• Der Schmerz · Aug 2019

    Comparative Study

    [Treatment for chronic back pain? : Active multimodal, interdisciplinary pain therapy vs. physiotherapy-physical therapy for chronic back pain].

    • C Oratsch, W Pipam, M Köstenberger, G Apich, and R Likar.
    • Klinikum Klagenfurt am Wörthersee, Feschnigstraße 11, 9020, Klagenfurt am Wörthersee, Österreich. christoph.oratsch@kabeg.at.
    • Schmerz. 2019 Aug 1; 33 (4): 337-346.

    BackgroundIn industrialized countries, chronic back pain is referred to as the "number one common disease".ObjectivesAre there any indications of different outcomes of chronic back pain patients when treated with a multimodal, interdisciplinary pain therapy (MMSTh) compared to physiotherapy-physical therapy?Materials And MethodsEntrance and final examination by means of survey, questionnaires and physical tests in the intervention and control group, evaluation and comparison of the results.ResultsThe intervention group showed very significant improvements in all tests. In contrast, the control group achieved only partial improvements in physical parameters and quality of life. This resulted in clear group differences in favor of the MMSTh. In terms of patient satisfaction, the control group showed a better result than the intervention group.ConclusionsTreatment with MMSTh is superior to standard physiotherapy-physical. Due to the extensive, proven positive effect on many pain-causing and pain-preserving factors, multimodal pain centers should be used more frequently in chronic back pain patients.

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