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Ace Report Cover

Treating Spine Pain with Multidisciplinary, Biopsychosocial Interventions or Postural Therapy

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Ace Report Cover
February 2023

Treating Spine Pain with Multidisciplinary, Biopsychosocial Interventions or Postural Therapy

Vol: 303| Issue: 2| Number:10| ISSN#: 2564-2537
Study Type:Therapy
OE Level Evidence:1
Journal Level of Evidence:1

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.

Contributing Authors:
NK Choudhry S Fifer CP Fontanet KR Archer E Sears G Bhatkhande N Haff R Ghazinouri RA Coronado BJ Schneider SW Butterworth H Deogun A Cooper E Hsu S Block CA Davidson CE Shackelford P Goyal A Milstein Investigators SPINE CARE K Crum J Scott K Marton FM Silva S Obeidalla PE Robinette M Lorenzana-DeWitt CA Bair HJ Sadun N Goldfield LM Hogewood EK Sterling C Pickney EJ Koltun-Baker A Swehla V Ravikumar S Malhotra ST Finney L Holliday KC Moolman S Coleman-Dockery IB Patel FB Angel JK Green K Mitchell MR McBean M Ghaffar SR Ermini AL Carr J MacDonald

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Synopsis

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 ...

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