TY - JOUR
T1 - Behavioral-graded activity compared with usual care after first-time disk surgery:
T2 - Considerations of the design of a randomized clinical trial
AU - Ostelo, RWJG
AU - Köke, AJA
AU - Beurskens, AJHM
AU - de Vet, HCW
AU - Kerckhoffs, MR
AU - Vlaeyen, JWS
AU - Wolters, PMJC
AU - Berfelo, MW
AU - van den Brandt, PA
PY - 2000/6
Y1 - 2000/6
N2 - Objective: To present the design of a trial on the effectiveness of a behavioral-graded activity model.Design: Randomized clinical trial.Patients: Patients undergoing first-time lumbar disk surgery who still have low-back pain at the 6-week neurosurgical consultation.Interventions: A patient-tailored behavioral-graded activity program that is based on operant therapy. The key elements of this program are baseline measurements, goal-setting, and time-contingency. This program is compared with usual care in physiotherapy, which is pain-contingent.Outcome Measures: Primary measures are the patient's global impression of the effect and their functional status. Secondary measures are kinesiophobia, catastrophizing, pain, main complaint, range of motion, and relapses. The direct and indirect costs will also be assessed. The effect measures are rated before randomization and 3, 6, and 12 months later.Discussion: Several trials have been conducted on the effectiveness of behavioral treatments. Subjects were always patients with chronic low-hack pain. In this trial, we apply such a treatment in patients after first-time disk surgery in a primary care setting.
AB - Objective: To present the design of a trial on the effectiveness of a behavioral-graded activity model.Design: Randomized clinical trial.Patients: Patients undergoing first-time lumbar disk surgery who still have low-back pain at the 6-week neurosurgical consultation.Interventions: A patient-tailored behavioral-graded activity program that is based on operant therapy. The key elements of this program are baseline measurements, goal-setting, and time-contingency. This program is compared with usual care in physiotherapy, which is pain-contingent.Outcome Measures: Primary measures are the patient's global impression of the effect and their functional status. Secondary measures are kinesiophobia, catastrophizing, pain, main complaint, range of motion, and relapses. The direct and indirect costs will also be assessed. The effect measures are rated before randomization and 3, 6, and 12 months later.Discussion: Several trials have been conducted on the effectiveness of behavioral treatments. Subjects were always patients with chronic low-hack pain. In this trial, we apply such a treatment in patients after first-time disk surgery in a primary care setting.
KW - Behavioral treatment
KW - Intervertebral disk
KW - Lumbar vertebrae
KW - Physiotherapy
KW - Randomized clinical trials
KW - Surgery
U2 - 10.1016/S0161-4754(00)90205-7
DO - 10.1016/S0161-4754(00)90205-7
M3 - Article
C2 - 10863250
SN - 0161-4754
VL - 23
SP - 312
EP - 319
JO - Journal of Manipulative and Physiological Therapeutics
JF - Journal of Manipulative and Physiological Therapeutics
IS - 5
ER -