Behavioural treatment for chronic low-back pain

Ostelo, Raymond; Tulder, Maurits W. van; Vlaeyen, Johan W. S.; Linton, Steven J.; Morley, Stephen; Assendelft, W.J.J.

doi:10.1002/14651858.cd002014.pub2

Cited by 190 publications

(164 citation statements)

References 58 publications

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“…The majority reported maintaining changes they had implemented during the course, some of these more than a year after completing the course suggesting long term behaviour change. These are similar findings to those reported in CPMP in developed countries with people reporting similar increasing awareness of one's own needs, increased levels of self-efficacy and improved communication abilities following participation in CPMP (Flor et al, 1992, Kralik et al, 2008, Ostelo et al, 2005. This is particularly encouraging considering that the pilot CPMP was run as an outpatient programme in the minimum number of hours recommended by the literature.…”

Section: Discussionsupporting

confidence: 80%

“…A multidisciplinary management approach which has been successfully implemented for the management of chronic pain disorders was used as a guideline for the development of a six week outpatient CPMP (Flor et al, 1992, Main and Spanswick, 2000, Moore et al, 2000, Olason, 2004, Ostelo et al, 2005. Studies on the efficacy of CPMP have investigated various models of delivery.…”

Section: Methodsmentioning

confidence: 99%

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Patient satisfaction with a pilot chronic pain management programme in Cape Town, South Africa

Parker

S²,

Dubaniewicz³

et al. 2009

South African Journal of Physiotherapy

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Section: Discussionsupporting

confidence: 80%

Section: Methodsmentioning

confidence: 99%

Patient satisfaction with a pilot chronic pain management programme in Cape Town, South Africa

Parker

S²,

Dubaniewicz³

et al. 2009

South African Journal of Physiotherapy

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“…Therapeutic exercises prove beneficial for chronic pain patients as they reduce pain and disability. [5][6][7][8][9] Despite the benefits, adherence to the exercise programs is often suboptimal. Dropout rates have ranged from 10 to 36% and many patientsÕ exercise adherence levels decline even further once they have completed their programme.…”

Section: Introductionmentioning

confidence: 99%

An exploration of chronic pain patients’ perceptions of home telerehabilitation services

Cranen

Drossaert

Brinkman

et al. 2011

Health Expectations

103

110

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Objectives To explore patientsÕ perceptions regarding prospective telerehabilitation services and the factors that facilitate or impede patientsÕ intentions to use these services.Design Using semi-structured interviews, patients reflected on the pros and cons of various scenarios of prospective telerehabilitation services. PatientsÕ arguments were first arranged according to the Unified Theory of Acceptance and Use of Technology (UTAUT). Next, using inductive analysis, the data for each UTAUT component were analysed and arranged into subthemes.Setting and participants Twenty-five chronic pain patients were selected from a rehabilitation centre in the Netherlands.Results Overall, participants considered telerehabilitation helpful as a complementary or follow-up treatment, rather than an autonomous treatment. Arguments mainly related to the UTAUT constructs of Ôperformance expectancyÕ and Ôfacilitating conditionsÕ. Patients valued the benefits such as reduced transportation barriers, flexible exercise hours and the possibility to better integrate skills into daily life. However, many patients feared a loss of treatment motivation and expressed concerns about both reduced fellow sufferer contact and reduced face-to-face therapist contact. Few arguments related to Ôsocial normsÕ and Ôeffort expectancyÕ.Conclusions The effect of telerehabilitation on healthcare strongly depends on patientsÕ willingness to use. Our study showed that chronic pain patients valued the benefits of telerehabilitation but hesitate to use it as an autonomous treatment. Therefore, future initiatives should maintain traditional care to some degree and focus on patientsÕ attitudes as well. Either by giving information to increase patientsÕ confidence in telerehabilitation or by addressing reported drawbacks into the future design of these services. Further quantitative studies are needed to explore patientsÕ intentions to use telerehabilitation.

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“…Exercícios terapêuticos para a lombalgia podem ser realizados em grupo ou individualmente, contando com vários objetivos físico-funcionais e envolvendo atividade aeróbica, além de fortalecimentos, alongamentos e trabalhos posturais segmentares e globais (15)(16)(17)(18) .…”

Section: Introductionunclassified

Atividade física comunitária: efeitos sobre a funcionalidade na lombalgia crônica

Martins¹,

Longen²

2017

RBPS

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Este artigo publicado em acesso aberto (Open Access) sob a licença Creative Commons, que permite uso, distribuição e reprodução em qualquer meio, sem restrições, desde que o trabalho seja corretamente citado. ATIVIDADE FÍSICA COMUNITÁRIA: EFEITOS SOBRE A FUNCIONALIDADE NA LOMBALGIA CRÔNICACommunity physical activity: effects on functionality in chronic low back pain Actividad física en la comunidad: efectos sobre la funcionalidad en la lumbalgia crónica Maicon da Silva MartinsUniversidade do Extremo Sul Catarinense -UNESC -Santa Catarina (SC) -Brasil Willians Cassiano LongenUniversidade do Extremo Sul Catarinense -UNESC -Santa Catarina (SC) -Brasil RESUMO Objetivo: Avaliar a intensidade dolorosa, a força lombar e a funcionalidade de indivíduos que possuem lombalgia crônica inespecífica e são praticantes de um programa públicos de exercícios físicos. Métodos: Pesquisa exploratória, transversal e quantitativa realizada em 2017, com 130 mulheres de 30 a 60 anos de idade e sem histórico de cirurgia na coluna vertebral. Aplicou-se o Oswestry Low Back Pain Disability Questionnaire (ODQ) para a avaliação da incapacidade relacionada à coluna lombar. Quantificou-se a dor através da escala visual analógica (EVA) e a força muscular lombar com dinamometria lombar (Takei®). Resultados: Das 130 participantes, 97,7% (n=127) apresentaram incapacidade funcional mínima relacionada à coluna lombar (ODQ). Em relação à força, 16,9% (n=10) apresentaram valores normais e 83,1% (n=120) abaixo dos valores de referência, apresentando fraqueza muscular. Quanto à intensidade da dor, 47,7% (n=67) das participantes apresentaram intensidade leve, 45,5% (n=59) apresentaram intensidade moderada e 6,9% (n=9), intensa. Conclusão: O programa possui características que contribuem para manter controlada a intensidade dolorosa, que vem se mostrando baixa, bem como a incapacidade funcional significativa dos indivíduos. A fraqueza muscular na região lombar, apresentada pelas participantes sem associação com a funcionalidade, e a dor podem ser um fator que perpetua os quadros de lombalgia crônica. Os achados sugerem a necessidade de revisão da prescrição terapêutica dos exercícios do programa realizado. (ODQ). In respect to strength, 16.9% (n=10) presented normal values and 83.1% (n=120) were below the reference values, presenting muscle weakness. As for the pain intensity, 47.7% (n=67)

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Behavioural treatment for chronic low-back pain

Abstract: Analysis 7.7. Comparison 7 Cognitive-behavioural therapy versus cognitive therapy, Outcome 7 Depression (short-term). Analysis 7.8. Comparison 7 Cognitive-behavioural therapy versus cognitive therapy, Outcome 8 Depression (intermediateterm

Cited by 190 publications

References 58 publications

Patient satisfaction with a pilot chronic pain management programme in Cape Town, South Africa

Patient satisfaction with a pilot chronic pain management programme in Cape Town, South Africa

An exploration of chronic pain patients’ perceptions of home telerehabilitation services

Atividade física comunitária: efeitos sobre a funcionalidade na lombalgia crônica

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