Scandinavian journal of rehabilitation medicine
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Scand J Rehabil Med · Jan 1989
Comparative Study Clinical Trial Controlled Clinical TrialA controlled study on the outcome of inpatient and outpatient treatment of low back pain. Part I. Pain, disability, compliance, and reported treatment benefits three months after treatment.
Outcome of inpatient and outpatient treatment of low back pain was studied in 459 patients (aged 35-54 years, 63% men); 156 inpatients, 150 outpatients and 153 controls. Changes in low back pain and in disability caused by it, and adherence and accomplishment of back exercises were used as short-term outcome criteria. ⋯ There was also a significant difference in treatment gains between the inpatients and outpatients; i.e. the decrease in pain was greater and the frequency of back exercises higher in the inpatients. The inpatients also estimated their treatment benefits more positively than the outpatients.
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The aim of this 12-month follow-up study was to evaluate the effect of the Swedish-type back school in chronic low back pain. 188 subjects completed the study (95 in the treatment group and 93 in the control group). The following were assessed: 1) subjective scores of pain and disability; 2) clinical measurement and evaluation including spinal mobility and strength measurement; 3) number and length of sick-leaves. ⋯ It was concluded that patients with chronic or recurrent low back pain may get relief of subjective symptoms of low back pain from the back school. In addition to chronicity, there may be other factors affecting the outcome of treatment.
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Scand J Rehabil Med · Jan 1989
The Swedish back school in chronic low back pain. Part II. Factors predicting the outcome.
The aim of the study was to analyse the factors predicting the outcome of the Swedish back school and spontaneous recovery in chronic low back pain. The predicting variables describing the treatment group (n = 95) and the control group (n = 93) at the initiation of study included sociodemographic factors, variables related to work, severity of low back pain, and a number of clinical measurements and evaluations. The Oswestry Low Back Pain Disability Questionnaire was used for judging recovery factors. It was found that the best predictor for the outcome of the treatment and for spontaneous recovery was work satisfaction.