OBJECTIVE: To assess the effect of multidisciplinary biopsychosocial rehabilitation on clinically relevant outcomes in @entity1 with @entity1643 . DESIGN: Systematic literature review of randomised controlled trials. @entity1 : A total of 1964 @entity1 with disabling @entity1643 for more than three months. MAIN OUTCOME MEASURES: @entity158 , function, employment, quality of life, and global assessments. RESULTS: Ten trials reported on a total of 12 randomised comparisons of multidisciplinary treatment and a control condition. There was strong evidence that intensive multidisciplinary biopsychosocial rehabilitation with functional restoration improves function when compared with inpatient or outpatient non-multidisciplinary treatments. There was moderate evidence that intensive multidisciplinary biopsychosocial rehabilitation with functional restoration reduces @entity158 when compared with outpatient non-multidisciplinary rehabilitation or usual care. There was contradictory evidence regarding vocational outcomes of intensive multidisciplinary biopsychosocial intervention. Some trials reported improvements in work readiness, but others showed no significant reduction in sickness leaves. Less intensive outpatient psychophysical treatments did not improve @entity158 , function, or vocational outcomes when compared with non-multidisciplinary outpatient therapy or usual care. Few trials reported effects on quality of life or global assessments. CONCLUSIONS: The reviewed trials provide evidence that intensive multidisciplinary biopsychosocial rehabilitation with functional restoration reduces @entity158 and improves function in @entity1 with @entity1643 . Less intensive interventions did not show improvements in clinically relevant outcomes.

Multidisciplinary rehabilitation for XXXX : systematic review.

@entity1 :: ('9606', 'Species') :: ['patients', 'PARTICIPANTS'] @entity1643 :: ('MESH:D017116', 'Disease') :: ['chronic low back pain', 'low back pain'] @entity158 :: ('MESH:D010146', 'Disease') :: ['Pain', 'pain']
@entity1643 :: (MESH:D017116,Disease) :: ['chronic low back pain']
