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The Long-term Effect of Multidisciplinary Back Training: A Systematic Review
Abstract
In Brief Study Design. Systematic review of randomized controlled trials. Objectives. To determine the long-term effect of multidisciplinary back training on the work participation of patients with nonspecific chronic low back pain. Summary of Background Data. Chronic low back pain is influenced by multiple factors. Multidisciplinary back training represents one of the options to take this multiplicity into account. So far, only evidence of the short-term effectiveness of this approach in terms of work participation is available. Methods. Electronic databases were searched and the references of various articles were screened for relevant publications. Ten studies met the inclusion criteria. All included studies were evaluated for their methodologic quality. Results. Five of the studies had a low methodologic quality. All high-quality studies found a positive effect on at least one of the 4 outcome measures used. Based on our criteria, effectiveness was found for the outcome measures of work participation and quality of life. No effectiveness was found for experienced pain and functional status. The intensity of the intervention seems to have no substantial influence on the effectiveness of the intervention. Conclusion. In the long-term, multidisciplinary back training has a positive effect on work participation in patients with nonspecific chronic low back pain. In this survey, the long-term effectiveness of multidisciplinary back training in terms of work participation by chronic patients with low back pain was evaluated. A systematic review of randomized controlled trials was performed. A positive effect of multidisciplinary back training on work participation was found.
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“many UK hospitals struggle to provide such programmes due to the high cost and difficulties in accessing clinical psychologists working in chronic pain. 8,9”
From Introducing acceptance and commitment therapy to a physiotherapy-led pain rehabilitation programme: An action research study (2016) · cites this paper as [8]
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Chronic Low Back Pain: Definitions and Diagnosis
Zauk, J. E., & Winfree, C. J. (2013) · Springer eBooks · doi:10.1007/978-3-642-28753-4_695
Metadata
- Authors
- van Geen, J.-W., Edelaar, M. J. A., Janssen, M., & van Eijk, J. T. M.
- Affiliations
- Heliomare (NL)
- Venue
- Spine
- Published
- 2007-01
- Volume
- 32
- Issue
- 2
- Pages
- 249-255
- ISSN
- 0362-2436 (ISSN-L)
- OpenAlex
- W1987182668
- Cited by
- 104
- References
- 28
- Citations by year
- 2025: 2 · 2024: 2 · 2023: 2 · 2022: 4 · 2021: 1 · 2020: 1 · 2019: 1 · 2018: 5 · 2017: 7 · 2016: 13 · 2015: 9 · 2014: 10 · 2013: 6 · 2012: 10
- FWCI
- 0.94
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Spine (publishedVersion)
- PubMed (publishedVersion)
- VU Research Portal (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Spine and Intervertebral Disc Pathology
- Keywords
- chronic non-specific low back pain, work participation, long-term effectiveness, quality of life, pain intensity, functional status, methodological quality of trials
- MeSH terms
- Chronic Disease, Humans, Patient Care Team, Quality of Life, Rehabilitation, Vocational, Time Factors, Work, Cognitive Behavioral Therapy, Treatment Outcome, Low Back Pain, Physical Therapy Modalities
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