Physical Therapy Referral From Primary Care for Acute Back Pain With Sciatica : A Randomized Controlled Trial

この研究はインパクトが大きい可能性があると判断されました。 OEのAIによる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、論文の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でき、読者は将来の診療を形成する可能性が最も高い論文に焦点を当てることができます。

研究概要

Two hundred twenty adults with acute sciatica of less than 90 days’ duration were randomized to receive either usual care (UC) (n=110) or early physical therapy (EPT) (n=110). The primary outcome was disability improvement measured by the Oswestry Disability Index (ODI) at 6 months. Secondary outcomes included pain intensity, patient-reported treatment success, healthcare utilization, and missed workdays, assessed at 4 weeks, 6 months, and 1 year. Overall, the study found that EPT led to greater improvement in disability compared to UC at 6 months and at 1 year . Patients in the EPT group were also more likely to report treatment success at 1 year. No significant differences were found in healthcare utilization or missed workdays. These findings suggest that early physical therapy referral improves disability and self-reported success in managing acute sciatica.