Multidisciplinary biopsychosocial rehabilitation for subacute low-back pain among working age adults

Karjalainen, Kaija; Malmivaara, Antti; Tulder, Maurits W. van; Roine, Risto P.; Jauhiainen, Merja; Hurri, Heikki; Koes, B.W.

doi:10.1002/14651858.cd002193

Cited by 193 publications

(115 citation statements)

References 26 publications

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“…[59] Two low quality RCTs investigated the use of manual massage as a treatment for acute nonspecific low back pain. In both studies massage was the control intervention in evaluating spinal manipulation.…”

Section: Evidence T11mentioning

confidence: 99%

Chapter 3 European guidelines for the management of acute nonspecific low back pain in primary care

Tulder¹,

Becker²,

Bekkering³

et al. 2006

Eur Spine J

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740

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Section: Evidence T11mentioning

confidence: 99%

Chapter 3 European guidelines for the management of acute nonspecific low back pain in primary care

Tulder¹,

Becker²,

Bekkering³

et al. 2006

Eur Spine J

Self Cite

1,147

740

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“…To help these people, multidisciplinary chronic pain rehabilitation programs have been designed, including cognitive behavioral therapy, exercise therapy, and occupational therapy [2][3][4][5]. An important goal of these programs is to enable people to reduce disability or to regain independence and improve quality of life in the presence of chronic pain [6][7][8]. Quality of life and functioning are two important concepts with many definitions.…”

Section: Introductionmentioning

confidence: 99%

Canadian Occupational Performance Measure performance scale: Validity and responsiveness in chronic pain

et al. 2014

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Abstract-The construct validity and construct responsiveness of the performance scale of the Canadian Occupational Performance Measure (COPM) was measured in 87 newly admitted patients with chronic pain attending an outpatient rehabilitation clinic. At admission and after 12 wk, patients completed a COPM interview, the Pain Disability Index (PDI), and the RAND 36-Item Health Survey (RAND-36). We determined the construct validity of the COPM by correlations between the COPM performance scale (COPM-P), the PDI, and the RAND-36 at admission. Construct responsiveness was assessed by calculating the correlations between the change scores (n = 57). The COPM-P did not significantly correlate with the PDI (r = 0.260) or with any subscale of the RAND-36 (r = 0.007 to 0.248). Only a moderate correlation was found between change scores of the COPM-P and PDI (r = 0.380) and weak to moderate correlations were found between change scores of the COPM-P and the RAND-36 (r = 0.031 to 0.388), with the higher correlations for the physical functioning, social functioning, and role limitations (physical) subscales. In patients with chronic pain attending our rehabilitation program, the COPM-P measures something different than the RAND-36 or PDI. Therefore, construct validity of the COPM-P was not confirmed by our data. We were not able to find support for the COPM-P to detect changes in occupational performance.

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“…These programmes aim to improve functional restoration and promote return to work. Various studies showed advantage of a biopsychosocial approach compared to an isolated biomedical approach [5,6]. However, to our knowledge there has been no study investigating to what extent the biopsychosocial approach is superior to a psychosocial approach in patients with chronic NSLBP non-specific low back pain.…”

mentioning

confidence: 99%

Comparison of risk factors predicting return to work between patients with subacute and chronic non-specific low back pain: systematic review

et al. 2009

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The objective of the study was to provide an inventory of predictive instruments and their constituting parameters associated with return to work in patients with subacute (2-10 weeks pain duration) and chronic (10-24 weeks pain duration) non-specific low back pain (NSLBP). Data sources included systematic review in Medline, Embase, Cinahl, Central, PEDro, Psyndex, PsychInfo/PsycLit, and Sociofile up to September 2008, in reference lists of systematic reviews on risk factors, and of included studies. For the systematic review, two reviewers independently assessed study eligibility and quality, and extracted data. Disagreements were resolved by consensus. Risk factors were inventorised and grouped into a somatic and psychosocial domain. 23 studies reporting on subacute and 16 studies reporting on chronic patients were included. The studies on subacute patients reported on a total of 56 biomedical factors out of which 35 (63%) were modifiable and 61 psychosocial factors out of which 51 (84%) were modifiable. The corresponding values in studies on chronic patients were 44 biomedical [27 (62%) modifiable] and 61 [40 (66%) modifiable] respectively. Our data suggest that the interdisciplinary approach in patients at risk to develop persistent NSLBP is justified in both, the subacute and chronic disease stages. Psychosocial interventions might be more effective in subacute stages since a higher proportion of modifiable risk factors were identified in that group.

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Multidisciplinary biopsychosocial rehabilitation for subacute low-back pain among working age adults

Cited by 193 publications

References 26 publications

Chapter 3 European guidelines for the management of acute nonspecific low back pain in primary care

Chapter 3 European guidelines for the management of acute nonspecific low back pain in primary care

Canadian Occupational Performance Measure performance scale: Validity and responsiveness in chronic pain

Comparison of risk factors predicting return to work between patients with subacute and chronic non-specific low back pain: systematic review

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