Mini-Intervention for Subacute Low Back Pain
SpinePublished 1 May 2004
Kaija Karjalainen, Antti Malmivaara, Pertti Mutanen, Risto P. Roine, Heikki Hurri, Timo Pohjolainen
Citations100
SJR quartileQ1
SJR score1.22
SNIP1.48
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Despite lack of a significant effect on intensity of low back pain and perceived disability, mini-intervention, including proper recommendations and advice, according to the “active approach,” is able to reduce LBP-related costs.
Abstract
Mini-intervention is an effective treatment for subacute LBP. Despite lack of a significant effect on intensity of low back pain and perceived disability, mini-intervention, including proper recommendations and advice, according to the "active approach," is able to reduce LBP-related costs. The perceived risk of not recovering was the strongest modifier of treatment effect. In alleviating pain, the intervention was most effective among the patients with a high perceived risk of not recovering.
Keywords
MedicineEconomics, Econometrics and Finance
Spine1987 Volvo Award in Clinical Sciences: A New Clinical Model for the Treatment of Low-Back Pain
1,240 Citations1987Gordon Waddell
Observations of natural history and epidemiology suggest that low-back pain should be a benign, self-limiting condition, that low back-disability as opposed to pain is a relatively recent Western epidemic, and that the role of medicine in that epidemic must be critically examined.
SpineOutcome Measures for Low Back Pain Research
1,202 Citations1998Richard A. Deyo, Michele C. Battié +8 more
An international group of back pain researchers considered recommendations for standardized measures in clinical outcomes research in patients with back pain and recommended a short, 6‐item questionnaire and a somewhat expanded, more precise battery of questionnaires, which would facilitate scientific advances in clinical care.
Statistics in MedicineSubgroup analysis, covariate adjustment and baseline comparisons in clinical trial reporting: current practiceand problems
1,090 Citations2002Stuart Pocock, Susan E. Assmann +2 more
This paper examines how issues of overuse and overinterpretation of subgroup analyses, inconsistencies in the use of covariate‐adjustment, and the lack of clear guidelines on covariate selection are currently tackled in the medical journals, based on a recent survey of 50 trial reports in four major journals.
SpineEvidence of Lumbar Multifidus Muscle Wasting Ipsilateral to Symptoms in Patients with Acute/Subacute Low Back Pain
920 Citations1994Julie A. Hides, María Stokes +3 more
The site of wasting in patients corresponded to the clinically determined level of symptoms in 24 of the 26 patients, but there was no correlation between the degree of asymmetry and severity of symptoms, suggesting that the mechanism of wasting was not generalized disuse atrophy or spinal reflex inhibition.
PubMedClinical guidelines for the management of low back pain in primary care: an international comparison.
690 Citations2001Bart W. Koes, Maurits W. van Tulder +3 more
The comparison of clinical guidelines for the management of low back pain showed that diagnostic and therapeutic recommendations were generally similar, but there were discrepancies for recommendations regarding exercise therapy, spinal manipulation, muscle relaxants, and patient information.
Journal of Spinal DisordersDelayed Postural Contraction of Transversus Abdominis in Low Back Pain Associated with Movement of the Lower Limb
629 Citations1998Paul W. Hodges, Carolyn A. Richardson
The temporal parameters of the response of the trunk muscles associated with movement of the lower limb were investigated in people with and without low back pain and provide evidence of a change in the postural control of the tree.
SpineStability Increase of the Lumbar Spine With Different Muscle Groups
556 Citations1995Hans‐Joachim Wilke, Steffen Wolf +3 more
Simulated muscle forces were found to strongly influence load-deformation characteristics and showed the important of including at least some of the most important muscle groups in invitro experiments in lumbar spine specimens.
Physical TherapyThe Effect of Graded Activity on Patients with Subacute Low Back Pain: A Randomized Prospective Clinical Study with an Operant-Conditioning Behavioral Approach
531 Citations1992Ingalill Lindström, Carl Öhlund +5 more
The graded activity program made the patients occupationally functional again, as measured by return to work and significantly reduced long-term sick leave.
