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document
Comparison of a biopsychosocial therapy ( BT ) with a conventional biomedical therapy ( MT ) of subacute low back pain in the first episode of sick leave : a randomized controlled trial . This randomized controlled clinical trial compares the effectiveness of a biopsychosocial treatment with a solely conventional biomedical therapy in patients with subacute low back pain using parameters for pain intensity , functional status , depressive dysfunction and work performance . Sixty-four patients with a first-time sick leave between 3 and 12 weeks due to low back pain were randomly assigned to either a conventional biomedical therapy ( MT ; n=33 ) group , or a biopsychosocial therapy ( BT ; n=31 ) group including a psychotherapeutic module ; both in accordance with a standardized 3 weeks inpatient treatment . Pain intensity , functional back capacity , clinical parameters and depressive dysfunction revealed significant improvement in both treatment groups at end of 3 weeks therapy ( T1 ) . However , at 6 months ( T2 ) , analysis revealed significant better results for nearly all parameters in the BT group that showed further improvement from T1 to T2 , whereas the values in the MT group deteriorated from T1 back to the baseline values . During the 2-year period after therapy , 10 % in MT and 59 % in BT required no further sick leave due to low back pain . The results of the study indicate that a psychotherapeutic element in the treatment of low back pain appears to positively influence pain , functional status and work performance when conducted at an early stage of chronification and helps in the achievement of a better outcome .
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Intervention_Psychological
biopsychosocial therapy ( BT )
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Intervention_Physical
conventional biomedical therapy
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Intervention_Pharmacological
( MT )
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Intervention_Pharmacological
biopsychosocial treatment with a solely conventional biomedical therapy
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Intervention_Pharmacological
conventional biomedical therapy
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Intervention_Psychological
biopsychosocial therapy
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Outcome_Physical
subacute low back pain
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Outcome_Physical
subacute low back pain
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Outcome_Pain
Pain intensity
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Outcome_Physical
functional back capacity
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Outcome_Physical
clinical parameters
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Outcome_Physical
depressive dysfunction
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Outcome_Other
T1 to T2
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Outcome_Other
sick leave
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Outcome_Physical
low back pain
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Outcome_Physical
low back pain
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Outcome_Pain
pain
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Outcome_Physical
functional status
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Outcome_Pain
and work performance
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Participant_Sample-size
Sixty-four
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Participant_Condition
low back pain