Somatic Experiencing® for patients with low back pain and comorbid posttraumatic stress symptoms – a randomised controlled trial

Abstract

Background Low back pain (LBP) and comorbid post-traumatic stress symptoms (PTSS) are common after traumatic injuries, and a high level of PTSS is associated with more severe pain and pain-related disability. Few randomised controlled trials (RCT) exist targeting comorbid PTSS and chronic pain, and only one has assessed the effect of Somatic Experiencing®. Objective The aim of this study was to assess the effect of Somatic Experiencing® (up to 12 sessions) + physiotherapeutic intervention (4–8 sessions) (SE+PT) compared with the physiotherapeutic intervention alone (4–8 sessions) (PT) for pain-related disability in LBP with comorbid PTSS. Methods The study was a two-group RCT in which participants (n = 114) were recruited consecutively from a large Danish Spine Centre. Patients were randomly allocated to either SE+PT or PT alone. Outcomes were collected at baseline before randomisation, 6 and 12-month post-randomisation. The primary outcome was pain-related disability as measured with the modified version of the Roland Morris Disability Questionnaire at 6-month post-randomisation. Secondary outcomes were PTSS, pain intensity, pain-catastrophising, kinesiophobia, anxiety and depression. Results No significant group differences were found on any of the outcomes at any timepoints. Both groups achieved a significant reduction in pain-related disability (20–27%) as measured by the Roland Morris Disability Questionnaire at 6 and 12-month follow up. Also, both groups achieved a small reduction in PTSS. Conclusions Although significant effects were achieved for both groups, the additional SE intervention did not result in any additional benefits in any of the outcomes.

Keywords

• post-traumatic stress
• somatic experiencing®
• pain
• low back pain
• rct