Articles: back-pain.
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Ned Tijdschr Geneeskd · Nov 2000
Comparative Study[Multidisplinary approach to chronic back pain: postrehabilitation resumption of work the same 3-4 years later as after 6 months].
To determine the results of a multidisciplinary programme for people with chronic back pain 3 to 4 years post-programme. ⋯ The percentage of people who permanently returned to work following the multidisciplinary approach to chronic back pain, remained stable over a period of 3 to 4 years. The results were comparable to those obtained at 6 months post-programme.
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Randomized Controlled Trial Clinical Trial
A randomized trial of a cognitive-behavioral program for enhancing back pain self care in a primary care setting.
Back pain is a significant health care problem that has been managed unsatisfactorily in primary care settings. Providers typically address medical issues but do not adequately address patient concerns or functional limitations related to back pain. We evaluated a brief intervention for primary care back pain patients designed to provide accurate information about back pain, instill attitudes favorable towards self care, reduce fears and worries, assist patients in developing personalized action plans to manage their back pain, and improve functional outcomes. ⋯ The control group received usual care supplemented by a book on back pain care. Participants assigned to the Self Care intervention showed significantly greater reductions in back-related worry and fear-avoidance beliefs than the control group. Modest, but statistically significant, effects on pain ratings and interference with activities were also observed.