Chronic Back Pain: 'Back School Programme' improves short-term quality of life .
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2013;1(11):243 BMC Musculoskelet Disord. 2007 Feb 28;8:21.102 female patients suffering from chronic back pain were randomized to either an intervention group receiving a 'Back School Programme' in combination with medication, or to a control group only receiving medication. This study aimed to compare improvements in quality of life between groups. The results at 3 months indicated that the 'Back School Programme' intervention was successful in improving physical and mental health related measures, and could improve patients' quality of life.
Was the allocation sequence adequately generated?
Was allocation adequately concealed?
Blinding Treatment Providers: Was knowledge of the allocated interventions adequately prevented?
Blinding Outcome Assessors: Was knowledge of the allocated interventions adequately prevented?
Blinding Patients: Was knowledge of the allocated interventions adequately prevented?
Was loss to follow-up (missing outcome data) infrequent?
Are reports of the study free of suggestion of selective outcome reporting?
Were outcomes objective, patient-important and assessed in a manner to limit bias (ie. duplicate assessors, Independent assessors)?
Was the sample size sufficiently large to assure a balance of prognosis and sufficiently large number of outcome events?
Was investigator expertise/experience with both treatment and control techniques likely the same (ie.were criteria for surgeon participation/expertise provided)?
Oui = 1
Incertain = 0,5
Non pertinent = 0
Non = 0
L'évaluation des critères de rapport permet d'évaluer la transparence avec laquelle les auteurs rapportent les caractéristiques méthodologiques et les caractéristiques de l'essai dans la publication. L'évaluation est divisée en cinq catégories qui sont présentées ci-dessous.
1/4
Randomization
1/4
Outcome Measurements
4/4
Inclusion / Exclusion
4/4
Therapy Description
3/4
Statistics
Detsky AS, Naylor CD, O'Rourke K, McGeer AJ, L'Abbé KA. J Clin Epidemiol. 1992;45:255-65
L'indice de fragilité est un outil qui aide à l'interprétation des résultats significatifs, en fournissant une mesure de la force d'un résultat. L'indice de fragilité représente le nombre d'événements consécutifs qui doivent être ajoutés à un résultat dichotomique pour que le résultat ne soit plus significatif. Un petit nombre représente un résultat plus faible et un grand nombre un résultat plus fort.
Pourquoi cette étude était-elle nécessaire maintenant ?
Individuals with chronic back pain experience many debilitating physical disruptions, including increased pain, decreased muscle tone and overall health, as well as psychological dysfunction, and decreased social interaction. Numerous studies have been conducted to investigate possible interventions that address back pain, one of which, is the Back School Programme. It has been suggested that this programme may reduce back pain, improve function, and expedite return to work. However, there is a paucity of evidence evaluating the efficacy of this programme. This study was needed to examine how the Back School Programme affects health related quality of life measures.
Quelle était la principale question de recherche ?
Does the 'Back School Programme' intervention improve quality of life in patients suffering from chronic back pain, over a 3 month period?
- With regards to baseline data, there were no significant differences between both groups (p>0.05).
- Over the 3 month study period, the education group showed significant improvements for all subscales of the quality of life questionnaire/Short Form Health Survey (SF-36) (p<0.001).
- In the control group receiving medication, there were only significant improvements on 3 subscales: bodily pain (p=0.001), vitality (p=0.02), and mental health (p=0.04). These findings were less significant than the resulting improvements seen in the 'Back School Programme' group.
De quoi dois-je me souvenir en priorité ?
Patients participating in the 'Back School Programme' enjoyed significantly greater improvements in quality of life measures (all 8 SF-36 subscales) compared to those only receiving medication.
Comment cela affectera-t-il les soins prodigués à mes patients ?
Th results of this study indicated that both physical functioning, as well as mental health can be significantly improved with the 'Back School Programme' in patients with chronic low back pain. Further studies are needed to examine the long-term effects and to further investigate the efficacy of this education programme.
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