Chronic Low Back Pain Rehabilitation in Primary Care: an RCT

Maastricht University Medical Centre (MUMC)

Status: Completed

Conditions: Musculoskeletal Pain; Chronic Pain; Low Back Pain

Treatments: Other: Back on Track intervention; Other: Primary care as usual

Study type: Interventional

Funder types: Other

Identifiers

NCT02220543

14-3-019

Details and patient eligibility

About

The aim of this study is to evaluate the effectiveness and cost-effectiveness of a new primary care intervention "Back on Track" as compared to usual primary care in patients with non-specific chronic low back pain in which disability levels are moderate and the role of psychosocial factors to this disability is at maximum low (classified as WPN2).

Enrollment: 25 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Chronic low back pain; defined as pain between scapulae and gluteal region, whether or not with radiation towards one or both legs, present for at least three months.
• Presence of contributing social and psychological factors, however not complex (WPN2 classification)
• Age between 18 and 65 year
• Sufficient knowledge of the Dutch language
• Acceptance towards the biopsychosocial approach instead of biomedical approach

Exclusion criteria

• Chronic low back pain attributable to e.g. infection, tumour, osteoporosis, fracture, structural deformation, inflammatory process, radicular syndrome or cauda equina syndrome
• Pregnancy
• Any suspicion of an (underlying) psychiatric disease, for which psychiatric treatment is better suited, according to the expert opinion of the consultant in rehabilitation medicine.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

---

25 participants in 2 patient groups

Back on Track intervention

Experimental group

Description:

Back on Track intervention is a biopsychosocial primary care intervention

Treatment:

Other: Back on Track intervention

Other: Primary care as usual

Primary care as usual

Active Comparator group

Description:

Primary care as usual comprises maximally 12 individual regular physical therapy sessions for a maximum of 8 weeks.

Treatment:

Other: Back on Track intervention

Other: Primary care as usual