Multidisciplinary biopsychosocial rehabilitation for CLBP
The aim of this paper was to review the evidence on the effectiveness of multidisciplinary biopchycosocial rehabilitation for chronic low back pain compared to other treatments such as usual care or physical treatment. 41 RCTs with a total of 6858 participants were included. All the participants had LBP for more then 3 months.
There was moderate evidence that multidisciplinary treatment results in larger improvements in pain and daily function than usual care or treatments aimed only at physical factors (about 1 point on a 0-10 scale for pain). There was also moderate evidence that multidisciplinary treatment doubled the likelihood that people were able to work in the next 6 to 12 months compared to treatments aimed at physical factors.
Patients with chronic LBP receiving MBR are likely to experience less pain and disability than those receiving usual care or a physical treatment. While these programs seem to be more effective than alternatives, the effects needs to be balanced with their costs in terms of money, resources and time as MBR treatments are often quite intensive and expensive.
> From: Kamper et al., Cochrane Database Syst Rev 9 (2014) CD000963. Click here for the Pubmed summary.