Evaluating relapse prophylaxis in addition to interdisciplinary multimodal pain therapy for back pain: a randomised controlled trial.

IF 2.3 4区医学 Q1 REHABILITATION

Journal of Rehabilitation Medicine Pub Date : 2025-08-20 DOI:10.2340/jrm.v57.42088

Julia Schmetsdorf, Kathrin Krüger, Jacqueline Posselt, Runde Werner, Hans-Georg Zechel, Thomas Kohlmann, Christian Krauth

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Abstract

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.

Abstract Image

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评估复发预防除了跨学科多模式疼痛治疗背部疼痛：一项随机对照试验。

目的：本研究旨在评估背部疼痛患者在4周跨学科多模式疼痛治疗方法后12个月复发预防的有效性。该研究检查了与单独的跨学科多模式疼痛治疗相比，干预是否减少了丧失工作能力的天数（主要结局），并改善了功能能力和与健康相关的生活质量（次要结局）。设计：采用随机对照试验。招募期为24个月。受试者/患者：该研究包括297名来自德国西北部农村地区的受雇患者，他们被诊断为脊柱不同部位的背痛。方法：采用定量资料：理赔资料和问卷调查资料进行分析。结果：对照组接受多模式疼痛治疗后丧失工作能力的平均时间为70.07天，干预组平均时间为56.41天。组间差异无统计学意义（p = 0.259）。对改变评分的分析显示，干预组在功能能力和健康相关生活质量方面的改善具有统计学意义。结论：本研究结果显示次要预后得到改善。结果表明，需要进一步的研究来确定如何可持续地减少因背痛而请假的时间。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Rehabilitation Medicine 医学-康复医学

CiteScore

5.60

自引率

5.70%

发文量

102

审稿时长

4-8 weeks

期刊介绍： Journal of Rehabilitation Medicine is an international peer-review journal published in English, with at least 10 issues published per year. Original articles, reviews, case reports, short communications, special reports and letters to the editor are published, as also are editorials and book reviews. The journal strives to provide its readers with a variety of topics, including: functional assessment and intervention studies, clinical studies in various patient groups, methodology in physical and rehabilitation medicine, epidemiological studies on disabling conditions and reports on vocational and sociomedical aspects of rehabilitation.