Disability and rehabilitation
-
Randomized Controlled Trial
A randomized trial comparing a group exercise programme for back pain patients with individual physiotherapy in a severely deprived area.
To compare a group exercise programme known as the Back to Fitness programme with individual physiotherapy for patients with non-specific low back pain from a materially deprived area. ⋯ There were no statistically significant differences in change scores between groups on the primary outcome measure at three months (CI - 2.24 to 0.49) and at 12 months (CI - 1.68 to 1.39). Only minor improvements in disability scores were observed in the Back to Fitness group at three months and 12 months respectively (mean change scores; - 0.89, - 0.77) and in the individual physiotherapy arm (mean change scores; - 0.02, - 0.63). Further analysis showed that patients from the most severely deprived areas were marginally worse at three month follow-up whereas those from more affluent areas tended to improve (CI 0.43 to 3.15).
-
The aim of the study was to evaluate which factors are associated with the use of healthcare a long time after severe burn injury. ⋯ A routine screening of personality traits as a supplement to long-term follow-ups may help in identifying the patient's need for care.