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)?
Sì = 1
Incerto = 0,5
Non rilevante = 0
No = 0
La valutazione dei criteri di segnalazione valuta la trasparenza con cui gli autori riportano le caratteristiche metodologiche e sperimentali dello studio all'interno della pubblicazione. La valutazione è suddivisa in cinque categorie che vengono presentate di seguito.
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 di Fragilità è uno strumento che aiuta l'interpretazione dei risultati significativi, fornendo una misura della forza di un risultato. L'Indice di Fragilità rappresenta il numero di eventi consecutivi che devono essere aggiunti a un risultato dicotomico per rendere il risultato non più significativo. Un numero piccolo rappresenta un risultato più debole, mentre un numero grande rappresenta un risultato più forte.
Perché questo studio era necessario ora?
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.
Qual era la domanda di ricerca principale?
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.
Che cosa devo ricordare di più?
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.
Come influenzerà l'assistenza ai miei pazienti?
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.
DISCLAIMER
Il contenuto di questa pagina è solo a scopo informativo e non intende sostituire la consulenza, la diagnosi o il trattamento medico professionale. Se ha bisogno di cure mediche, si rivolga sempre al suo medico o al pronto soccorso più vicino. Le opinioni, le convinzioni e i punti di vista espressi dalle persone sui contenuti presenti in questa pagina non riflettono le opinioni, le convinzioni e i punti di vista di OrthoEvidence.
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