Cost-utility analysis of a three-month exercise programme vs. routine usual care following multidisciplinary rehabilitation for chronic low back pain

Abstract

Adding an exercise programme after functional multidisciplinary rehabilitation compared with usual care does not offer significant long-term benefits in quality of life and direct and indirect costs.

A Review of Economic Factors Related to the Delivery of Health Care for Chronic Low Back Pain

“…The 105 subjects received an additional three‐month exercise program ( N = 56) or usual care ( N = 49). In this study, the additional treatment protocol offered no advantage in cost or clinical outcomes between the groups .…”

Cost-effectiveness of exercise therapy in the treatment of non-specific neck pain and low back pain: a systematic review with meta-analysis

“…Most studies were conducted in Europe 34 35 37–39 41 43–55. One study was conducted in Switzerland,45 one study in Norway,52 three studies in Sweden,37 39 49 six studies in the Netherlands,34 35 38 46 50 53 eight studies in the UK,41 43 44 47 48 51 54 55 one study in Ghana40 and two studies in the USA 36 42…”

The efficacy of Back School on chronic low back pain of workers of a pharmaceutical company in a Tehran Suburb. COPCORD stage II study

“…21 The treatment of LBP ranges from no intervention, to analgesics, rest, exercises, and different kinds of local interventions, from manipulations, acupuncture, heat or cold and different physiotherapy modalities, to local injections (anesthetics, steroids, chemonucleolysis) and surgical interventions. [25][26][27][28][29][30][31][32][33][34] The combination of both seems to have better results than each separately. In one study 90% of patients were cured in 2 weeks 22 and in another study only 21% had completely recovered in 3 months and 25% in 12 months.…”

“…24 Among all these therapeutic methods, patient education and exercise seems to have good results. [25][26][27][28][29][30][31][32][33][34] The combination of both seems to have better results than each separately. 35 Back School (BS) is a combination of patient education and exercises.…”