• Lena Nordeman, Björn Nilsson, Margareta Möller, and Ronny Gunnarsson.
• Physiotherapy Unit, Primary Health Care, Alingsås Municipality, Sweden. lena.nordeman@vgregion.se
• Clin J Pain. 2006 Jul 1;22(6):505-11.

ObjectivesTo evaluate the effects of early access (EA) to physical therapy treatment for patients with subacute low back pain compared to access with a 4-week waiting list.DesignA prospective, randomized clinical trial.SettingPrimary health care.PatientsSixty consecutive patients with subacute low back pain.InterventionsPatients were randomized either to EA within 2 days for physical examination and individualized physical therapy treatment (n=32) or a control group with a 4-week waiting list (n=28).Outcome MeasuresSelf-administrated questionnaires were used for assessment at inclusion, at discharge, and at 6 months. Primary outcome measure was pain intensity assessed by Borg category scale for ratings of perceived pain. Secondary outcomes included the Orebro musculoskeletal pain screening questionnaire, the Roland and Morris disability questionnaire, sick-leave, visits to health care, and physical therapy.ResultsThe results showed no significant differences in pain between the groups at discharge. At 6 months, the reduction of pain was significantly greater in the EA group compared to the control group (P=0.025). Changes in secondary outcome measures were not significantly different between groups.ConclusionsThis study indicated that EA to physical therapy resulted in greater improvement in perceived pain at 6 months compared to later access. In this study, EA to physical therapy could be introduced by reorganization without additional resources.

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