Evaluating relapse prophylaxis in addition to interdisciplinary multimodal pain therapy for back pain: a randomised controlled trial
Objective: This study aimed to evaluate the effectiveness of a 12-month relapse prophylaxis following a 4-week interdisciplinary multimodal pain therapy approach for patients with back pain. The study examined whether the intervention reduced days of incapacity to work (primary outcome) and improved...
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| Format: | Article |
| Language: | English |
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Medical Journals Sweden
2025-08-01
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| Series: | Journal of Rehabilitation Medicine |
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| Online Access: | https://medicaljournalssweden.se/jrm/article/view/42088 |
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| author | Julia Schmetsdorf Kathrin Krüger Jacqueline Posselt Runde Werner Hans-Georg Zechel Thomas Kohlmann Christian Krauth |
| author_facet | Julia Schmetsdorf Kathrin Krüger Jacqueline Posselt Runde Werner Hans-Georg Zechel Thomas Kohlmann Christian Krauth |
| author_sort | Julia Schmetsdorf |
| collection | DOAJ |
| description | Objective: This study aimed to evaluate the effectiveness of a 12-month relapse prophylaxis following a 4-week interdisciplinary multimodal pain therapy approach for patients with back pain. The study examined whether the intervention reduced days of incapacity to work (primary outcome) and improved functional capacity and health-related quality of life (secondary outcomes) compared with interdisciplinary multimodal pain therapy alone.
Design: A randomized controlled trial was conducted. The recruitment period was 24 months.
Subjects/Patients: The study comprised 297 employed patients from a rural region in north-west Germany, diagnosed with back pain in different regions of the spine.
Methods: The analyses were based on quantitative data: claims data and questionnaire data.
Results: The results showed a mean of 70.07 days of incapacity to work after the interdisciplinary multimodal pain therapy for the control group and a lower mean of 56.41 days for the intervention group. The group difference was not significant (p = 0.259). Analysis of change scores revealed statistically significant larger improvements of functional capacity and health-related quality of life in the intervention group.
Conclusion: Findings of this study show improvements in the secondary outcomes. The results indicate that further studies are needed to determine how to sustainably reduce days off work due to back pain.
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| format | Article |
| id | doaj-art-52bde08fa51646ec83d1e111b32601d2 |
| institution | Kabale University |
| issn | 1651-2081 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Medical Journals Sweden |
| record_format | Article |
| series | Journal of Rehabilitation Medicine |
| spelling | doaj-art-52bde08fa51646ec83d1e111b32601d22025-08-20T12:36:21ZengMedical Journals SwedenJournal of Rehabilitation Medicine1651-20812025-08-015710.2340/jrm.v57.42088Evaluating relapse prophylaxis in addition to interdisciplinary multimodal pain therapy for back pain: a randomised controlled trialJulia Schmetsdorf0Kathrin Krüger1Jacqueline Posselt2Runde Werner3Hans-Georg Zechel4Thomas Kohlmann5Christian Krauth6Hannover Medical School, Institute for Epidemiology, Social Medicine, and Health Systems Research, Hannover, Germany; Centre for Health Economics Research Hannover (CHERH), Hannover, GermanyHannover Medical School, Institute for Epidemiology, Social Medicine, and Health Systems Research, Hannover, Germany; Centre for Health Economics Research Hannover (CHERH), Hannover, GermanyHannover Medical School, Institute for Epidemiology, Social Medicine, and Health Systems Research, Hannover, Germany; AOK Niedersachsen, Hannover, GermanyRehabilitation Centre, Outpatient department for orthopedic rehabilitation, Bad Zwischenahn, GermanyRehabilitation Centre, Outpatient department for orthopedic rehabilitation, Bad Zwischenahn, GermanyUniversity of Greifswald, Institute for Community Medicine, Greifswald, GermanyHannover Medical School, Institute for Epidemiology, Social Medicine, and Health Systems Research, Hannover, Germany; Centre for Health Economics Research Hannover (CHERH), Hannover, GermanyObjective: This study aimed to evaluate the effectiveness of a 12-month relapse prophylaxis following a 4-week interdisciplinary multimodal pain therapy approach for patients with back pain. The study examined whether the intervention reduced days of incapacity to work (primary outcome) and improved functional capacity and health-related quality of life (secondary outcomes) compared with interdisciplinary multimodal pain therapy alone. Design: A randomized controlled trial was conducted. The recruitment period was 24 months. Subjects/Patients: The study comprised 297 employed patients from a rural region in north-west Germany, diagnosed with back pain in different regions of the spine. Methods: The analyses were based on quantitative data: claims data and questionnaire data. Results: The results showed a mean of 70.07 days of incapacity to work after the interdisciplinary multimodal pain therapy for the control group and a lower mean of 56.41 days for the intervention group. The group difference was not significant (p = 0.259). Analysis of change scores revealed statistically significant larger improvements of functional capacity and health-related quality of life in the intervention group. Conclusion: Findings of this study show improvements in the secondary outcomes. The results indicate that further studies are needed to determine how to sustainably reduce days off work due to back pain. https://medicaljournalssweden.se/jrm/article/view/42088back painpain managementhealth-related quality of life (HRQOL)Randomized Controlled Trials as TopicrehabilitationSecondary Prevention |
| spellingShingle | Julia Schmetsdorf Kathrin Krüger Jacqueline Posselt Runde Werner Hans-Georg Zechel Thomas Kohlmann Christian Krauth Evaluating relapse prophylaxis in addition to interdisciplinary multimodal pain therapy for back pain: a randomised controlled trial Journal of Rehabilitation Medicine back pain pain management health-related quality of life (HRQOL) Randomized Controlled Trials as Topic rehabilitation Secondary Prevention |
| title | Evaluating relapse prophylaxis in addition to interdisciplinary multimodal pain therapy for back pain: a randomised controlled trial |
| title_full | Evaluating relapse prophylaxis in addition to interdisciplinary multimodal pain therapy for back pain: a randomised controlled trial |
| title_fullStr | Evaluating relapse prophylaxis in addition to interdisciplinary multimodal pain therapy for back pain: a randomised controlled trial |
| title_full_unstemmed | Evaluating relapse prophylaxis in addition to interdisciplinary multimodal pain therapy for back pain: a randomised controlled trial |
| title_short | Evaluating relapse prophylaxis in addition to interdisciplinary multimodal pain therapy for back pain: a randomised controlled trial |
| title_sort | evaluating relapse prophylaxis in addition to interdisciplinary multimodal pain therapy for back pain a randomised controlled trial |
| topic | back pain pain management health-related quality of life (HRQOL) Randomized Controlled Trials as Topic rehabilitation Secondary Prevention |
| url | https://medicaljournalssweden.se/jrm/article/view/42088 |
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