Introduction Chronic low back pain (CLBP) is a highly prevalent health condition, and the
leading cause of years lived with disability. The high prevalence causes a substantial impact
on patients, communities and health-care systems. There is a continuing challenge to offer
evidence-based rehabilitation for patients with CLBP. There is a lack of studies on adequate
follow-up approaches to maintain successful treatment. No earlier study has assessed if the
positive treatment effects of a multidisciplinary rehabilitation intervention can be
maintained with an intervention alternating between inpatient interventions and home-based
Aim To assess if a novel multidisciplinary rehabilitation intervention is more effective in
maintaining successful treatment after 6 months, than a usual multidisciplinary
rehabilitation intervention in patients with CLBP.
The novel intervention is a 14-week program alternating between in total three weeks of
inpatient intervention and home-based activities. This alternation allows the participants
time and opportunity to adapt and transfer inpatient learning to activities and participation
in their own environment in interaction with everyday life situations and surroundings. Usual
care is a four-week inpatient intervention. It is hypothesized that the intervention will be
superior to usual care.
Method The study will be conducted at The Danish Rheumatism Associations' rehabilitation
centre Sano Aarhus. 160 participants with CLBP will be randomly allocated to one of two
groups. The novel intervention consists of: 1) a pre-admission day, 2) two weeks of
home-based activities, 3) two-week inpatient period, 4) four weeks of home-based activities,
5) 1st two-days inpatient follow-up, 6) six weeks of home-based activities and 7) 2nd
two-days inpatient follow-up. Usual care consists of a four-week inpatient intervention.
The two groups will be compared according to disability, pain, pain self-efficacy, quality of
life, depression and exercise capacity.
Relevance The present study has emerged out of the fields where patients, clinicians and
researchers intersect and is consequently highly clinically relevant. If positive treatment
effects can be maintained or even improved in the long term, the results may serve as
inspiration for the design of multidisciplinary rehabilitation interventions in clinical
practice; this will be valuable for future patients with CLBP.