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Direct access to physiotherapy for acute low back pain in Belgium: Protocol for a pragmatic pilot trial (The Direct-Physio Trial).

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Title: Direct access to physiotherapy for acute low back pain in Belgium: Protocol for a pragmatic pilot trial (The Direct-Physio Trial).
Authors: Severijns, P., Denis, C., Dankaerts, W., Roussel, N., Pitance, L., Timmermans, A., Marneffe, W., Luyten, J., Fourré, A., Goossens, N., Janssens, L.
Source: Pain Practice. 2022 Supplement, Vol. 22, p53-54. 2p.
Subjects: Lumbar pain, Health services accessibility, Physical therapy, Medical care costs, Conferences & conventions, Acute diseases
Geographic Terms: Belgium, Netherlands
Abstract: Introduction: In several countries1, direct access to physiotherapy (PT) for acute low back pain (aLBP) had a positive impact on clinical outcomes2 and health-care usage and costs3. The aim of this study is to investigate the effect of direct PT access on pain, disability and costs compared to usual care by the general practitioner (GP) for aLBP within the Belgian care system. Methods: Six hundred adults (French-speaking: n = 300; Dutch-speaking: n = 300) with aLBP (>24 hours and <6 weeks) will be recruited and semi-randomly allocated to the usual care or the direct PT pathway in this ethically approved study (CME2021/066). Primary outcomes include pain intensity, pain location and disability. Secondary, a cost-effectiveness analysis will evaluate the patient-and societal costs associated with aLBP and its treatment. Other secondary outcomes include beliefs and cognitions related to LBP, quality of life, work disability, amount of flare ups and perceived effect of change. All outcomes will be evaluated through validated questionnaires at baseline, during and at the end of intervention and at 3 months, 1 and 2 years following enrolment. Effects and relations will be investigated using, respectively, linear mixed models and multiple linear regression. Results: It is hypothesized that direct PT access will result in higher reductions in pain and disability and lower costs compared to usual care for aLBP. Discussion: The study results will be used to optimize the Belgian care pathway for aLBP. Process evaluation: Challenges to this trial include an unbiased organization within the Belgian care and political system and patient recruitment in the direct PT pathway. [ABSTRACT FROM AUTHOR]
Copyright of Pain Practice is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Direct access to physiotherapy for acute low back pain in Belgium: Protocol for a pragmatic pilot trial (The Direct-Physio Trial).
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Pain+Practice%22&quot;&gt;Pain Practice&lt;/searchLink&gt;. 2022 Supplement, Vol. 22, p53-54. 2p.
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  Data: Introduction: In several countries1, direct access to physiotherapy (PT) for acute low back pain (aLBP) had a positive impact on clinical outcomes2 and health-care usage and costs3. The aim of this study is to investigate the effect of direct PT access on pain, disability and costs compared to usual care by the general practitioner (GP) for aLBP within the Belgian care system. Methods: Six hundred adults (French-speaking: n = 300; Dutch-speaking: n = 300) with aLBP (&gt;24 hours and &lt;6 weeks) will be recruited and semi-randomly allocated to the usual care or the direct PT pathway in this ethically approved study (CME2021/066). Primary outcomes include pain intensity, pain location and disability. Secondary, a cost-effectiveness analysis will evaluate the patient-and societal costs associated with aLBP and its treatment. Other secondary outcomes include beliefs and cognitions related to LBP, quality of life, work disability, amount of flare ups and perceived effect of change. All outcomes will be evaluated through validated questionnaires at baseline, during and at the end of intervention and at 3 months, 1 and 2 years following enrolment. Effects and relations will be investigated using, respectively, linear mixed models and multiple linear regression. Results: It is hypothesized that direct PT access will result in higher reductions in pain and disability and lower costs compared to usual care for aLBP. Discussion: The study results will be used to optimize the Belgian care pathway for aLBP. Process evaluation: Challenges to this trial include an unbiased organization within the Belgian care and political system and patient recruitment in the direct PT pathway. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Pain Practice is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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      – SubjectFull: Physical therapy
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              Text: 2022 Supplement
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