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1. Citation: Kamper, S. J., Apeldoorn, A. T., Chiarotto, A., Smeets, R. J., Ostelo, R. W., Guzman, J., et al. (2015). Multidisciplinary biopsychosocial rehabilitation for chronic low back pain: Cochrane systematic review and meta-analysis. BMJ (Clinical Research Ed.), 350 , h444. doi: 10.1136/bmj.h444
Keywords: biopsychosocial, rehabilitation, back pain, chronic pain
Abstract: Reviews 41 studies investigating the effects of multidisciplinary (two or more disciplines) rehabilitation that “involved a physical component and one or both of a psychological component or a social or work targeted component”. Finds 16 trials providing moderate quality evidence that multidisciplinary rehabilitation decreases pain and disability compared to usual care; 19 trials offering low quality evidence that multidisciplinary rehabilitation decreases pain and disability compared to physical treatments. Also, notes that eight trials offer moderate quality evidence that multidisciplinary rehabilitation makes return to work by one year after intervention more than physical treatments, and that seven trials offer the same level of evidence that rehabilitation is not better in return to work than usual care.
Plain Language Summary:
Multidisciplinary treatment action, medicine, therapy for back pain

Review go over, check question

Is treatment action, medicine, therapy involving a team of therapists from several many different clinical work, studies, a medical setting that involves patients professions helpful for people with long-term for a long time, over a long period of time back pain?

Background

Low back pain (LBP) is a condition a medical problem, a disease, an illness that causes a great deal of pain and suffering across the world and also accounts for large costs to society due to healthcare spending and missed work. Previous research has shown that LBP that has persisted for several many months or years is often associated with psychological and social problems. Multidisciplinary treatments target physical body, bodily, real as well as psychological and social aspects of LBP and involve a team of healthcare providers with different professional backgrounds and training.

Study characteristics

We collected all the published studies up to February 2014; there were 41 studies (with 6858 participants) that compared multidisciplinary treatment action, medicine, therapy to other treatments. Most studies compared a multidisciplinary treatment action, medicine, therapy to usual care (such as care by a general practitioner) or to treatments that only addressed physical body, bodily, real factors (such as exercise or physiotherapy). All the people in the studies had LBP for more than three months and most had received some other sort of treatment action, medicine, therapy previously.

Key results

There was moderate medium, mild, controllable quality evidence that multidisciplinary treatment action, medicine, therapy results in larger improvements in pain and daily function than usual care or treatments aimed only at physical body, bodily, real factors. The difference was not very large, about 1 point on a 10 point scale for pain, but this may be important for people whose symptoms have not responded to other treatments. There was also moderate medium, mild, controllable evidence that multidisciplinary treatment action, medicine, therapy doubled the likelihood that people were able to work in the next 6 to 12 months compared to treatments aimed at physical body, bodily, real factors.

While these programs seem to be more effective works well, good, strong than alternatives, the effects needs to be balanced with their costs in terms of money, resources and time. Multidisciplinary treatment action, medicine, therapy programs are often quite intensive and expensive, so they are probably most appropriate take, take over, a good fit, proper, right for people with quite severe strong, serious, harmful, dangerous, very bad or complex problems.

Link to Full Text:https://www.ncbi.nlm.nih.gov/pubmed/25180773
http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD000963.pub3/abstract
Record Updated:2017-02-24
 

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