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

Abstract

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.

Chronic neck pain and treatment of cognitive and behavioural factors: results of a randomised controlled clinical trial

“…Moreover, as suggested by some authors [34,35], future studies should also consider whether a cognitive-behavioural approach is more cost effective than the usual physiotherapy. Jensen et al [36] contributed to reducing this lack and stated that a full-time multidisciplinary programme was a cost-effective form of rehabilitation for subjects with non-specific NP and back pain in reducing sickness absence, recommending the beginning of interventions within the first 2 months of work absence, as sick days are a robust predictor for new episodes of absence.…”

The Physical Therapist as a Musculoskeletal Specialist in the Emergency Department

“…53 There is substantial evidence that illustrates the relationship between the types of services provided by physical therapists in the ED and the cost effectiveness of these approaches. For example, physical therapist interventions have been shown to be effective and cost effective for the management of cervical pain, 43,48,51 low back pain, 28,51,75 and whiplash-associated disorders. 69 Specific benefits and indirect cost savings shown to be associated with early physical therapy intervention have included decreased narcotic use, 28 reduced healthcare visits, 28,83 less time away from work, 21,32,48,83 and a reduction in the development of chronic conditions.…”

Cost-effectiveness of exercise therapy in the treatment of non-specific neck pain and low back pain: a systematic review with meta-analysis

“…Characteristics of included studies are described in online supplementary appendix 2. Five studies included participants with neck pain,34–38 16 studies included participants with low back pain39–54 and 1 study included participants with neck pain and low back pain 55. The number of participants included in the studies varied from 80 to 1287.…”

“…Exercise therapy generated, on average, larger effects and higher costs compared with cognitive behavioural approach, but these differences were not statistically significant 55. The incremental cost-utility ratio was £1649 (€1683) per QALY gained from the healthcare perspective, and £7909 (€8078) per QALY gained from the societal perspective (ie, cost-effective) 55.…”