Recuperación funcional en la lumbalgia incapacitante: eficacia de una intervención cognitivo-conductual temprana

espanolObjetivos: El objetivo de este trabajo fue analizar la eficacia de una intervencion cognitivo-conductual temprana en la recuperacion funcional de la lumbalgia. Pacientes y metodologia: se estudiaron 85 pacientes con 102 episodios de lumbalgia incapacitante (IT), 32% varones, con una edad media de 46 anos, distribuidos en Grupo Control, 41 episodios y 33 pacientes que siguieron tratamiento habitual y Grupo Intervencion, 61 episodios y 52 pacientes que ademas tuvieron un soporte cognitivo- conductual temprano. Se incluyeron variables de eficacia y una evaluacion economica y subjetiva del paciente. Resultados: La duracion media de los episodios de IT en el total de pacientes fue de 108 dias, en el Grupo Control fue de 120 dias y en el Grupo Intervencion de 99 dias, la diferencia no resulto significativa (p Conclusiones: La eficacia de esta intervencion cognitivo-conductual temprana se obtuvo principalmente en los episodios de recaida EnglishObjectives:The purpose of this study was to analyze the efficacy of an early cognitive behavioral intervention in the functional recovery of the low back pain. Patients and methods: Subjects with an episode of Temporary Work Disability (TWD) of 4 weeks of duration due to low back pain were selected. Efficacy variables included duration of TWD episodes, duration of TWD relapse episodes, an economic evaluation and the own patient perception of disability, health and quality of life. Results: 85 patients were included (33 in control and 52 in intervention), generating 102 episodes of TWD. The duration was reduced in the intervention group (99 versus 120 days), with a relative efficacy of 17%, without differences in the duration of the total of episodes. The episodes of relapse were significantly shorter in the intervention group (62 versus 181 days; p=0,02). Costs were also lower in the intervention group, with a net benefit of 48,028�. Moreover, the intervention patients improved their health and disability perceived. Conclusions: The efficacy of this cognitive behavioral early intervention was mainly obtained in the relapse episodes