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Early access to physical therapy treatment for subacute low back pain in primary health care: a prospective randomized clinical trial.
Clin J Pain. 2006 Jul-Aug; 22(6):505-11.CJ

Abstract

OBJECTIVES

To evaluate the effects of early access (EA) to physical therapy treatment for patients with subacute low back pain compared to access with a 4-week waiting list.

DESIGN

A prospective, randomized clinical trial.

SETTING

Primary health care.

PATIENTS

Sixty consecutive patients with subacute low back pain.

INTERVENTIONS

Patients were randomized either to EA within 2 days for physical examination and individualized physical therapy treatment (n=32) or a control group with a 4-week waiting list (n=28).

OUTCOME MEASURES

Self-administrated questionnaires were used for assessment at inclusion, at discharge, and at 6 months. Primary outcome measure was pain intensity assessed by Borg category scale for ratings of perceived pain. Secondary outcomes included the Orebro musculoskeletal pain screening questionnaire, the Roland and Morris disability questionnaire, sick-leave, visits to health care, and physical therapy.

RESULTS

The results showed no significant differences in pain between the groups at discharge. At 6 months, the reduction of pain was significantly greater in the EA group compared to the control group (P=0.025). Changes in secondary outcome measures were not significantly different between groups.

CONCLUSIONS

This study indicated that EA to physical therapy resulted in greater improvement in perceived pain at 6 months compared to later access. In this study, EA to physical therapy could be introduced by reorganization without additional resources.

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Authors+Show Affiliations

Nordeman L
Physiotherapy Unit, Primary Health Care, Alingsås Municipality, Sweden. lena.nordeman@vgregion.se
Nilsson B
No affiliation info available
Möller M
No affiliation info available
Gunnarsson R
No affiliation info available

MeSH

AdolescentAdultAgedDisability EvaluationFemaleFollow-Up StudiesHumansLow Back PainMaleMiddle AgedPain MeasurementPatient SatisfactionPhysical Therapy ModalitiesPrimary Health CareProspective StudiesStatistics, NonparametricSurveys and QuestionnairesTime FactorsTreatment Outcome

Pub Type(s)

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

Language

eng

PubMed ID

16788335

Citation

Nordeman, Lena, et al. "Early Access to Physical Therapy Treatment for Subacute Low Back Pain in Primary Health Care: a Prospective Randomized Clinical Trial." The Clinical Journal of Pain, vol. 22, no. 6, 2006, pp. 505-11.
Nordeman L, Nilsson B, Möller M, et al. Early access to physical therapy treatment for subacute low back pain in primary health care: a prospective randomized clinical trial. Clin J Pain. 2006;22(6):505-11.
Nordeman, L., Nilsson, B., Möller, M., & Gunnarsson, R. (2006). Early access to physical therapy treatment for subacute low back pain in primary health care: a prospective randomized clinical trial. The Clinical Journal of Pain, 22(6), 505-11.
Nordeman L, et al. Early Access to Physical Therapy Treatment for Subacute Low Back Pain in Primary Health Care: a Prospective Randomized Clinical Trial. Clin J Pain. 2006 Jul-Aug;22(6):505-11. PubMed PMID: 16788335.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Early access to physical therapy treatment for subacute low back pain in primary health care: a prospective randomized clinical trial. AU - Nordeman,Lena, AU - Nilsson,Björn, AU - Möller,Margareta, AU - Gunnarsson,Ronny, PY - 2006/6/22/pubmed PY - 2006/8/26/medline PY - 2006/6/22/entrez SP - 505 EP - 11 JF - The Clinical journal of pain JO - Clin J Pain VL - 22 IS - 6 N2 - OBJECTIVES: To evaluate the effects of early access (EA) to physical therapy treatment for patients with subacute low back pain compared to access with a 4-week waiting list. DESIGN: A prospective, randomized clinical trial. SETTING: Primary health care. PATIENTS: Sixty consecutive patients with subacute low back pain. INTERVENTIONS: Patients were randomized either to EA within 2 days for physical examination and individualized physical therapy treatment (n=32) or a control group with a 4-week waiting list (n=28). OUTCOME MEASURES: Self-administrated questionnaires were used for assessment at inclusion, at discharge, and at 6 months. Primary outcome measure was pain intensity assessed by Borg category scale for ratings of perceived pain. Secondary outcomes included the Orebro musculoskeletal pain screening questionnaire, the Roland and Morris disability questionnaire, sick-leave, visits to health care, and physical therapy. RESULTS: The results showed no significant differences in pain between the groups at discharge. At 6 months, the reduction of pain was significantly greater in the EA group compared to the control group (P=0.025). Changes in secondary outcome measures were not significantly different between groups. CONCLUSIONS: This study indicated that EA to physical therapy resulted in greater improvement in perceived pain at 6 months compared to later access. In this study, EA to physical therapy could be introduced by reorganization without additional resources. SN - 0749-8047 UR - https://www.unboundmedicine.com/medline/citation/16788335/Early_access_to_physical_therapy_treatment_for_subacute_low_back_pain_in_primary_health_care:_a_prospective_randomized_clinical_trial_ L2 - https://doi.org/10.1097/01.ajp.0000210696.46250.0d DB - PRIME DP - Unbound Medicine ER -