The Comparative Effectiveness of a Multimodal Program Versus Exercise Alone for the Secondary Prevention of Chronic Low Back Pain and Disability

Abstract

A multimodal program is not superior to a general exercise program in influencing the process leading to chronic LBP in a population of nurses with a history of pain. The most likely explanation is a common psychological mechanism leading to improved pain interference that is irrespective of the program used. Considering the lower resources of the general exercise program, the expense for a multimodal program is not justified for the secondary prevention of LBP and disability.

The effect of a structured personalized ergonomic intervention program for hospital nurses with reported musculoskeletal pain: An assigned randomized control trial

“…Previous interventional studies have described different intervention methods including using educational models, the distribution of printed guidance material and/or coaching within the framework of "Back Schools" [11,12], or reduced stress with the use of special equipment [13][14][15][16][17]. Physical exercise programs have also been attempted to reduce musculoskeletal pain in nurses [18][19][20]. In a systematic literature review, ergonomic interventions such as improved technical performance of transfers and reduced frequency of manual lifting were found to be preferable to changing general health behaviours [21].…”

“…In a systematic literature review, ergonomic interventions such as improved technical performance of transfers and reduced frequency of manual lifting were found to be preferable to changing general health behaviours [21]. The literature also shows that an integration of the various approaches may be even more preferable [18,21,22].…”

Exercícios para tratamento de lombalgia inespecífica

“…The multimodal program was not superior to the general exercise program with stretching and strengthening for improvement of LBP. Considering the lower cost of the general exercise program, a multimodal program for secondary prevention of nonspecific LBP and disability is not justified 32 .…”

The prevention of musculoskeletal complaints: long-term effect of a work-related psychosocial coaching intervention compared to physiotherapy alone—a randomized controlled trial

“…Ewert et al 2009;Horneij et al 2001). In one study, a multimodal prevention program (containing cognitive behavioural therapy aspects and stress-reducing techniques in addition to physiotherapy) showed no superior effects regarding back, shoulder and neck pain intensity and functioning compared to a physiotherapy program alone (Ewert et al 2009). In another study, Horneij et al (2001) compared three groups of which one passed an individually designed physical training programme (group 1), the second one a work-place stress management programme (group 2) and the third one acted as a control group receiving no intervention (group 3).…”