Skip to main content

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

  

OBJECTIVE

THEORY PROGRAM

PRACTICAL PROGRAM

INTERVENTION GROUP

GP + Nurse

2 h

Answer queries, demystify concepts about LBP and promote adherence to the intervention

Basics of anatomy and biomechanics of the spine

Pain 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 life

Body posture, ergonomics and benefits

Relaxation exercises (breathing), body awareness and postural control

Psychologist

4 h

Provide participants with cognitive-behavioural therapy techniques.

Influence of cognition, emotions and behaviour in pain

Relaxation guidelines, cognitive restructuring and time management.

Assertiveness and problem solving, life values.

CONTROL GROUP

Clinical 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