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This study compares the responsiveness of three instruments of functional status: two disease-specific questionnaires (Oswestry and Roland Disability Questionnaires), and a patient-specific method (severity of the main complaint). We compared changes over time of functional status instruments with pain rated on a visual analog scale. Two strategies for(More)
BACKGROUND Activities and their importance for daily living vary widely between patients. Patient-specific measurement of functional status means that the evaluation is focused on activities that an individual patient selected as main complaints. OBJECTIVE To develop and to evaluate a patient-specific approach for measuring functional status in low back(More)
Since pain-related fear may contribute to the development and maintenance of chronic low back pain (CLBP), an exposure in vivo treatment (EXP) was developed for CLBP patients. We examined the effectiveness as well as specific mediating mechanisms of EXP versus operant graded activity (GA) directly and 6 months post-treatment in a multi-centre randomized(More)
BACKGROUND Low back pain is a common medical and social problem frequently associated with disability and absence from work. However, data on effective return to work after interventions for low back pain are scarce. OBJECTIVE To determine the effectiveness of a behavior-oriented graded activity program compared with usual care. DESIGN Randomized,(More)
STUDY DESIGN This study was a literature review of the quality of four disease-specific functional status questionnaires for patients with low back pain: Oswestry; Million; Roland; and Waddell disability questionnaire. OBJECTIVES The questionnaires were evaluated in terms of general description, scale structure, reliability, validity, responsiveness, and(More)
STUDY DESIGN A cross-sectional study design was performed. OBJECTIVE To validate the pain disability index (PDI) extensively in 3 groups of patients with musculoskeletal pain. SUMMARY OF BACKGROUND DATA The PDI is a widely used and studied instrument for disability related to various pain syndromes, although there is conflicting evidence concerning(More)
Low back pain is a major medical and social problem associated with disability, work absenteeism and high costs. Given the impact of the problem, there is a need for effective treatment interventions in occupational healthcare that aim at the prevention of chronic disability and the realisation of return to work. These so-called return-to-work (RTW)(More)
Chronic neck pain is a common complaint in the Netherlands with a point prevalence of 14.3%. Patients with chronic neck pain are often referred to physiotherapy and, nowadays, are mostly treated with exercise therapy. It is, however, unclear which type of exercise therapy is to be preferred. Therefore, this study evaluates the effectiveness of behaviour(More)
INTRODUCTION Evidence for the efficacy of a multi-component approach for chronic widespread musculoskeletal pain (CWP) has been reported, although the effects are overall moderate and this approach has rarely been investigated in real life. AIM The aim of the study was to describe the effects of a 15-week multidisciplinary pain rehabilitation programme on(More)
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(More)