Treating Spine Pain with Multidisciplinary, Biopsychosocial Interventions or Postural Therapy .
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Effect of a Biopsychosocial Intervention or Postural Therapy on Disability and Health Care Spending Among Patients With Acute and Subacute Spine Pain: The SPINE CARE Randomized Clinical Trial
JAMA. 2022 Dec 20;328(23): 2334-2344.2971 patients with acute or sub-acute neck/back pain were included in this cluster-randomized, open-label clinical trial comparing a risk-stratified, multidisciplinary intervention (ICE care model; n=829) and an individualized postural therapy (IPT; n=1150) to usual care (n=992). The primary outcomes of interest included the improvement from baseline in Oswestry Disability Index (ODI) scores at 3 months, and the total spine-related healthcare spending. The results found both ICE and IPT interventions provided significantly greater improvements in ODI scores vs. usual care. The IPT intervention was, however, significantly more expensive than usual care at 1 year, with no difference between ICE and usual care observed.
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