Causes of spine, back, and neck pain can range from trauma to degenerative processes related to normal aging. Recent studies seeking to assess various treatments for this serious concern resulted in this week's top trending clinical topic.
, 2971 adults with back or neck pain lasting less than 12 weeks were randomly assigned to usual care or to the ICE or IPT intervention. The ICE model stratifies patients on the basis of the risk for progression to chronic pain and addresses biopsychosocial contributors to pain. Patients at low risk received one physical therapy visit and one coaching call; patients at higher risk received three PT visits, three coaching calls, and one teleconsultation.
Results at 3 months showed that both the ICE and IPT groups improved significantly more in Oswestry Disability Index scores than the usual-care group. ODI scores with ICE went from 31.2 to 15.4. With IPT, scores went from 29.3 to 15.4. Usual care resulted in a decline from 28.9 to 19.5. At 3 months, the absolute difference in ODI score vs usual care was -5.8 for ICE and -4.3 for IPT (95% CI, -5.9 to -2.
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