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The goal of this research project is to evaluate the effectiveness of the current interdisciplinary rehabilitation program (Revita) and follow-up trajectory for chronic lumbar spine disorders in the University Hospitals Leuven.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Subjects with low back pain | Patients of University Hospitals Leuven participating in the interdisciplinary spine rehabilitation program (REVITA) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Rehabilitation program (Revita) | Other | Multidisciplinary programs in an outpatient hospital setting are coordinated by specialists in Physical and Rehabilitation Medicine. These programs combine a physical part (e.g., specific exercises, manual techniques) with at least one other element (psychological, social, educational or occupational intervention). In a multidisciplinary spine rehabilitation program, a maximum of 36 sessions over a maximum time period of 6 months is offered. Afterwards, a (monodisciplinary) follow-up trajectory (K15) is possible, consisting of maximum 104 sessions a year. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Oswestry Disability Index (ODI) | Change in functional impairment (before vs. after rehabilitation program) minimum score: 0 maximum score: 100 a higher score corresponds with more functional impairment | baseline - 6 months - 1 year |
| Change in pain | Change in numeric rating scale (NRS) for low back/leg pain (before vs. after rehabilitation program) minimum score: 0 maximum score: 10 a higher score corresponds with more pain | baseline - 6 months - 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Effect on quality of life | Change in EuroQoL 5D (before vs. after rehabilitation program) 5 items with 3 levels Scale to assess health: 0-100 a higher score corresponds with better health | baseline - 6 months - 1 year |
| Effect on risk stratification tool |
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Inclusion criteria
Exclusion criteria
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Patients with chronic spine problems in which a multidisciplinary approach is needed
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Sofie Rummens, MD | Contact | 003216338700 | sofie.rummens@uzleuven.be |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospitals Leuven | Recruiting | Leuven | 3000 | Belgium |
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| ID | Term |
|---|---|
| D017116 | Low Back Pain |
| D013122 | Spinal Diseases |
| ID | Term |
|---|---|
| D001416 | Back Pain |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
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| ID | Term |
|---|---|
| D012046 | Rehabilitation |
| ID | Term |
|---|---|
| D000359 | Aftercare |
| D003266 | Continuity of Patient Care |
| D005791 | Patient Care |
| D013812 | Therapeutics |
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|
Change in Örebro score (before vs. after rehabilitation program) minimum score: 0 maximum score: 100 a higher score corresponds with a higher risk profile |
| baseline - 6 months - 1 year |
| Effect on anxiety and depression | Change in Hospital Anxiety and Depression Scale (HADS) (before vs. after rehabilitation program) minimum score: 0 maximum score: 21 (anxiety) - 21 (depression) a higher score corresponds with a higher suspicion for anxiety/depression | baseline - 6 months - 1 year |
| Effect on kinesiophobia | Change in Tampa scale for Kinesiophobia (TSK) score (before vs. after rehabilitation program) minimum score: 17 maximum score: 68 a higher score corresponds with an increasing degree of kinesiophobia | baseline - 6 months - 1 year |
| Effect on fear-avoidance beliefs | Change in Fear Avoidance Beliefs Questionnaire (FABQ) score (before vs. after rehabilitation program) minimum score: 0 maximum score: 96 a higher score corresponds with stronger fear avoidance beliefs | baseline - 6 months - 1 year |
| Effect on body awareness | Change in Fremantle Back Awareness Scale Questionnaire score (before vs. after rehabilitation program) minimum score: 0 maximum score: 36 a higher score corresponds with a worse back-specific body perception | baseline - 6 months - 1 year |
| Treatment experience | Patient Global impression of change (PGIC) minimum score: 1 maximum score: 7 a higher score corresponds with less impression of change | 6 months - 1 year |
| Return to Work self-efficacy | "the Return to Work Self-Efficacy" questionnaire minimum score: 1 maximum score: 6 a higher score corresponds with a higher level of self-efficacy | baseline - 6 months - 1 year |
| Return to work | number of days to return to work | baseline - 6 months - 1 year |
| Effect on functioning | Change in Patient Specific Functional scale (PSFS) minimum score: 0 maximum score: 10 a higher score corresponds with a better functional level | baseline - 6 months - 1 year |
| Effect on medication use | Change in Medication Quantification Scale (MQS) a higher score corresponds with a higher medication use | baseline - 6 months - 1 year |
| D013568 |
| Pathological Conditions, Signs and Symptoms |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
| D006296 |
| Health Services |
| D005159 | Health Care Facilities Workforce and Services |