Karjalainen 2004.
| Methods | RCT | |
| Participants | N=164; Mean age (yrs): 43.6; Gender (female): 58%; Diagnosis: workers with subacute LBP (69% had sciatica) which had made working difficult for > 4 wk and < 3 mo. Setting: Occupational | |
| Interventions | (E) Mini‐intervention group: one assessment with physician and physiotherapist plus 1‐1/2 hours instruction by physiotherapist and a pamphlet with biopsychosocial information (N=56). (C1) Work‐site visit group: one assessment with physician and physiotherapist plus a work visit and the same pamphlet (N=51) (C2) The same pamphlet and usual care (N=57) | |
| Outcomes | Pain:
Intensity of pain (0 to 10) at baseline, 24 mo: (E) 6.2 (2‐10), 3.5 (0‐9); (C1) 5.4 (1‐10), 3.2 (0‐9); (C2) 5.7 (1‐10), 3.4 (0‐9)
% Patients with daily symptoms at 24 mo: (E) 15%; (C1) 16%; (C2) 17% Back pain specific functional status: Oswestry disability index at baseline, 24 mo: (E) 36 (4‐69), 19 (0‐60); (C1) 33 (7‐71), 18 (0‐60); (C2) 34 (13‐67), 18 (0‐58) Return to work: Days on sick‐leave at 24 mo: (E) 30 (0‐615); (C1) 45 (0‐610); (C2) 62 (0‐630); Generic functional status: Health related quality of life (15D; 0 to 1) at baseline and 24 mo: (E) 0.85( 0.61 to 1.00), 0.90 (0.7 to 1.0); (C1) 0.86 (0.70 to 0.99), 0.89 (0.49 to 1.0); (C2) 0.86 (0.70 to 0.98), 0.89 (0.6 to 1.0) |
|
| Notes | ||
| Risk of bias | ||
| Bias | Authors' judgement | Support for judgement |
| Adequate sequence generation? | Low risk | |
| Allocation concealment? | Low risk | A ‐ Adequate |
| Blinding? All outcomes ‐ patients? | High risk | |
| Blinding? All outcomes ‐ providers? | High risk | |
| Blinding? All outcomes ‐ outcome assessors? | High risk | |
| Incomplete outcome data addressed? All outcomes ‐ drop‐outs during intervention? | Low risk | |
| Incomplete outcome data addressed? All outcomes ‐ drop‐outs during follow‐up? | Low risk | |
| Incomplete outcome data addressed? All outcomes ‐ ITT analysis? | Low risk | |
| Similarity at baseline characteristics? | Low risk | |
| Co‐interventions avoided or similar? | Low risk | |
| Compliance acceptable? | Low risk | |