Interprofessional Biopsychosocial Rehabilitation to Optimize Inpatient Multidisciplinary Orthopedic Rehabilitation for Chronic Low Back Pain
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Low Back Pain
- Sponsor
- University of Erlangen-Nürnberg
- Enrollment
- 536
- Locations
- 4
- Primary Endpoint
- Change from Baseline in Hannover Functional Ability Questionnaire (FFbH-R) at 12 months
- Status
- Completed
- Last Updated
- 10 years ago
Overview
Brief Summary
The primary aim of the study is to analyse the long-term effectiveness of an interprofessional and interdisciplinary rehabilitation program named "PASTOR", with a biopsychosocial approach for participants with chronic non-specific low back pain (CLBP) compared to the standard inpatient multidisciplinary orthopaedic rehabilitation (MOR) in Germany. The investigators hypothesize that in adults with CLBP the rehabilitation program PASTOR would result in a significantly higher increase in functional ability 12 months after completion of the program in comparison to the standard inpatient MOR. The investigators further hypothesize that PASTOR would lead to significantly larger improvements regarding pain-related cognitions, pain coping strategies, physical activity, health-related quality of life, and back pain episodes compared to the standard inpatient MOR.
Investigators
Prof. Dr. Klaus Pfeifer
Prof. Dr.
University of Erlangen-Nürnberg
Eligibility Criteria
Inclusion Criteria
- •M51.2 Other specified intervertebral disc displacement
- •M51.3 Other specified intervertebral disc degeneration
- •M51.4 Schmorl's nodes
- •M51.8 Other specified intervertebral disc disorders
- •M51.9 Intervertebral disc disorder, unspecified
- •M53.8 Other specified dorsopathies
- •M53.9 dorsopathy, unspecified
- •M54.4 Lumbago with sciatica
- •M54.5 Low back pain
- •M54.6 Pain in thoracic spine
Exclusion Criteria
- •age below 18 years or over 65 years
- •specific underlying diagnosis of back pain (e. g. radicular symptoms, myelopathy)
- •considerably reduced health status (e.g. comorbidity)
- •considerably reduced sight and hearing (not corrected)
- •severe psychiatric condition as secondary diagnosis
- •inability to speak German
- •current application for early retirement or invalidity pension (§51 SG V - german law)
Outcomes
Primary Outcomes
Change from Baseline in Hannover Functional Ability Questionnaire (FFbH-R) at 12 months
Time Frame: baseline, one year
The FFbH-R consists of twelve items with a three-stage answering scale (2=yes; 1=yes, but with difficulty; 0=no, or only with assistance). The summary score describes the low back pain associated functional ability in activities of daily living (e.g. "Can you wash and dry yourself from head to toe?") in adults on a scale of 0% (minimum functional ability) to 100% (maximum functional ability). Kohlmann Th \& Raspe H (1996). Der Funktionsfragebogen Hannover zur alltagsnahen Diagnostik der Funktionsbeeinträchtigung durch Rückenschmerzen (FFbH-R). Die Rehabilitation, 34, I-VIII.
Secondary Outcomes
- Pain Management Questionnaire (FESV)(baseline, three weeks, one year)
- Freiburg Questionnaire of physical activity (FFkA)(baseline, one year)
- Health-related Quality of Life (SF-12)(baseline, three weeks, one year)
- Numerical rating scale (NRS)(baseline, three weeks, one year)
- Change from Baseline in Hannover Functional Ability Questionnaire (FFbH-R) at 3 weeks(baseline, three weeks)
- Avoidance-Endurance Questionnaire (AEQ)(baseline, three weeks, one year)