Skip to main content

Advertisement

Table 3 Effects of APT, CBT and CT as compared with WL

From: Active rehabilitation for chronic low back pain: Cognitive-behavioral, physical, or both? First direct post-treatment results from a randomized controlled trial [ISRCTN22714229]

Dependent variable WL mean ± SD APT mean difference (95% CI)† CBT mean difference (95% CI)† CT mean difference (95% CI)†
RDQ†† 13.88 ± 4.78 -2.40 (-4.14 to -0.65)** -3.05 (-4.80 to -1.30)** -2.56 (-4.27 to -0.85)**
Main complaints†† 74.25 ± 14.7 -11.19 (-20.07 to -2.31)* -16.36 (-25.13 to -7.60)** -17.84 (-26.54 to -9.14)**
Current pain†† 53.35 ± 22.6 -8.68 (-16.87 to -0.48)* -14.76 (-23.00 to -6.52)** -8.23 (-16.37 to -0.10)*
PRI-T†† 17.28 ± 10.48 0.90 (-2.94 to 4.74) -2.04 (-5.91 to 1.83) -0.33 (-4.14 to 3.48)
BDI 9.42 ± 7.81 -2.09 (-3.86 to -0.32)* -1.65 (-3.42 to 0.12) 0.04 (-1.71 to 1.79)
Global improvement†† 3.78 ± 0.91 0.47 (-0.08 to 1.09) 0.90 (0.36 to 1.44)** 0.70 (0.17 to 1.24)*
Satisfaction$     
   10th percentile of baseline RDQ (= 9) 45.65 ± 25.30 32.38 (14.19 to 50.57)** 18.34 (0.51 to 36.16)* 19.33 (2.01 to 36.65)*
   50th percentile of baseline RDQ (= 14) 46.67 ± 25.30 19.30 (6.74 to 31.88)** 22.68 (10.10 to 35.27)** 23.57 (11.28 to 35.86)**
   90th percentile of baseline RDQ (= 19) 47.69 ± 25.30 6.23 (-12.04 to 24.50) 27.03 (8.37 to 45.69)** 27.81 (9.54 to 46.08)**
Walking (m)†† 386.60 ± 86.62 27.85 (5.35 to 50.34)* 12.82 (-9.75 to 35.40) 35.65 (13.85 to 57.45)**
Inversion fast walking (1/sec) 0.10 ± 0.02 0.005 (-0.002 to 0.012) 0.009 (0.002 to 0.016)* 0.008 (0.001 to 0.015)*
Inversion sit to stand (1/sec) 0.06 ± 0.02 0.007 (0.001 to 0.013)* 0.003 (-0.003 to 0.010) 0.007 (0.001 to 0.014)*
Loaded forward reach (cm)†† 59.07 ± 12.55 1.30 (-4.40 to 7.00) 1.19 (-4.58 to 6.96) 0.98 (-4.54 to 6.51)
Stair climbing (stairs) 80.76 ± 24.80 7.83 (0.67 to 14.98)* 3.58 (-3.53 to 10.69) 9.25 (2.28 to 16.21)*
Lifting (stages)†† 4.13 ± 2.56 0.96 (0.06 to 1.85)* 0.48 (-0.41 to 1.37) 0.68 (-0.16 to 1.52)
  1. † Values are the mean difference between this group and the WL. The WL score is the score at post-treatment.
  2. The mean differences and confidence intervals (CIs) and corresponding p-values were estimated adjusting for age, gender, center of treatment, baseline score of outcome measure, duration of functional limitations.
  3. †† Additional correction for relevant prognostic co-variates: RDQ – work status and TSK; Main complaints/Lifting – TSK; Current pain/PRI-T – work status; Global improvement/loaded forward reach – current pain; Walking – radiation and TSK.
  4. $ Data presented for different strata for baseline RDQ, mean and SD for WL are estimated by use of regression model. * p < 0.05; ** p < 0.01.
  5. APT = active physical treatment; CBT = cognitive-behavioural treatment; CT = combination treatment; WL = waiting list; RDQ = Roland Disability Questionnaire; PRI-T = Pain Rating Index Total score; BDI = Beck Depression Inventory.