SpineGood Prognosis for Low Back Pain When Left Untampered
423 Citations1995Aage Indahl, Laila Velund +1 more
This study indicates that low back pain treated as a benign, self limiting condition recommended to light mobilization gives superior results as compared to treatment within a conventional medical system.
SpineCan Chronic Disability Be Prevented?
295 Citations2000Steven J. Linton, Therése Andersson
It is demonstrated that a cognitive-behavior group intervention can lower the risk of a long-term disability developing, and underscores the significance of early interventions that specifically aim to prevent chronic problems.
Cochrane Database of Systematic ReviewsMultidisciplinary biopsychosocial rehabilitation for subacute low-back pain among working age adults
262 Citations2003Kaija Karjalainen, Antti Malmivaara +5 more
There was moderate scientific evidence showing that multidisciplinary rehabilitation, which includes a workplace visit or more comprehensive occupational health care intervention, helps patients to return to work faster, results in fewer sick leaves and alleviates subjective disability.
SpineMobility, Strength, and Fitness After a Graded Activity Program for Patients with Subacute Low Back Pain
221 Citations1992Ingalill Lindström, Carl Öhlund +4 more
The graded activity program proved to be a successful method of restoring occupational function and facilitating return to work in subacute low back pain patients, and was superior to only traditional care, evaluated in terms of mobility, strength and fitness.
SpineDoes Early Intervention With a Light Mobilization Program Reduce Long-Term Sick Leave for Low Back Pain?
208 Citations2000Eli Molde Hagen, Hege R. Eriksen +1 more
Early intervention with examination, information, and recommendations to stay active showed significant effects in reducing sick leave for patients with low back pain.
SpineFive-Year Follow-Up Study of a Controlled Clinical Trial Using Light Mobilization and an Informative Approach to Low Back Pain
199 Citations1998Aage Indahl, Ellen Håland Haldorsen +3 more
This study indicates that subchronic low back pain may be managed successfully with an approach that includes clinical examination combined with information for patients about the nature of the problem, provided in a manner designed to reduce fear and give them reason to resume light activity.
SpineMultidisciplinary Biopsychosocial Rehabilitation for Subacute Low Back Pain in Working-Age Adults
150 Citations2001Kaija Karjalainen, Antti Malmivaara +5 more
There is moderate evidence showing that multidisciplinary rehabilitation for subacute low back pain is effective, and that work site visit increases the effectiveness, but because the analyzed studies had some methodologic shortcomings, an obvious need still exists for high-quality trials in this field.
PainIndirect costs of back pain in the Netherlands: a comparison of the human capital method with the friction cost method
122 Citations1999Raymond Hutubessy, Maurits W. van Tulder +2 more
The results of this study show that the short-term indirect costs of back pain in 1991 in The Netherlands were more than three times as high as the indirect costs estimated by the human capital method, but the more recently developed friction cost method produced a more accurate estimate of indirect costs.
SpineMini-Intervention for Subacute Low Back Pain
114 Citations2003Kaija Karjalainen, Antti Malmivaara +8 more
Mini-intervention reduced daily back pain symptoms and sickness absence, improved adaptation to pain and patient satisfaction among patients with subacute low back pain, without increasing health care costs.
Clinical RehabilitationSystematic review of conservative interventions for subacute low back pain
111 Citations2002Heloise M Pengel, Christopher G. Maher +1 more
A major gap was identified in the evidence for interventions that are currently recommended in clinical practice guidelines for the treatment of subacute low back pain, and there is evidence that when a broader view is taken of the duration ofSubacuteLow back pain (seven days to six months), other treatments may be effective.
Scandinavian Journal of Medicine and Science in SportsExercise programs for subjects with low back disorders
33 Citations1996Esko Mälkiä, A E Ljunggren
Control studies with exercise programs have shown a positive effect on physical impairments and functional limitations for subjects with chronic low back pain, but the outcome of exercise programs has not been so positive for disability.