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Table 1 Components of the biopsychosocial multidisciplinary intervention and usual care

From: Effectiveness of a multidisciplinary BIOPSYCHOSOCIAL intervention for non-specific SUBACUTE low back pain in a working population: a cluster randomized clinical trial

  OBJECTIVETHEORY PROGRAMPRACTICAL PROGRAM
INTERVENTION GROUPGP + Nurse
2 h
Answer queries, demystify concepts about LBP and promote adherence to the interventionBasics of anatomy and biomechanics of the spinePain mechanisms, types, causes and susceptibility factors.
Healthy life habits, concerns and beliefs about LBP.
Physiotherapist
4 h
Provide tools on exercises/postures to avoid pain and improve quality of lifeBody posture, ergonomics and benefitsRelaxation exercises (breathing), body awareness and postural control
Psychologist
4 h
Provide participants with cognitive-behavioural therapy techniques.Influence of cognition, emotions and behaviour in painRelaxation guidelines, cognitive restructuring and time management.
Assertiveness and problem solving, life values.
CONTROL GROUPClinical Practice Guidelines for Lumbar Spine Disease in Adults
• Patient education, give reassuring and positive information about the benign nature of LBP, offer written information including specific advice.
• Advise avoiding bed rest and encourage the person to be physically active and continue with normal activities as far as possible.
• Consider offering a structured physical exercises program tailored to personal preferences.
• Physical exercise should be introduced gently at first (walking, cycling and swimming) and progressively increased in intensity.
• Recommend attendance to the “Back school” after six weeks to those patients who have resumed their daily tasks.
• Prescribe pharmacological treatment according to established guidelines.
  1. GP General practitioner, LBP Low Back Pain