Early Physical Therapy vs Usual Care in Patients With Recent-Onset Low Back Pain: A Randomized Clinical Trial

This report has been verified by one or more authors of the original publication.

この研究はハイインパクトの可能性があります。 OEのAI駆動型ハイインパクト指標は、論文が掲載されたジャーナルと論文自体の科学的内容の両方からのシグナルを統合することで、論文が持つ可能性の高い影響力を推定します。 最先端の自然言語処理を用いて開発されたOEハイインパクトモデルは、ジャーナルのインパクトファクターのみよりも、研究の将来の引用実績をより正確に予測します。 これにより、臨床的に意義のある研究をより早く認識することが可能になり、読者は将来の診療を形成する可能性が最も高い論文に集中することができます。

220 patients with low back pain for less than 16 days were randomly assigned to receive either early physical therapy (EPT) or usual care for the management of their low back pain. The purpose of this study was to determine whether early physical therapy consisting of exercise and manipulation was advantageous over usual care in improving disability, measured via Oswestry Disability Index (ODI) scores. Significantly greater improvement in ODI disability scores among patients treated with EPT was observed at 3 months compared to those treated with only usual care, though failed to reach the defined minimum clinically important difference. Patients in the EPT group also demonstrated improvements in EQ-5D overall health scores, Pain Catastrophizing Scores and fear-avoidance beliefs for work when compared to those in the usual care group, while showing no significant improvements in pain severity, fear-avoidance beliefs for physical activity or health care utilization.