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DC Field | Value | Language |
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dc.contributor.author | Garreta-Catala, Iago | - |
dc.contributor.author | Planas, Rosa | - |
dc.contributor.author | Abouzari, Reza | - |
dc.contributor.author | Carnaval, Thiago | - |
dc.contributor.author | Nolla Solé, Joan Miquel | - |
dc.contributor.author | Videla Cés, Sebastià | - |
dc.contributor.author | Agulló Ferre, José Luis | - |
dc.contributor.author | EN-FORMA study group. | - |
dc.date.accessioned | 2024-02-01T18:30:31Z | - |
dc.date.available | 2024-02-01T18:30:31Z | - |
dc.date.issued | 2023-08-09 | - |
dc.identifier.issn | 1471-2474 | - |
dc.identifier.uri | http://hdl.handle.net/2445/207009 | - |
dc.description.abstract | Background: Low back pain is a common condition that becomes even more prevalent with aging. A non-pharmacological multidisciplinary approach for chronic non-specific low back pain (CNSLBP) has been recommended, but integrating different healthcare professionals is challenging. A multidisciplinary group videoconferencing approach (MGVA) can be helpful. Our aim was to provide evidence on MGVA's feasibility in managing CNSLBP and its impact on clinical practice. Methods: We conducted an open-label, randomized, controlled, parallel-group pilot clinical trial with CNSLBP patients irresponsive to conservative treatment. Patients between 18 and 67 years of age were randomly assigned (1:1) to either Standard-of-Care + MGVA (experimental group) or Standard-of-Care alone (control group). MGVA consisted of integrated sessions for physical rehabilitation/physiotherapy, psychology, and social work treatments. The control group received standard clinical practice treatment. The feasibility was assessed by the number of study procedures completed to at least 80% as planned. The impact on clinical practice was evaluated by the number of patients who changed their status from "candidate" to "non-candidate" to low back surgery as the treatment of choice for CNSLBP. The SF-36, Oswestry Disability Index, and TMMS-24 questionnaires were used. We performed a whole population-based descriptive analysis. Results: We included 20 patients, but only 18 were randomized (2 withdrew consent before randomization). The mean (SD) age was 53.1 (5.9) years, and mostly women (13/18); 7 were actively employed. In the experimental group, 6/9 (67%, 95%CI:35-88%) patients attended at least 80% of the scheduled procedures, while in the control group, 8/9 (89%, 95%CI:57-98%) did. Additionally, 1 out of 4 (25%) patients in the experimental group changed their status from "candidate" for low back surgery to "non-candidate". None of the 2 patients in the control group did so. We found differences between groups in the SF-36 mental health component (p-value:0.061), Oswestry Disability Index (p-value:0.032), and TMMS-24 Repair component (p-value:0.014) at the end of the trial favoring MGVA. Conclusions: The multidisciplinary group videoconferencing approach to managing chronic non-specific low back pain was feasible, suggesting overall beneficial effects on patients' health and could play a role in changing a patient's status from "candidate" to "non-candidate" for surgery. | - |
dc.format.extent | 14 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | BioMed Central | - |
dc.relation.isformatof | Reproducció del document publicat a: https://doi.org/https://doi.org/10.1186/s12891-023-06763-6 | - |
dc.relation.ispartof | Bmc Musculoskeletal Disorders, 2023, vol. 24 | - |
dc.relation.uri | https://doi.org/https://doi.org/10.1186/s12891-023-06763-6 | - |
dc.rights | cc-by (c) Garreta-Catala I et al., 2023 | - |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | - |
dc.source | Articles publicats en revistes (Ciències Clíniques) | - |
dc.subject.classification | Esquena | - |
dc.subject.classification | Dolor crònic | - |
dc.subject.classification | Videoconferències | - |
dc.subject.other | Back | - |
dc.subject.other | Chronic pain | - |
dc.subject.other | Videoconferencing | - |
dc.title | Feasibility of a multidisciplinary group videoconferencing approach for chronic low back pain: a randomized, open- label, controlled, pilot clinical trial (EN-FORMA). | - |
dc.type | info:eu-repo/semantics/article | - |
dc.type | info:eu-repo/semantics/publishedVersion | - |
dc.identifier.idgrec | 739074 | - |
dc.date.updated | 2024-02-01T18:30:31Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
dc.identifier.pmid | 37558990 | - |
Appears in Collections: | Articles publicats en revistes (Patologia i Terapèutica Experimental) Articles publicats en revistes (Ciències Clíniques) Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
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