Review: intensive multidisciplinary biopsychosocial rehabilitation reduces pain and improves function in chronic low back pain
QUESTION: In patients with chronic disabling low back pain, does multidisciplinary biopsychosocial rehabilitation reduce pain and improve function, employment status, and quality of life?
Studies were identified by searching Medline, CINAHL, EMBASE/Excerpta Medica, PsycLIT, HealthSTAR, and the Cochrane Library from database inception to June 1998; reviewing reference lists; and consulting the editors of the Back Review Group of the Cochrane Collaboration.
Studies were selected if they were randomised controlled trials (RCTs) comparing multidisciplinary biopsychosocial rehabilitation with a non-multidisciplinary control intervention in adults with disabling low back pain for > 3 months. Trials had to report on ≥ 1 of pain, function, employment status, quality of life, or global improvement. Trials evaluating pure educational interventions or pure physical interventions were excluded.
Data were extracted by 2 independent reviewers on study quality, patient characteristics, intervention type and duration, and outcomes.
10 studies …