Early Intervention for the Management of Acute Low Back Pain: A Single-Blind Randomized Controlled Trial of Biopsychosocial Education, Manual Therapy, and Exercise

Wand, Benedict M.; Bird, Christien; McAuley, James H.; Doré, Caroline J.; MacDowell, Maureen; De Souza, Lorraine H.

doi:10.1097/01.brs.0000143619.34308.b4

Cited by 148Musculoskeletal pain and rehabilitationSpine and Intervertebral Disc PathologyPregnancy-related medical research

Early Intervention for the Management of Acute Low Back Pain: A Single-Blind Randomized Controlled Trial of Biopsychosocial Education, Manual Therapy, and Exercise

Wand, Benedict M., Bird, Christien, McAuley, James H., Doré, Caroline J., MacDowell, Maureen, De Souza, Lorraine H.·2004·Spine

DOI 10.1097/01.brs.0000143619.34308.b4

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Abstract

Study design A single blind randomized controlled trial comparing two models of care for patients with acute simple low back pain. Objectives To compare two research-based models of care for acute low back pain and investigate the effect of the timing of physical intervention. Summary of background data National guidelines offer conflicting information on the delivery of physical treatment in the management of acute low back pain. The guidelines suggest two different models of care. Direct comparisons between these models are lacking in the literature. The present study aims to compare these approaches to the management of acute low back pain. Methods Among 804 referred patients, 102 subjects met the specific admission criteria and were randomly assigned to an "assess/advise/treat" group or an "assess/advise/wait" group. The intervention consisted of biopsychosocial education, manual therapy, and exercise. Assessment of short-term outcome enables comparison to be made between intervention and advice to stay active. Assessment of long-term outcome enables comparison to be made between early and late intervention. Study outcomes of reported pain (Visual Analogue Scale), functional disability (the Roland and Morris Disability Questionnaire), mood (Modified Zung Self Rated Depression Score, Modified Somatic Perception Questionnaire, State-Trait Anxiety Inventory), general health (Euroqol), and quality of life (Short Form 36) were assessed at baseline, 6 weeks, 3 months, and 6 mon…

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There is currently no standardized treatment approach for temporomandibular joint dysfunction, and clinicians tend to use a multimodal approach including education, exercise, and manual therapy.
“There is currently no standardized treatment approach for TMJ dysfunction, and clinicians tend to use a multimodal approach50, 51, 52 to care including education, exercise, and MT.”
From The Effect of Upper Cervical Mobilization/Manipulation on Temporomandibular Joint Pain, Maximal Mouth Opening, and Pressure Pain Thresholds: A Systematic Review and Meta-Analysis (2023) · cites this paper as [52]

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Early intervention for the management of acute low back pain: A single blind randomised controlled trial of biopsychosocial education, manual therapy and exercise
Wand, B. M., Bird, C., McAuley, J. H., Doré, C. J., MacDowell, M., & De Souza, L. H. (2004) · ResearchOnline@ND (The University of Notre Dame)
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Developing, testing and refining a physiotherapy model of care for acute low back pain
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Early intervention for the management of acute low back pain - A single-blind randomized controlled trial of biopsychosocial education, manual therapy, and exercise
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Early Intervention Options for Acute Low Back Pain Patients: A Prospective One-Year Follow-Up Study
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Authors: Wand, B. M., Bird, C., McAuley, J. H., Doré, C. J., MacDowell, M., & De Souza, L. H.
Affiliations: The University of Notre Dame Australia (AU)
Central Middlesex Hospital (GB)
The University of Sydney (AU)
MRC Clinical Trials Unit at UCL (GB)
Corresponding author: Wand, Benedict M.
ORCID: Wand, Benedict M.
McAuley, James H.
Doré, Caroline J.
Venue: Spine
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2004-11
Volume: 29
Issue: 21
Pages: 2350-2356
ISSN: 0362-2436 (ISSN-L)
DOI: 10.1097/01.brs.0000143619.34308.b4
OpenAlex: W2167865926
Cited by: 148
References: 31
Citations by year: 2025: 5 · 2024: 4 · 2023: 1 · 2022: 13 · 2021: 4 · 2020: 7 · 2019: 3 · 2018: 4 · 2017: 5 · 2016: 8 · 2015: 8 · 2014: 8 · 2013: 6 · 2012: 10
FWCI: 3.64
Type: journal article
Language: en
Open access: closed
Locations: Spine (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Pathology and Forensic Medicine › Spine and Intervertebral Disc Pathology
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Pregnancy-related medical research
Keywords: acute low back pain, early intervention, models of care, manual therapy, exercise therapy, treatment timing, functional disability, pain, mood, quality of life, psychosocial outcomes
MeSH terms: Adult, Combined Modality Therapy, Counseling, Depression, Disability Evaluation, Exercise Therapy, Female, Follow-Up Studies, Humans, Male, Models, Theoretical, Motor Activity, Pain Measurement, Patient Education as Topic, Psychology, Quality of Life, Teaching Materials, Time Factors, Single-Blind Method, Treatment Outcome, Low Back Pain, Manipulation, Spinal

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Early Intervention for the Management of Acute Low Back Pain: A Single-Blind Randomized Controlled Trial of Biopsychosocial Education, Manual Therapy, and Exercise

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