Intensive physical and psychosocial training program for patients with chronic low back pain. A controlled clinical trial

Spine (Phila Pa 1976). 1994 Jun 15;19(12):1339-49. doi: 10.1097/00007632-199406000-00007.


Study design: The authors conducted a controlled clinical trial with 1-year follow-up to define the effectiveness of an intensive physical and psychosocial training program on patients with low back pain.

Summary of background data: The intervention group included 152 patients (mean age 40.5 yr, Million index 45.1/100), and the reference group included 141 patients (mean age 40.4 yr, Million-index 44.5/100).

Methods: The progressive intervention program consisted of intensive physical training and psychosocial activation. The outcomes were physical and psychosocial measures, the pain and disability index (Million), sick leaves, and occupational handicap.

Results: The intervention was more efficient with respect to physical measures and pain and disability index. There were only mild or no differences in changes between the study groups in psychologic variables, sick leaves, or retirement.

Conclusions: The intervention program could improve physical disability, but to improve occupational handicap, activities of the whole society (social legislation, labor market policy) are needed.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial

MeSH terms

  • Absenteeism
  • Adult
  • Chronic Disease
  • Data Interpretation, Statistical
  • Disability Evaluation
  • Disabled Persons / statistics & numerical data
  • Female
  • Finland
  • Humans
  • Low Back Pain / psychology
  • Low Back Pain / rehabilitation*
  • Male
  • Middle Aged
  • Patient Education as Topic
  • Physical Therapy Modalities*
  • Psychotherapy*
  • Retirement / statistics & numerical data
  • Social Support
  • Software
  • Time Factors