Early access to physical therapy treatment for subacute low back pain in primary health care: a prospective randomized clinical trial.
OBJECTIVE
To evaluate the effects of early access (EA) to physical therapy treatment for patients with subacute low back pain compared to access with a 4-week waiting list.


METHODS
A prospective, randomized clinical trial.


METHODS
Primary health care.


METHODS
Sixty consecutive patients with subacute low back pain.


METHODS
Patients were randomized either to EA within 2 days for physical examination and individualized physical therapy treatment (n=32) or a control group with a 4-week waiting list (n=28).


METHODS
Self-administrated questionnaires were used for assessment at inclusion, at discharge, and at 6 months. Primary outcome measure was pain intensity assessed by Borg category scale for ratings of perceived pain. Secondary outcomes included the Orebro musculoskeletal pain screening questionnaire, the Roland and Morris disability questionnaire, sick-leave, visits to health care, and physical therapy.


RESULTS
The results showed no significant differences in pain between the groups at discharge. At 6 months, the reduction of pain was significantly greater in the EA group compared to the control group (P=0.025). Changes in secondary outcome measures were not significantly different between groups.


CONCLUSIONS
This study indicated that EA to physical therapy resulted in greater improvement in perceived pain at 6 months compared to later access. In this study, EA to physical therapy could be introduced by reorganization without additional resources.
Nordeman
Lena
L
Physiotherapy Unit, Primary Health Care, Alingsås Municipality, Sweden. lena.nordeman@vgregion.se
Nilsson
Björn
B
Möller
Margareta
M
Gunnarsson
Ronny
R
D000293:Adolescent; D000328:Adult; D000368:Aged; D004185:Disability Evaluation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D017116:Low Back Pain / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement / Q000379:methods; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D026741:Physical Therapy Modalities; D011320:Primary Health Care; D011446:Prospective Studies; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome