Recuperación funcional en la lumbalgia incapacitanteeficacia de una intervención cognitivo-conductual temprana
- Leticia León Mateos
- Juan Ángel Jover Jover
- Lydia Abasolo Alcázar
- Estíbaliz Loza Santamaría
- Miguel Ángel Pérez Nieto
- Marta M.ª Redondo Delgado
ISSN: 1888-6116
Año de publicación: 2009
Volumen: 20
Número: 1
Páginas: 23-28
Tipo: Artículo
Otras publicaciones en: Trauma
Resumen
Objectives:The purpose of this study was to analyze the efficacy of an early cognitive behavioral intervention in the functional recovery of the low back pain. Patients and methods: Subjects with an episode of Temporary Work Disability (TWD) of 4 weeks of duration due to low back pain were selected. Efficacy variables included duration of TWD episodes, duration of TWD relapse episodes, an economic evaluation and the own patient perception of disability, health and quality of life. Results: 85 patients were included (33 in control and 52 in intervention), generating 102 episodes of TWD. The duration was reduced in the intervention group (99 versus 120 days), with a relative efficacy of 17%, without differences in the duration of the total of episodes. The episodes of relapse were significantly shorter in the intervention group (62 versus 181 days; p=0,02). Costs were also lower in the intervention group, with a net benefit of 48,028�. Moreover, the intervention patients improved their health and disability perceived. Conclusions: The efficacy of this cognitive behavioral early intervention was mainly obtained in the relapse episodes