Spine
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Randomized Controlled Trial Comparative Study
Cost-effectiveness of combined manipulation, stabilizing exercises, and physician consultation compared to physician consultation alone for chronic low back pain: a prospective randomized trial with 2-year follow-up.
A prospective, randomized controlled trial. ⋯ Physician consultation alone was more cost-effective for both health care use and work absenteeism, and led to equal improvement in disability and health-related quality of life. It seems obvious that encouraging information and advice are major elements for the treatment of patients with cLBP.
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Randomized Controlled Trial
Long-term effect of a combined exercise and motivational program on the level of disability of patients with chronic low back pain.
A prospective clinical randomized controlled trial. ⋯ Regarding long-term efficacy, the combined exercise and motivation program was superior to the standard exercise program. Five years after the supervised combined exercise and motivational program, patients had significant improvements in disability, pain intensity, and working ability.