Journal CME, January 2024: Physical therapist–led interventions based on the biopsychosocial model provide improvement in disability and pain for spinal disorders: A systematic review and meta-analysis-Journal CME, January 2024: Physical therapist–led interventions based on the biopsychosocial model provide improvement in disability and pain for spinal disorders: A systematic review and meta-analysis

Journal CME, January 2024: Physical therapist–led interventions based on the biopsychosocial model provide improvement in disability and pain for spinal disorders: A systematic review and meta-analysis

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A systematic review and meta-analysis of 57 randomized-controlled trials found that physical therapist-led interventions based on the biopsychosocial (BPS) model are effective in reducing pain intensity and improving disability in patients with spinal disorders. The review included a total of 5,471 participants and assessed primary outcomes of pain intensity and disability, as well as secondary outcomes such as fear of movement, catastrophizing, anxiety, depression, and self-efficacy. The analysis showed statistically significant effects in the short, medium, and long term for both pain intensity and disability. The effects were considered clinically significant, except for the long-term effects on pain intensity. However, the quality of evidence for these outcomes was assessed as low. The review also found that interventions based on the BPS model had long-term improvements in fear of movement and self-efficacy, although the quality of evidence for these outcomes was also low. The review concluded that physical therapist-led interventions based on the BPS model have the potential to improve pain and disability in patients with spinal disorders, but further research is needed to improve the quality and standardization of these interventions.

Keywords

systematic review

meta-analysis

randomized-controlled trials

physical therapist-led interventions

biopsychosocial model

pain intensity

disability

spinal disorders

fear of movement

self-efficacy