2026-04-17T14:40:01Zhttps://recercat.cat/oai/request

oai:recercat.cat:2445/2070092025-12-05T13:07:12Zcom_2072_1057col_2072_478798col_2072_478916col_2072_478917col_2072_478929

Feasibility of a multidisciplinary group videoconferencing approach for chronic low back pain: a randomized, open- label, controlled, pilot clinical trial (EN-FORMA). Garreta Català, Iago Planas, Rosa Abouzari, Reza Carnaval, Thiago Nolla Solé, Joan Miquel Videla, Sebastià Agulló Ferre, José Luis EN-FORMA study group. Esquena Dolor crònic Videoconferències Back Chronic pain Videoconferencing Background: Low back pain is a common condition that becomes even more prevalent with aging. A non-pharmacological multidisciplinary approach for chronic non-specific low back pain (CNSLBP) has been recommended, but integrating different healthcare professionals is challenging. A multidisciplinary group videoconferencing approach (MGVA) can be helpful. Our aim was to provide evidence on MGVA's feasibility in managing CNSLBP and its impact on clinical practice. Methods: We conducted an open-label, randomized, controlled, parallel-group pilot clinical trial with CNSLBP patients irresponsive to conservative treatment. Patients between 18 and 67 years of age were randomly assigned (1:1) to either Standard-of-Care + MGVA (experimental group) or Standard-of-Care alone (control group). MGVA consisted of integrated sessions for physical rehabilitation/physiotherapy, psychology, and social work treatments. The control group received standard clinical practice treatment. The feasibility was assessed by the number of study procedures completed to at least 80% as planned. The impact on clinical practice was evaluated by the number of patients who changed their status from "candidate" to "non-candidate" to low back surgery as the treatment of choice for CNSLBP. The SF-36, Oswestry Disability Index, and TMMS-24 questionnaires were used. We performed a whole population-based descriptive analysis. Results: We included 20 patients, but only 18 were randomized (2 withdrew consent before randomization). The mean (SD) age was 53.1 (5.9) years, and mostly women (13/18); 7 were actively employed. In the experimental group, 6/9 (67%, 95%CI:35-88%) patients attended at least 80% of the scheduled procedures, while in the control group, 8/9 (89%, 95%CI:57-98%) did. Additionally, 1 out of 4 (25%) patients in the experimental group changed their status from "candidate" for low back surgery to "non-candidate". None of the 2 patients in the control group did so. We found differences between groups in the SF-36 mental health component (p-value:0.061), Oswestry Disability Index (p-value:0.032), and TMMS-24 Repair component (p-value:0.014) at the end of the trial favoring MGVA. Conclusions: The multidisciplinary group videoconferencing approach to managing chronic non-specific low back pain was feasible, suggesting overall beneficial effects on patients' health and could play a role in changing a patient's status from "candidate" to "non-candidate" for surgery. 2024-02-01T18:30:31Z 2024-02-01T18:30:31Z 2023-08-09 2024-02-01T18:30:31Z info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion 1471-2474 https://hdl.handle.net/2445/207009 739074 37558990 eng Reproducció del document publicat a: https://doi.org/https://doi.org/10.1186/s12891-023-06763-6 Bmc Musculoskeletal Disorders, 2023, vol. 24 https://doi.org/https://doi.org/10.1186/s12891-023-06763-6 cc-by (c) Garreta-Catala I et al., 2023 http://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess 14 p. application/pdf BioMed Central Articles publicats en revistes (Ciències Clíniques)