Randomized trial of two physiotherapy interventions for primary care back and neck pain patients: cost–effectiveness analysis

A. Manca, J. C. Dumville, D. J. Torgerson, J. A. Klaber Moffett, M. P. Mooney, D. A. Jackson and S. Eaton

To assess the cost-effectiveness of a brief physiotherapy pain management approach using cognitive-behavioural principles (Solution-Finding Approach) when compared with a commonly used traditional method of physical therapy (McKenzie Approach).  The study related incremental differences in costs and benefits associated with the Solution Finding and McKenzie approaches over 12 months.  Benefit was measured as health-related quality of life using the EQ-5D, which was used to estimate patient-specific quality adjusted life years (QALYs). Results suggest that the additional cost associated with the McKenzie treatment when compared with the Solution Finding Approach may be worth paying, given the additional benefit the approach seems more likely to provide. Further research is needed to assess the extent to which the difference in physiotherapy visits between the two strategies is generalizable to other treatment settings.

Rheumatology, 2007, 46(9), 1495-1501

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Neck Pain

Out of all 291 conditions studied in the Global Burden of Disease 2010 Study, neck pain ranked 4th highest in terms of disability and 21st in terms of overall burden.

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