Title
Cognitive Interventions and Nutritional Supplementation for Patients With Long-lasting Back Pain
A Randomized Controlled Multicentre Trial of a Brief Intervention (BI) Versus a BI Plus Cognitive Behavioural Treatment (CBT) Versus Nutritional Supplementation for Patients With Long-lasting Back Pain.
Phase
Phase 1Lead Sponsor
Uni ResearchStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Chronic Low Back PainIntervention/Treatment
seal oil ...Study Participants
414CINS is a large multicentre study which aims to test out the effect of 4 different interventions, namely a brief cognitive intervention (BI), a more extensive cognitive behavioural intervention (CBT), and 2 different nutritional supplementations (seal oil and soy oil) in a population of chronic low back pain patients sicklisted for 2-10 months.
The treatment principles for low back pain, and also other types of non-specific muscle pain, have changed dramatically over the last 10 to 15 years; from traditional treatment like bed rest and inactivity to more active treatment strategies ("the back pain revolution"; Waddell et al 1997). Norwegian research has been in the forefront, particularly in demonstrating the clinical and cost effective brief interventions (BI) (Indahl et al., 1995, 1998; Hagen et al 2000, 2004, Brox et al 2003, Storheim et al 2003). However, about 30% of the patients do not recover or return to normal social and working life. The aim of this study is therefore to see if a longer cognitive behavioural intervention (CBT) has an additional benefit to BI, and to compare this with a potentially beneficial dietary supplement.
Physical examination, education and follow up by a physiotherapist
7 sessions of CBT over a period of 2 months, included a booster session after 3 months
20 capsules per day for 3 months
20 capsules per day for 3 months
Inclusion Criteria: Patients sicklisted 2-10 months for low back pain The following diagnosis are included: L02, L03, L84 and L86 Exclusion Criteria: Being off the sick list Pregnancy Osteoporosis Cancer L diagnoses suggesting recent low back pain trauma Specific spinal or other injuries which may account for the current back pain Serious psychiatric pathology