A bio-psycho-social approach for treating sub-acute low back pain

Giaquinto, Salvatore; Bruti, Loredana; Dall’Armi, Valentina; Gison, Annalisa; Palma, Enzo

doi:10.3109/09638281003797349

Cited by 3 publications

(9 citation statements)

References 43 publications

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“…There are 9 exercise modalities mentioned in 37 of the references attributing exercises to a BPS-R intervention programme: strength ( 23 – 25 , 35 – 51 ), endurance ( 24 , 25 , 37 , 38 , 42 , 43 , 47 , 48 , 50 – 52 ), stretching and mobilizations ( 23 – 25 , 37 , 38 , 41 – 3 , 47 – 49 , 53 ), stability and motor control ( 23 , 25 , 38 , 41 , 49 , 50 , 53 , 54 ), relaxation exercises ( 24 , 36 , 38 , 45 , 49 , 50 , 55 , 56 ), postural training ( 23 , 43 , 45 , 53 – 55 ), proprioception ( 36 , 38 , 45 , 49 , 55 ), lumbopelvic exercises ( 34 , 44 , 53 ), and hydrotherapy ( 25 , 38 , 42 , 49 ). Some of the references did not specify the exercise therapy used during the programme ( 51 , 57 – 68 ).…”

Section: Resultsmentioning

confidence: 99%

“…The 4 sub-attributes are thoughts and behaviors ( 23 , 24 , 35 , 38 , 40 , 41 , 45 – 53 , 55 – 57 , 59 , 61 , 64 – 68 , 70 , 72 ), psychological counseling ( 23 – 25 , 36 , 39 , 41 , 42 , 44 – 49 , 51 – 55 , 58 – 61 , 70 , 72 ), reassuring the patient ( 23 , 37 , 43 , 54 , 55 , 57 , 60 , 64 ), and positive reinforcement ( 54 , 57 , 62 , 65 , 66 ). Thoughts and behaviors are influenced by cognitive behavioral therapy (CBT) and addressing beliefs, behavior, (de-catastrophizing) thoughts, emotions, expectations and preferences to positively influence the patient and rehabilitation.…”

Section: Resultsmentioning

confidence: 99%

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Biopsychosocial rehabilitation in the working population with chronic low back pain: a concept analysis

Ceulemans,

Moens,

Reneman

et al. 2024

JRM

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Objective: To identify the essential attributes of biopsychosocial rehabilitation for chronic low back pain in the working population. Design: A concept analysis was conducted according to the 8-step method of Walker and Avant. This framework provides a clear concept and theoretical and operational definitions. Methods: Five databases were searched, followed by a systematic screening. Subsequently, attributes, illustrative cases, antecedents, consequences and empirical referents were formulated. Results: Of the 3793 studies identified, 42 unique references were included. Eleven attributes were identified: therapeutic exercise, psychological support, education, personalization, self-management, participation, follow-up, practice standard, goal-setting, social support, and dietary advice. Subsequently, illustrative cases were described. Antecedents, such as motivation, preparedness and a multidisciplinary team, were found, together with consequences such as decreased pain, less sick-leave and increased function and work status. Finally, examples of empirical referents were given. Conclusion: This study identified the attributes that are necessary to develop biopsychosocial rehabilitation intervention programmes for chronic low back pain. The defined concept of biopsychosocial rehabilitation for chronic low back pain may serve as a solid base to further develop and apply interventions. Future research should focus on the objectification of biopsychosocial rehabilitation and conceptualization regarding how personalization is done.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Biopsychosocial rehabilitation in the working population with chronic low back pain: a concept analysis

Ceulemans,

Moens,

Reneman

et al. 2024

JRM

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show abstract

“…Such professionals may include physiotherapists, occupational therapists, chiropractors, nurses or general practitioners. Recently, the importance of embedding psychosocial perspectives within physiotherapy practice of low back pain was discussed [24], and a review outlined possible psychosocial interventions as part of a biopsychosocial model for treating sub-acute LBP [25]. To date, the content as well as the treatment theory of psychosocial interventions remains vague, despite the recognized importance of the issue.…”

Section: Implications For Rehabilitationmentioning

confidence: 99%

“…However, it can be assumed that an intensity of approximately 26 sessions is appropriate when considering the time requirements for patient education, goal setting, defining baseline values and the gradual increase of exercise quotas. Graded exposure, referred to as graded exposure in vivo, is a similar treatment approach that is especially tailored to patients with high levels of pain-related fear [25]. In graded exposure treatment, patients are primarily asked to create a hierarchy of feared activities.…”

Section: Treatment Strategies and Theoretical Justificationmentioning

confidence: 99%

Can cognitive behavioural therapy based strategies be integrated into physiotherapy for the prevention of chronic low back pain? A systematic review

Brunner¹,

Herdt²,

Minguet³

et al. 2012

Disability and Rehabilitation

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“…A multidisciplinary intervention was applied (Giaquinto, 2010). The study was mainly aimed at evaluating: 1) the rate of RTW and its interval; 2) the length of medication usage; 3) the rate of surgical interventions on entrapped roots; 4) the rate of relapses.…”

Section: Research Question and Aimmentioning

confidence: 99%

Return to Work and Painkiller Medication after Rehabilitation for Subacute Back Conditions—A 2-Year Follow-Up

Gison¹,

Bruti²,

Dall’Armi³

et al. 2013

AASoci

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The study was aimed at evaluating the outcome after 2 years in a population of outpatients suffering from Low Back Pain (LBP) who were treated with a multi-disciplinary approach. The end-points were: 1) the rate of return to work (RTW); 2) the frequency of painkiller medication; 3) the frequency of unavoidable surgical operation; 4) the rate of relapses. Eighty consecutive subjects (75% women) were enrolled. They were referred by general physicians and completed the rehabilitation program at our centre. We followed an open, prospective design. The main results were: RTW: 92.5% positive cases; 7.5% failure. Job cohort settlement: 93.1% the same; 6.9% change. Time interval between discharge and RTW: 76.8% few days after discharge. Painkillers: At follow-up 46 participants (57.5%) could stop the medication. Surgical operations: At admission 39 participants presented with lumbar root involvement (48.7%). Only 4 of them had a surgical intervention (10.2%). In a third of cases of the all sample relapses did not occur. In conclusion, a multi-disciplinary model of intervention led to a high rate of RTW, a reduction of painkiller medication, a low rate of surgical interventions and of relapses as well. Further controlled studies are warranted for assessing the cost/benefit ratio. The clear prevalence of LBP in women recommends measures of preventing Medicine.

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A bio-psycho-social approach for treating sub-acute low back pain

Cited by 3 publications

References 43 publications

Biopsychosocial rehabilitation in the working population with chronic low back pain: a concept analysis

Biopsychosocial rehabilitation in the working population with chronic low back pain: a concept analysis

Can cognitive behavioural therapy based strategies be integrated into physiotherapy for the prevention of chronic low back pain? A systematic review

Return to Work and Painkiller Medication after Rehabilitation for Subacute Back Conditions—A 2-Year Follow-Up

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