Advertisement for orthosearch.org.uk
Orthopaedic Proceedings Logo

Receive monthly Table of Contents alerts from Orthopaedic Proceedings

Comprehensive article alerts can be set up and managed through your account settings

View my account settings

Visit Orthopaedic Proceedings at:

Loading...

Loading...

Full Access

Spine

CLINICAL OUTCOMES OF A COMBINED PHYSICAL AND PSYCHOLOGICAL PROGRAMME IN A LARGE COHORT OF LONGSTANDING CHRONIC LOW BACK PAIN

The Society for Back Pain Research (SBPR) Annual General Meeting: ‘Spotlight on sciatica’



Abstract

Background

Combined physical and psychological (CPP) programmes are widely recommended for Chronic Low Back Pain (CLBP) patients, but not often implemented. Patients with longstanding CLBP participating in a two-week CPP programme improve in functional status and quality of life and this is maintained at two-year follow up. One-year follow-up data is available of 955 participants.

Purpose:

Evaluation of one-year follow-up outcomes of a large cohort (n=848) compared to previously published results of the first 107 patients.

Methods and Results

Pre-treatment age (43.4 years [SD8.4]), CLBP duration (12.3 years [SD10.9]), being employed (70%), and previous surgery (32%) were compared. Except for age (48.0 [SD 11.6], t=−4.0, p<0.001), no significant differences in pre-treatment characteristics were found. Primary outcome was functional status (Oswestry Disability Index [ODI;0-100]). Secondary outcomes: self-efficacy and quality of life. A Repeated Measures analysis of variance was used to identify changes over time (R2) and to compare differences between cohorts. The mean ODI score showed a similar pattern: improvement at post-treatment and maintenance of results over time (ODI df[1,848], F = 917.0, p<0.001; R2 = 0.52). Secondary outcomes showed the same pattern. Compared to previously reported results, significantly more improvement over time is shown. Half of the CLBP patients (50.1%) reached a functional status equivalent to an acceptable value (ODI ≤ 20).

Conclusion

These results demonstrate the efficacy of this CPP programme. Patients improve during the programme, have further improved at one-year follow up, and half of the patients improve such that their functional status is comparable to that of the healthy population.


Email:

Conflicts of Interest: JK O'Dowd is director of and shareholder in RealHealth

Sources of Funding: No funding obtained

The authors state that this abstract has not been previously published in whole or substantial part nor has it been presented previously at a national meeting.