Managing Psychosocial Contributors in Low Back Pain Patients—A Randomised Controlled Trial

Introduction: The efficacy of integrated physiotherapy work rehabilitation program to occupational non-specific low back pain (NSLBP) patients triaged by Orebro Musculoskeletal Pain Questionnaire (OMPQ) for psychosocial risks was investigated. Methods: 47 subjects were recruited and randomly allocat...

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Bibliographic Details
Published in:	Journal of orthopaedics, trauma and rehabilitation Vol. 17; no. 1; pp. 46 - 51
Main Authors:	Wing-Yan Angela Lee, Wai-Chi Edwin Lee, Sheung-Wai Law, Wing-Keung Anthony Lau, Siu-Man Leung, Koon-Man Sieh, Fung-Yin Stephanie Luk, Ka-Yee Rainbow Law
Format:	Journal Article
Language:	English
Published:	SAGE Publishing 01-06-2013
Subjects:	nonspecific low back pain Orebro Musculoskeletal Pain Questionnaire OMPQ physiotherapy recovery expectations work rehabilitation
Online Access:	Get full text
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Summary:	Introduction: The efficacy of integrated physiotherapy work rehabilitation program to occupational non-specific low back pain (NSLBP) patients triaged by Orebro Musculoskeletal Pain Questionnaire (OMPQ) for psychosocial risks was investigated. Methods: 47 subjects were recruited and randomly allocated to either the integrated physiotherapy group or the conventional group. Red flags signs were screened out. The range of the age of the patients was between 18 and 55. They either had history injuries at work or were on sick leave upon recruitment with moderate psychosocial risk. Results: Statistics was performed on an intention-to-treat analysis. At discharge, the patients of integrated physiotherapy group displayed significant improvement of work recovery expectation, pain self-efficacy, overall subjective progress and satisfaction in comparison with the conventional group (p < 0.05). Both groups demonstrated significant improvement of all outcome measures except the recovery expectation showed no difference in the conventional group. Conclusion: The work related treatment components of integrated physiotherapy group adopted a cognitive behavioral approach may contribute to better improvement.
ISSN:	2210-4917
DOI:	10.1016/j.jotr.2012.12.002