Classification algorithm for low back pain.

Completed

Conditions: 1. Low back pain
<br />2. classification algorithm
<br />3. clinical prediction rule.(NLD: Lage rugklachten
classificatie algoritme
predictie regel).

Registration Number: NL-OMON23039

Lead Sponsor: EMGO Institue, VU University Medical Centre

Brief Summary: Apeldoorn AT, Ostelo RW, van Helvoirt H, Fritz JM, de Vet HC, van Tulder MW. The cost-effectiveness of a treatment-based classification system for low back pain: design of a randomised controlled trial and economic evaluation. BMC Musculoskelet Disord 2010;11:58. Apeldoorn AT, Ostelo RW, van Helvoirt H, Fritz JM, Knol DL, van Tulder MW, de Vet HCW. A randomized controlled trial on the effectiveness of a classification-based system for sub-acute and chronic low back pain in primary care. Spine 2012;37:1347-56. Apeldoorn AT, Bosmans JE, Ostelo RW, de Vet HCW, van Tulder MW. Cost-effectiveness of a classification-based treatment system for sub-acute and chronic low back pain in primary care. Eur Spine J 2012;21:1290-300.

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: Not specified

Target Recruitment: 150

Inclusion Criteria

Patients are included if they suffer non-specific LBP for more than 6 weeks and attend a physiotherapist or manual therapist (with or without a GP referral). Non specific LBP is defined as pain and discomfort, localized below the costal margin and above the inferior gluteal folds, with or without leg pain, not caused by specific patho-physiological disorders (e.g. hernia nuclei pulposi, fracture or tumor).

Exclusion Criteria

Acute LBP less than 6 weeks, specific LBP (eg. osteoporosis, cauda equina syndrome, etc); pregnancy.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
An international expert panel recommended a core set for LBP (Bombardier 2000) using patient reported outcomes for pain, function, global recovery and return to work. In line with this the following validated outcome measures are used: global perceived recovery (7-point scale), functional status (Oswestry Disability Index (ODI)), and pain intensity (11-point NRS). All are measured by means of patient self report, that is, questionnaires.

Secondary Outcome Measures

Name	Time	Method
General health (SF-36) and psychosocial outcome measures are also measured.<br>Also health care costs, patient and family costs, and production losses are included.