BMJ  2005;331 (9 July), doi:10.1136/bmj.331.7508.0-b

Psychosocial intervention doesn't improve lumbago

A Dutch study found that a minimal intervention aimed at assessment and modification of psychosocial factors was no more effective than usual care for (sub)acute low back pain. In a cluster randomised controlled trial that included 60 general practitioners and 314 patients, Jellema and colleagues (p 84) measured functional disability, perceived recovery, and sick leave at baseline and after 6, 13, 26, and 52 weeks. None of the outcomes showed improvement in the intervention group, but the authors say that not enough studies have been done on the effectiveness of such interventions.

Credit: DAMIEN LOVEGROVE/SPL


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Relevant Article

Should treatment of (sub)acute low back pain be aimed at psychosocial prognostic factors? Cluster randomised clinical trial in general practice
Petra Jellema, Daniëlle A W M van der Windt, Henriëtte E van der Horst, Jos W R Twisk, Wim A B Stalman, and Lex M Bouter
BMJ 2005 331: 84. [Abstract] [Full Text] [PDF]




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