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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. …
Sources of funding: Finnish Office for Health Technology Assessment; Institute for Work & Health (Canada); Finnish Institute of Occupational Health.
For correspondence: Dr J Guzmán, University of Manitoba, Faculty of Medicine, Winnipeg, Manitoba, Canada.