Innovative Care Model Reduces Back Problems Effectively

Research conducted by Linköping University in Sweden has led to the development of a groundbreaking physiotherapy care model called BetterBack (BättreRygg), which aims to significantly decrease the prevalence and severity of back problems. Low back pain, a common condition affecting people of all ages, often results in discomfort, limited mobility, and fear of movement, which can worsen the condition. It is typically benign, with 80-90% of cases classified as non-specific back pain, meaning no precise structural cause is identified.

Karin Schröder, a physiotherapist and associate professor, emphasizes that most back issues do not stem from serious illnesses but cause understandable fears and movement restrictions. She advocates that movement and physical activity are crucial for recovery, and that it's important to dispel the misconception that rest is the best remedy.

Since 2016, the care program BetterBack has been developed through collaboration among physiotherapists, researchers, and healthcare managers in Östergötland. The program involves evidence-based guidelines, support tools, and an accessible exercise-based training regimen, all designed to be adaptable to individual needs. A key component is patient education, empowering individuals with knowledge and practical tools to manage their pain independently.

The program also takes into account psychological factors affecting back pain, such as stress, worry, fear, and depression, broadening treatment to encompass overall well-being. Studies have shown that patients treated under the BetterBack model report reduced symptoms and enhanced quality of life.

Furthermore, the program’s effectiveness is validated by international research, which recognizes it as the only structured care approach for low back pain evaluated at multiple organizational levels. It has become a vital element of the national healthcare strategy in Sweden, emphasizing movement-based treatments over medication or surgery. This approach not only alleviates pain but also promotes patient independence in managing their health.

The success of BetterBack illustrates the importance of involving healthcare professionals, patients, and managers from the beginning, fostering commitment and adherence to evidence-based practices. It exemplifies how a comprehensive, holistic approach to back pain can lead to better outcomes and reduce the societal burden of this widespread condition.