TY - JOUR
T1 - Differences in outcome of a multidisciplinary treatment between subgroups of chronic low back pain patients defined using two multiaxial instruments: the Multidimensional Pain inventory and lumbar dynamometry
AU - Vollenbroek-Hutten, Miriam Marie Rosé
AU - Hermens, Hermanus J.
AU - Wever, Daniel
AU - Gorter, Michiel
AU - Rinket, Joost
AU - IJzerman, Maarten Joost
PY - 2004
Y1 - 2004
N2 - Objective: To investigate the effects of a multidisciplinary back school programme (Roessingh Back Rehabilitation Programme, RRP) compared with usual care, as well as differences in treatment outcome between subgroups defined using two multiaxial assessment instruments: the Multidimensional Pain Inventory (MPI-DLV) and lumbar dynamometry.
Design: Randomized controlled trial.
Setting: Rehabilitation.
Subjects: One hundred and sixty-three patients with chronic, aspecific low back pain.
Intervention: All subjects were randomly assigned either to a multidisciplinary, physically oriented group treatment or to their usual care.
Main outcome measures: The Roland Disability Questionnaire and health-related quality of life (EuroQol, EQ5-D) were measured as primary outcomes before randomization and after eight weeks and six months follow-up.
Result: Only 30-50% of the patients in the RRP group showed improvement and this number is not significantly different from the control group. Subgroup analyses give some first indications that multiaxial measurement instruments can be used to identify subgroups with differences in treatment effects.
Conclusion: The overall effect of a multidisciplinary treatment is disappointing, however multiaxial assessment before admission might be valuable in clinical practice, resulting in more effective treatments for patients with chronic low back pain
AB - Objective: To investigate the effects of a multidisciplinary back school programme (Roessingh Back Rehabilitation Programme, RRP) compared with usual care, as well as differences in treatment outcome between subgroups defined using two multiaxial assessment instruments: the Multidimensional Pain Inventory (MPI-DLV) and lumbar dynamometry.
Design: Randomized controlled trial.
Setting: Rehabilitation.
Subjects: One hundred and sixty-three patients with chronic, aspecific low back pain.
Intervention: All subjects were randomly assigned either to a multidisciplinary, physically oriented group treatment or to their usual care.
Main outcome measures: The Roland Disability Questionnaire and health-related quality of life (EuroQol, EQ5-D) were measured as primary outcomes before randomization and after eight weeks and six months follow-up.
Result: Only 30-50% of the patients in the RRP group showed improvement and this number is not significantly different from the control group. Subgroup analyses give some first indications that multiaxial measurement instruments can be used to identify subgroups with differences in treatment effects.
Conclusion: The overall effect of a multidisciplinary treatment is disappointing, however multiaxial assessment before admission might be valuable in clinical practice, resulting in more effective treatments for patients with chronic low back pain
KW - METIS-219392
KW - IR-77115
U2 - 10.1191/0269215504cr772oa
DO - 10.1191/0269215504cr772oa
M3 - Article
VL - 18
SP - 566
EP - 579
JO - Clinical rehabilitation
JF - Clinical rehabilitation
SN - 0269-2155
IS - 5
ER -