Randomised controlled trial of integrated care to reduce disability from chronic low back pain in working and private life
BMJPublished 16 March 2010Open access
L.C. Lambeek, Willem van Mechelen, Dirk L. Knol, Patrick Loisel, Johannes R. Anema
Citations288
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TL;DR
The integrated care programme substantially reduced disability due to chronic low back pain in private and working life and improved significantly more on functional status after 12 months.
Abstract
The integrated care programme substantially reduced disability due to chronic low back pain in private and working life. Trial registration Current Controlled Trials ISRCTN28478651.
Keywords
MedicineHealth Professions
PainFear-avoidance and its consequences in chronic musculoskeletal pain: a state of the art
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SpineA Study of the Natural History of Back Pain
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Journal of Occupational Health PsychologyThe Job Content Questionnaire (JCQ): An instrument for internationally comparative assessments of psychosocial job characteristics.
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PainAssessment of chronic pain. I. Aspects of the reliability and validity of the visual analogue scale
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This study suggests that compliance, acceptance, and satisfaction related to the PE-program were good for all participants and almost half of the proposed solutions were implemented.
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Journal of Rehabilitation MedicinePhysical performance, pain, pain behavior and subjective disability in patients with subacute low back pain
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