SAT0375 Chronic low back pain in osteoporotic females with rheumatoid arthritis a randomized clinical trial

Background Chronic low back pain (LBP) is one of the most common symptom in osteoporosis rheumatoid arthritis patients leading to complex disability (1). Various therapeutic approaches (range-of-motion exercises and exercise programs) have been proposed for chronic low back pain in patients with rheumatoid arthritis and osteoporosis and can delay the loss of joint function and help keep muscles strong (2) Objectives The aim of our study is to compare the effects of three therapeutic approaches in these patients in terms of pain, disability (severity of rheumatoid arthritis) and self-control of the complex disorders. We take into consideration the literature data about the evidence-based primary care options for chronic LBP. Methods 67 females (mean age 42.8 years) with rheumatoid arthritis (mean disease duration 6.8 years) and osteoporosis (mean disease duration 3,4 years) were randomized to the three groups in accordance to the type of treatment: I (23% of patients) - only medication, II (40% of patients) - medication + physiotherapy (TENS, interferential current, ultrasound), III (37% of patients) medication + aerobic training. The rehabilitation program was represented by 12 physiotherapy sessions and 18 aerobic training sessions (3 sessions/week). Outcome measures were VAS pain, DAS 28, BMD (T-Score), HAQ score and Arthritis Self-Efficacy Scale (ASES). All assessments were performed pre-post intervention and at six month follow-up. Results All the groups showed similar decrease in pain on the third assessment and there was no significant difference between the groups. In the first and group the second there was a significant improvement in DAS28 values (p