التفاصيل البيبلوغرافية
| العنوان: |
Feasibility of a multidisciplinary group videoconferencing approach for chronic low back pain: a randomized, open-label, controlled, pilot clinical trial (EN-FORMA) |
| المؤلفون: |
Garreta-Catala, Iago, Planas-Balagué, Rosa, Abouzari, Reza, Carnaval, Thiago, Nolla, Joan M., Videla, Sebastián, Agulló-Ferré, José-Luis, Calvis-Garcia, Paula, Carmezim, João, Company-Llimona, Anna, Fernandez-Mariscal, Esmeralda, Fernandez-Solana, Coral, Figuerola-Batista, Montserrat, Gerique-Fornas, Neus, Grifell-Martín, Encarna, Gutierrez-Jimenez, Nuria, Mariano-Martin, Nuria, Mas-Garriga, Xavier, Otero-Gonzalez, Aurema, Soler-Soto, Sandra, Tebé, Cristian, Vázquez-Ventura, Teresa, Vázquez-Vera, Carlota, Vicent-Porquet, Ramón |
| المصدر: |
BMC Musculoskeletal Disorders ; volume 24, issue 1 ; ISSN 1471-2474 |
| بيانات النشر: |
Springer Science and Business Media LLC |
| سنة النشر: |
2023 |
| مصطلحات موضوعية: |
Orthopedics and Sports Medicine, Rheumatology |
| الوصف: |
Background Low back pain is a common condition that becomes even more prevalent with aging. A non-pharmacological multidisciplinary approach for chronic non-specific low back pain (CNSLBP) has been recommended, but integrating different healthcare professionals is challenging. A multidisciplinary group videoconferencing approach (MGVA) can be helpful. Our aim was to provide evidence on MGVA's feasibility in managing CNSLBP and its impact on clinical practice. Methods We conducted an open-label, randomized, controlled, parallel-group pilot clinical trial with CNSLBP patients irresponsive to conservative treatment. Patients between 18 and 67 years of age were randomly assigned (1:1) to either Standard-of-Care + MGVA (experimental group) or Standard-of-Care alone (control group). MGVA consisted of integrated sessions for physical rehabilitation/physiotherapy, psychology, and social work treatments. The control group received standard clinical practice treatment. The feasibility was assessed by the number of study procedures completed to at least 80% as planned. The impact on clinical practice was evaluated by the number of patients who changed their status from "candidate" to "non-candidate" to low back surgery as the treatment of choice for CNSLBP. The SF–36, Oswestry Disability Index, and TMMS–24 questionnaires were used. We performed a whole population-based descriptive analysis. Results We included 20 patients, but only 18 were randomized (2 withdrew consent before randomization). The mean (SD) age was 53.1 (5.9) years, and mostly women (13/18); 7 were actively employed. In the experimental group, 6/9 (67%, 95%CI:35–88%) patients attended at least 80% of the scheduled procedures, while in the control group, 8/9 (89%, 95%CI:57–98%) did. Additionally, 1 out of 4 (25%) patients in the experimental group changed their status from "candidate" for low back surgery to "non-candidate". None of the 2 patients in the control group did so. We found differences between groups in the SF-36 mental health component ( ... |
| نوع الوثيقة: |
article in journal/newspaper |
| اللغة: |
English |
| DOI: |
10.1186/s12891-023-06763-6 |
| DOI: |
10.1186/s12891-023-06763-6.pdf |
| DOI: |
10.1186/s12891-023-06763-6/fulltext.html |
| الإتاحة: |
https://doi.org/10.1186/s12891-023-06763-6Test |
| حقوق: |
https://creativecommons.org/licenses/by/4.0Test ; https://creativecommons.org/licenses/by/4.0Test |
| رقم الانضمام: |
edsbas.1A6527EF |
| قاعدة البيانات: |
BASE |
