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A randomized trial of behavioral physical therapy interventions for acute and sub-acute low back pain (NCT00373867).


ABSTRACT: Psychological factors consistent with fear-avoidance models are associated with the development of chronic low back pain (LBP). As a result, graded activity (GA) and graded exposure (GX) have been suggested as behavioral treatment options. This clinical trial compared the effectiveness of treatment-based classification (TBC) physical therapy alone to TBC augmented with GA or GX for patients with acute and sub-acute LBP. Our primary hypothesis was that GX would be most effective for those with elevated pain-related fear. In total, 108 patients enrolled in this clinical trial and were randomly assigned to receive TBC, GA, or GX. Outcomes were assessed by a blinded evaluator at 4 weeks and by mail at 6 months. The primary outcomes for this trial were disability and pain intensity, and the sec

SUBMITTER: George SZ 

PROVIDER: S-EPMC2596955 | biostudies-literature | 2008 Nov

REPOSITORIES: biostudies-literature