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document
Active treatment programs for patients with chronic low back pain : a prospective , randomized , observer-blinded study . Several new studies have indicated that an active approach to patients with chronic disabling low back pain ( LBP ) seems effective . Some of these studies emphasize the importance of dealing with the patient 's total situation in comprehensive multidisciplinary programs -- the bio-psycho-social model . However , these programs are expensive . The aim of this study was to evaluate the rehabilitation outcome from three different active programs in terms of : ( 1 ) return-to-work rate , ( 2 ) days of sick leave , ( 3 ) health-care contacts , ( 4 ) pain and disability scores , and ( 5 ) staying physically active . The subjects included 132 patients randomized to the study , of whom 123 started one of the treatment programs . They had all had at least 6 months of chronic LBP . The patients were randomized into one of three programs : group 1 -- a full-time , intensive 3-week multidisciplinary program , including active physical and ergonomic training and psychological pain management , followed by 1 day weekly for the subsequent 3 weeks ; group 2 -- active physical training , twice a week for 6 weeks , for a total of 24h ; group 3 -- psychological pain management combined with active physical training , twice a week for 6 weeks , also for a total of 24h . The results presented here are based on data collected 4 months following treatment , which shows an 86 % response rate . The initial examination and the follow-up evaluation were performed by a blinded observer . The results show that 4 months after treatment , the intensive multidisciplinary program is superior to the less intensive programs in terms of return-to-work rate , health-care contacts , pain and disability scores , and staying physically active . ( ABSTRACT TRUNCATED AT 250 WORDS )
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Intervention_Physical
Active treatment programs
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Intervention_Physical
active physical and ergonomic training and
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Intervention_Psychological
psychological pain management
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Intervention_Physical
2 -- active physical training
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Intervention_Physical
3 -- psychological pain management combined with active physical training
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Outcome_Other
return-to-work rate
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Outcome_Other
days of sick leave
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Outcome_Other
health-care contacts
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Outcome_Pain
pain and
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Outcome_Physical
disability scores
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Outcome_Physical
staying physically active
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Participant_Condition
patients with chronic low back pain :
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Participant_Condition
patients with chronic disabling low back pain ( LBP )