A randomized controlled trial on the effectiveness of a classification-based system for subacute and chronic low back pain

Spine
Adri T ApeldoornHenrica C W de Vet

Abstract

A randomized controlled trial. To assess the effectiveness of Delitto's classification-based treatment approach compared with usual physical therapy care in patients with subacute or chronic low back pain. No trial has evaluated this approach in patients with subacute and chronic low back pain. Before randomization, all patients were classified by research physical therapists according to a modified version of Delitto's classification-based system. Randomization was computer-generated, with centralized allocation concealment. The statistician and the physical therapists were unblinded. Patients and assistants who collected follow-up questionnaires were blinded. Follow-up assessments were completed at 8, 26, and 52 weeks. The primary analysis was performed according to the intention-to-treat principle, using multilevel analysis. The main outcomes were global perceived effect, disability (Oswestry Disability Index, 0-100), and pain intensity (Numerical Rating Scale, 0-10). Secondary outcomes were quality of life, fear-avoidance beliefs, and psychosocial status. RESULTS.: A total of 156 patients were included (classification-based group, n = 74; usual physical therapy group, n = 82). There were no statistically significant differe...Continue Reading

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Citations

Jan 20, 2012·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Adri T ApeldoornMaurits W van Tulder
Dec 10, 2013·Best Practice & Research. Clinical Rheumatology·Nadine E FosterMark Hancock
Mar 26, 2014·The Spine Journal : Official Journal of the North American Spine Society·Sharon M HenryJanice Y Bunn
Sep 25, 2012·Journal of Vascular and Interventional Radiology : JVIR·Thomas LehnertJoern O Balzer
Jan 28, 2016·The Journal of Orthopaedic and Sports Physical Therapy·Adri T ApeldoornRaymond W Ostelo
Aug 26, 2016·The Journal of Manual & Manipulative Therapy·Adri T ApeldoornHenrica C W de Vet
Jan 15, 2014·The Journal of Manual & Manipulative Therapy·Heidi OjhaPatricia Crane
May 27, 2015·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Nicholas A CooperKathleen A Sluka
Aug 29, 2014·Journal of Occupational Rehabilitation·Ivan A SteenstraSheilah Hogg-Johnson
Jul 2, 2016·The Journal of Orthopaedic and Sports Physical Therapy·Tasha R Stanton
Jul 11, 2016·Journal of Clinical Epidemiology·Rosalie GorterJos Twisk
May 17, 2019·The Journal of Orthopaedic and Sports Physical Therapy·Jacek CholewickiJohn M Popovich
May 2, 2015·Physical Therapy·Neil E O'ConnellRobert D Herbert
Aug 11, 2017·BMC Musculoskeletal Disorders·Anne Molgaard NielsenAlice Kongsted
Feb 20, 2018·The Journal of Manual & Manipulative Therapy·Isadora Orlando de OliveiraDébora Bevilaqua Grossi
Sep 16, 2017·Journal of Geriatric Physical Therapy·Seth Peterson, Thomas Denninger
Nov 2, 2021·The Journal of Orthopaedic and Sports Physical Therapy·Steven Z GeorgeKatherine S Norman

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