Evaluating the effectiveness of a comprehensive education on low back pain treatment outcomes: A controlled clinical study.
Author | Alhendi, Zainab M |
Author | Almhdawi, Khader A |
Author | Aldahamsheh, Zaid |
Author | Ismail, Noor |
Author | Kanaan, Saddam F. |
Author | Khalil, Hanan |
Available date | 2022-09-12T08:50:16Z |
Publication Date | 2022-09-07 |
Publication Name | Clinical Rehabilitation |
Identifier | http://dx.doi.org/10.1177/02692155221122661 |
Citation | Kanaan SF, Alhendi ZM, Almhdawi KA, Aldahamsheh Z, Ismail N, Khalil H. Evaluating the effectiveness of a comprehensive education on low back pain treatment outcomes: A controlled clinical study. Clinical Rehabilitation. September 2022. doi:10.1177/02692155221122661 |
ISSN | 0269-2155 |
Abstract | To investigate the effect of integrating an individualized, evidence-based low back pain comprehensive education package on low back pain treatment outcomes. Single-blind, controlled clinical study using the alternate allocation of patients. Outpatient clinic. In total, 54 participants with chronic low back pain (46.75 ± 11.11 years, 80% females) were randomized to intervention ( = 27) or a control group ( = 27). The intervention group received additional four one-hour low back pain-related education sessions to eight 45 minutesstandard physical therapy sessions over 4 weeks. Assessed at baseline, post-intervention, and 3 months. Outcome measures included pain intensity (Visual Analogue Scale), knowledge (Low Back Pain Knowledge Questionnaire), attitude (the Back Pain Attitudes Questionnaire), disability (the Oswestry Disability Index), mental health symptoms (Depression Anxiety Stress Scale, DASS-21 scale), and fear-avoidance (Fear-Avoidance Beliefs Questionnaire). The intervention group showed significantly lower pain intensity ((4 weeks (3.58 ± 1.50 vs. 5.54 ± 1.92), 3 months (3.21 ± 1.74 vs. 5.69 ± 2.51)), higher knowledge ((4 weeks (21.67 ± 2.12 vs. 11.62 ± 3.47), three months (22.08 ± 3.40 vs. 12.23 ± 3.24)), lower negative attitudes ((4 weeks (99.29 ± 11.02 vs. 134.31 ± 12.97), 3 months (102.92 ± 15.58 vs. 132.42 ± 17.79)), lower disability ((4 weeks (26.30 ± 11.37 vs. 45.14 ± 18.67), 3 months (22.83 ± 16.06 vs. 44.13 ± 15.02)), lower stress score ((4 weeks (3.54 ± 3.01 vs. 8.81 ± 5.19), 3 months (3.21 ± 3.22 vs. 7.21 ± 4.36)), lower anxiety ((4 weeks (2.63 ± 3.16 vs. 6.42 ± 4.75), three months (2.63 ± 3.80 vs. 5.73 ± 4.44)), lower depression ((4 weeks (2.42 ± 2.15 vs. 6.42 ± 3.68), three months (2.63 ± 4.18 vs. 7.08 ± 4.41)), and lower fear-avoidance ((4 weeks (13.88 ± 12.32 vs. 50.88 ± 23.25), three months (15.50 ± 16.75 vs. 54.65 ± 31.81)). Integrating low back pain comprehensive education into standard physical therapy might optimize the treatment outcomes of low back pain. |
Sponsor | The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the Jordan University of Science and Technology, (grant number 810/2019). |
Language | en |
Publisher | SAGE Publications |
Subject | Low back pain Education Attitude Disability |
Type | Article |
Pagination | 1-11 |
ESSN | 1477-0873 |
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Physical Therapy & Rehabilitation [71 items ]