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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
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 TMJ dysfunction, and clinicians tend to use a multimodal approach50, 51, 52 to care including education, exercise, and MT.”
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Metadata
- 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.
- Venue
- Spine
- Published
- 2004-11
- Volume
- 29
- Issue
- 21
- Pages
- 2350-2356
- ISSN
- 0362-2436 (ISSN-L)
- 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 › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Spine and Intervertebral Disc Pathology
- Health Sciences › Medicine › Obstetrics and Gynecology › 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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