Intensive group training protocol versus guideline physiotherapy for patients with chronic low back pain: a randomised controlled trial

N. van der Roer, M.W. van Tulder, J. Barendse, D.L. Knol, W. van Mechelen, H.C.W. de Vet

Research output: Contribution to JournalArticleAcademicpeer-review

98 Downloads (Pure)

Abstract

Intensive group training using principles of graded activity has been proven to be effective in occupational care for workers with chronic low back pain. Objective of the study was to compare the effects of an intensive group training protocol aimed at returning to normal daily activities and guideline physiotherapy for primary care patients with non-specific chronic low back pain. The study was designed as pragmatic randomised controlled trial with a setup of 105 primary care physiotherapists in 49 practices and 114 patients with non-specific low back pain of more than 12 weeks duration participated in the study. In the intensive group training protocol exercise therapy, back school and operant-conditioning behavioural principles are combined. Patients were treated during 10 individual sessions along 20 group sessions. Usual care consisted of physiotherapy according to the Dutch guidelines for Low Back Pain. Main outcome measures were functional disability (Roland Morris disability questionnaire), pain intensity, perceived recovery and sick leave because of low back pain assessed at baseline and after 6, 13, 26 and 52 weeks. Both an intention-to-treat analysis and a per-protocol analysis were performed. Multilevel analysis did not show significant differences between both treatment groups on any outcome measures during the complete follow-up period, with one exception. After 26 weeks the protocol group showed more reduction in pain intensity than the guideline group, but this difference was absent after 52 weeks. We finally conclude that an intensive group training protocol was not more effective than usual physiotherapy for chronic low back pain. © 2008 The Author(s).
Original languageEnglish
Pages (from-to)1193-1200
JournalEuropean Spine Journal
Volume17
Issue number9
DOIs
Publication statusPublished - 2008

Fingerprint

Dive into the research topics of 'Intensive group training protocol versus guideline physiotherapy for patients with chronic low back pain: a randomised controlled trial'. Together they form a unique fingerprint.

Cite this