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Original Study

Multidisciplinary treatment for chronic low back pain: a randomized, prospective study

Ane F. Bendix, MD, Tom Bendix, MD, DMSc, Keld Vægter, MD, Christine Lund, PT, Lone Frølund, PhD and Lillian Holm, OT
Cleveland Clinic Journal of Medicine January 1996, 63 (1) 62-69;
Ane F. Bendix
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Tom Bendix
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Keld Vægter
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Christine Lund
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Lone Frølund
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Lillian Holm
Copenhagen Back Center, National University Hospital, Copenhagen, Denmark
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ABSTRACT

BACKGROUND Americans with low back pain have been helped to return to work by multidisciplinary intensive treatment programs. Whether this treatment method will succeed in countries with a more generous social welfare system, where the incentive to return to work might be less, is not proven.

OBJECTIVES To evaluate a Danish program of functional restoration combined with behavioral support.

METHODS Patients who had experienced at least 6 months of disabling low back pain were randomly assigned to either a 3-week intensive treatment program (n = 55) or an untreated control group (n = 51).

RESULTS Of the 106 patients randomized, 94 (89%) returned for a 4-month follow-up visit. At that time, 29 (64%) of the 45 treated patients were able to work, compared with 14 of 49 (29%) in the control group. The treated patients had used fewer days of sick leave (P < .02), had contacted health care professionals fewer times (P < .001), and had lower pain and disability scores.

CONCLUSIONS Although such programs are expensive, they can reduce pension expenditures, sick leave days, health care contacts, and pain.

INDEX TERMS
  • Low Back Pain
  • Patient Care Team
  • Copyright © 1996 The Cleveland Clinic Foundation. All Rights Reserved.
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Cleveland Clinic Journal of Medicine: 63 (1)
Cleveland Clinic Journal of Medicine
Vol. 63, Issue 1
1 Jan 1996
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Multidisciplinary treatment for chronic low back pain: a randomized, prospective study
Ane F. Bendix, Tom Bendix, Keld Vægter, Christine Lund, Lone Frølund, Lillian Holm
Cleveland Clinic Journal of Medicine Jan 1996, 63 (1) 62-69;

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Multidisciplinary treatment for chronic low back pain: a randomized, prospective study
Ane F. Bendix, Tom Bendix, Keld Vægter, Christine Lund, Lone Frølund, Lillian Holm
Cleveland Clinic Journal of Medicine Jan 1996, 63 (1) 62-69;
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