Effectiveness of Group GDS and Individual GDS for Treatment of Low Back Pain in Primary Care

The Effectiveness of the Physiotherapy Techniques Group GDS and Individual GDS for the Treatment of Nonspecific Low Back Pain in Primary Care. A Cluster, Randomized, Controlled Trial.

A cluster, randomized, controlled clinical trial, where the hypothesis is that Group GDS and Individual GDS are effective in the treatment of nonspecific low back pain. The clusters will be the participating physiotherapy departments in primary care who treat patients with low back pain. In each physiotherapy department there will be 3 groups: education group, Group GDS and Individual GDS. Patients will be followed for 12 months. Variables will be: demographic,intensity of pain, disability, quality of life, patient satisfaction, medication intake for current episode, non-pharmacologic treatment for current episode, co-morbidity, diagnostic tests, sick leave, and habitual physical activity. The questionnaires to be used are: Roland Morris Disability Questionnaire, PI-NRS, VAS, SF-12 and EQ-5d.

Routine clinical practice (except usual physiotherapy, which is substituted for Group GDS)plus education on active management.

Routine clinical practice (except for usual physiotherapy, which will be substituted by Group and Individual GDS) plus education on active management.

Routine clinical practice (which will be substituted by Group GDS) plus education on active management.

Routine clinical practice (except for usual physiotherapy, which is substituted by Group and Individual GDS) plus education on active management.

Self-reported health (PCS and MCS summaries of SF-12), and use of other pharmacologic and non-pharmacologic treatments

Inclusion Criteria: diagnosed with nonspecific low back pain by the primary care physician more than or equal to 18 and less than or equal to 65 years of age Exclusion Criteria: not signing the informed consent form pregnancy diagnosis of inflammatory rheumatologic disease, cancer, or fibromyalgia signs for suspicion of fibromyalgia having red flags for systemic disease presenting criteria for urgent referral to surgery presenting criteria for non-urgent referral to surgery inability to read, understand, or follow verbal orders (dementia,blindness, doesn´t know how to read) bedridden having received physiotherapy in last 12 months

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