A Comparison of Two Short Education Programs for Improving Low Back Pain-Related Disability in the Elderly

Abstract

In institutionalized elderly, the handing out of the Back Book supported by a 20-minute group talk improves disability 6 months later, and is even more effective in those subjects with LBP.

The prognostic value of catastrophizing for predicting the clinical evolution of low back pain patients: a study in routine clinical practice within the Spanish National Health Service

“…32 Results from randomized controlled trials and small prospective studies are inconsistent. 2,4,7,12,[18][19][20][21][22][23][24][25][26][27][28][29][30][31] Differences in sample size, recruitment context (e.g., patients treated in routine practice vs. secondary analyses of data gathered in clinical trials), patients' characteristics, and statistical methods used across studies (e.g., use of hierarchical vs. non-hierarchical models) can account for this inconsistency. For instance, the use of hierarchical models implies pre-hoc assumptions and favors those variables which the authors choose to enter first, since these have a greater chance of attaining statistical significance.…”

“…[2][3][4]7,[20][21][22][23][24][25][26][27][28][29][30][31][53][54][55][56] , to date no psychological variable has shown to be relevant with regards to the treatment or clinical evolution of LBP patients in the Spanish context. [11][12][13]18 Therefore, further studies should assess the generalizability of current results to other cultural environments, and identify which psychological variables influence the prognosis of LBP in the Spanish cultural context. Those studies should be longitudinal, include large representative samples of acute and chronic patients recruited in clinical practice and use non-hierarchical models, in order to be comparable with the current one and to lead to results which are potentially relevant to clinical practice.…”

“…[1][2][3][4][5][6][7][8][9] FAB refer to the fear-induced avoidance of movements or activities which are expected to be painful, whereas catastrophizing is defined as an exaggerated negative mental state related to an actual or anticipated painful experience. [1][2][3][4][5][6][7][8][9] In the Spanish cultural environment, FAB have shown to have an either negligible or nonexistent influence on LBP among elderly populations and among acute, subacute and chronic LBP patients treated in routine practice, [10][11][12][13] whereas catastrophizing correlates with disability and explains approximately one fourth of its variance, 13,14 suggesting that it may have an influence on the prognosis of LBP patients.…”

Efeitos de um programa educacional de autocuidado de coluna em idosos com dor lombar crônica: um estudo quasi-experimental

“…Kovacs et al (2007) realizaram estudo com idosos institucionalizados (n = 661) e idade média de 81,2 anos com e sem DL. Os idosos foram randomizados em 3 grupos educacionais, todos receberam uma palestra resumo de 20 minutos, sendo o G1 grupo de educação ativa mais um livro de coluna; o G2 grupo de higiene postural mais um guia de coluna e o G3 grupo controle (folheto cardiovascular).…”

“…Porém, poucos autores investigaram seus efeitos na DL crônica da população idosa (Haas et al, 2005;Kovacs et al, 2007), encontrando resultados positivos e significativos apenas na incapacidade funcional relacionada à Programa educacional de autocuidado de coluna | 55 DL dentre as várias variáveis estudadas como: intensidade de dor, saúde geral, qualidade de vida, entre outras.…”