Education With Therapeutic Alliance Did Not Improve Symptoms in Patients With Chronic Low Back Pain and Low Risk of Poor Prognosis Compared to Education Without Therapeutic Alliance: A Randomized Controlled Trial.

The Journal of Orthopaedic and Sports Physical Therapy
Gisela Cristiane MiyamotoCristina Maria Nunes Cabral

Abstract

To compare the effectiveness of an education intervention with or without the addition of the therapeutic alliance to no education intervention in patients with nonspecific chronic low back pain (LBP) and low risk of poor prognosis. Randomized controlled trial. Randomization was performed using randomly generated numbers. Two hundred twenty-two patients with nonspecific chronic LBP and low risk of poor prognosis from 2 university physical therapy services in Taubaté, Brazil were randomized into 3 groups: education plus therapeutic alliance, education only, and no education. Primary outcomes were pain (measured with the numeric pain-rating scale) and patient-specific disability (measured with the Patient-Specific Functional Scale), assessed 1 month after randomization. The patients, therapists, and assessors were not blinded due to the nature of the intervention and self-reported outcomes. Patients were recruited between November 2015 and February 2017. There was a loss of 17 (7.6%) follow-up assessments at 1 month, 28 (12.6%) at 6 months, and 31 (13.9%) at 12 months after randomization, and intention-to-treat analyses were conducted. There were no significant differences in pain between groups. However, there was a significant ...Continue Reading

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Citations

Oct 2, 2021·The Journal of Orthopaedic and Sports Physical Therapy·Gisela Cristiane MiyamotoCristina Maria Nunes Cabral
Oct 2, 2021·The Journal of Orthopaedic and Sports Physical Therapy·Edel T O'HaganG Lorimer Moseley

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