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Updated: May 13, 2025

Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation
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Supporting self-management with an internet intervention for low back pain in primary care: a RCT (SupportBack 2).

Adam W A Geraghty1, Taeko Becque1, Lisa C Roberts2

  • 1Primary Care, Population Sciences and Medical Education, University of Southampton, Southampton, UK.

Health Technology Assessment (Winchester, England)
|April 15, 2025
PubMed
Summary

Internet interventions for low back pain did not significantly reduce disability over 12 months. However, these digital health tools were safe and showed potential cost-effectiveness for managing back pain.

Keywords:
BACK PAINCOST-EFFECTIVENESSINTERNET INTERVENTIONSELF-MANAGEMENTTRIAL

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Area of Science:

  • Digital Health Interventions
  • Musculoskeletal Health
  • Health Technology Assessment

Background:

  • Low back pain (LBP) is a prevalent condition causing significant disability.
  • Internet-delivered interventions offer scalable solutions for LBP self-management.
  • Evidence is needed on the effectiveness of accessible online support for LBP.

Purpose of the Study:

  • To evaluate the clinical and cost-effectiveness of an internet intervention for LBP.
  • To compare an internet intervention alone versus with physiotherapist support against usual care.
  • To assess the impact on low back pain-related disability over 12 months.

Main Methods:

  • A multicentre, pragmatic, three-arm randomised controlled trial.
  • Participants received usual care, usual care + internet intervention, or usual care + internet intervention + telephone support.
  • Primary outcome: Roland-Morris Disability Questionnaire; economic evaluation using quality-adjusted life-years.

Main Results:

  • No statistically significant reduction in LBP-related disability at 12 months for either internet intervention group compared to usual care.
  • Interventions were found to be safe with no serious adverse events reported.
  • Economic analysis suggested both interventions could be cost-effective, with the combined intervention dominating usual care.

Conclusions:

  • Internet interventions for LBP, with or without physiotherapist support, did not significantly improve disability outcomes.
  • The digital interventions demonstrated safety and potential cost-effectiveness.
  • Balancing clinical outcomes, cost-effectiveness, and accessibility is crucial for implementation.