Treatment of low back pain: randomized clinical trial comparing a multidisciplinary group-based rehabilitation program with oral drug treatment up to 12 months

Int J Rheum Dis. 2014 Feb;17(2):159-64. doi: 10.1111/1756-185X.12116. Epub 2013 Jun 21.

Abstract

Background: This study aimed to examine the effects of a multidisciplinary treatment program on health-related quality of life of Iranian patients living with chronic low back, at 12 months follow-up.

Methods: This study is an extended follow-up of an original randomized, controlled trial with registration number NCT00600197. In the present study 87 patients in an intervention group and 91 patients in a control group were assessed at 12 months follow-up. The intervention was a group-based multidisciplinary rehabilitation program which continued by monthly motivational consultation by telephone from 6 to 12 months after intervention. Data from three standard measures, Short Form 36 (SF-36), QDS and RDQ were collected at 3, 6 and 12 months follow-up and analyzed through repeated measures analysis of variance.

Results: Despite the similarity between the two groups who completed the 6 month follow-up in terms of all baseline variables, there were significant differences between the two groups in all domains of the SF-36 scale, as well as QDS and RDQ scales (P < 0.05). Also, there were differences within each group over time in the SF-36 domains and disability measurements (P < 0.05). The physical function mean score differed significantly when the interaction between groups and time points was examined (P = 0.02).

Conclusion: This study indicates that the multidisciplinary program could improve the domains of health related quality of life and disability in chronic low back pain patients up to 12 months.

Keywords: Iran; chronic low back pain; clinical trial study; health-related quality of life; multidisciplinary treatment.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administration, Oral
  • Adult
  • Analgesics / administration & dosage*
  • Analysis of Variance
  • Chronic Pain / diagnosis
  • Chronic Pain / drug therapy*
  • Chronic Pain / rehabilitation*
  • Disability Evaluation
  • Female
  • Group Processes*
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Iran
  • Low Back Pain / diagnosis
  • Low Back Pain / drug therapy*
  • Low Back Pain / rehabilitation*
  • Male
  • Middle Aged
  • Motivation
  • Pain Management / methods*
  • Pain Measurement
  • Patient Care Team*
  • Patient Education as Topic
  • Quality of Life
  • Referral and Consultation
  • Telephone
  • Time Factors
  • Treatment Outcome

Substances

  • Analgesics

Associated data

  • ClinicalTrials.gov/NCT00600197