in the intervention group only for mental health the interaction between time and group was significant ( P = 0.01). Discussion The designed multidisciplinary program could improve health‐related quality of life and disability up to 24 months in chronic low back pain patients.