Interprofessional Rehabilitation for Adults With Chronic Non-specific Low Back Pain (PASTOR)
Low Back Pain
About this trial
This is an interventional treatment trial for Low Back Pain focused on measuring Rehabilitation, Treatment Outcome, Interprofessional Relations, Interdisciplinary Communication, Behavioural Exercise Therapy, Cognitive Therapy, Health Education, Workplace related information, Multicenter Study
Eligibility Criteria
Inclusion Criteria:
- M51.2 Other specified intervertebral disc displacement
- M51.3 Other specified intervertebral disc degeneration
- M51.4 Schmorl's nodes
- M51.8 Other specified intervertebral disc disorders
- M51.9 Intervertebral disc disorder, unspecified
- M53.8 Other specified dorsopathies
- M53.9 dorsopathy, unspecified
- M54.4 Lumbago with sciatica
- M54.5 Low back pain
- M54.6 Pain in thoracic spine
- M54.8 Other dorsalgia
- M54.9 Dorsalgia, unspecified
Exclusion Criteria:
- age below 18 years or over 65 years
- specific underlying diagnosis of back pain (e. g. radicular symptoms, myelopathy)
- considerably reduced health status (e.g. comorbidity)
- considerably reduced sight and hearing (not corrected)
- severe psychiatric condition as secondary diagnosis
- inability to speak German
- current application for early retirement or invalidity pension (§51 SG V - german law)
Sites / Locations
- Frankenklinik
- Klinik Franken, Reha-Zentrum Bad Steben
- Asklepios Klinik Schaufling
- University of Würzburg, Department of Medical Psychology, Medical Sociology, and Rehabilitation Sciences
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
Multidisciplinary rehabilitation
Interprofessional rehabilitation
The central objective of inpatient multidisciplinary orthopedic rehabilitation (MOR) is to improve functional health with the main focus on restoring and improving work ability. A MOR lasts on average 23 days with a total extent of therapy of 48 hours on average. MOR is provided by a multiprofessional team consisting of physicians, psychologists, sport therapists, physiotherapists, occupational therapists, masseurs, social workers, dieticians and nurses. The interventions are carried out mainly in open groups.
The central objective of the interprofessional rehabilitation (PASTOR) is the development of active self-management of chronic non-specific low back pain. PASTOR is matched to the MOR with respect to the total duration and total extent of therapy, the included professions and the interventions dimensions (physical, psychological). The differences between PASTOR and MOR are characterized by, a) an integrative combination of profession related modules within a comprehensive and consistent treatment approach, b) an interprofessional and collaborative teamwork based on profession related modules, c) the use of standardized methods, media and materials by all professions in the therapeutic team d) a highly structured and detailed manual for the entire treatment process. The interventions are carried in fixed groups with eight to twelve participants.