Evaluation of the German new back school

Borys, Constanze; Nodop, Steffi; Tutzschke, R.; Anders, C.; Scholle, Hans‐Christoph; Strauß, Bernhard

doi:10.1007/s00482-013-1370-6

Cited by 9 publications

(4 citation statements)

References 25 publications

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“…Accordingly, it is impossible to assess the conformity of physiotherapeutic treatment with the existing guideline recommendations. An earlier study with participants of the New German Back School [ 27 ] revealed a similar pattern of predominantly passive treatments in the history of the patients. In this study, participants with relatively low pain-related burden were surveyed in a secondary preventive setting.…”

Section: Discussionmentioning

confidence: 71%

Effectiveness of a Multimodal Therapy for Patients with Chronic Low Back Pain Regarding Pre-Admission Healthcare Utilization

et al. 2015

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ObjectiveThe aim of the study was to examine the effectiveness of an intensive inpatient three-week multimodal therapy. We focused especially on the impact on the multimodal therapy outcome of the pre-admission number of treatment types patients had received and of medical specialist groups patients had consulted.Methods155 patients with chronic low back pain and indication for multimodal therapy were evaluated with respect to pain intensity, depression, anxiety, well-being, and pre-admission health care utilization. In our controlled clinical trial we compared N = 66 patients on the waiting list with N = 89 patients who received immediate treatment. The waiting list patients likewise attended multimodal therapy after the waiting period. Longitudinal post-treatment data for both were collected at three- and twelve-month follow-ups. The impact of pre-admission health care utilization on multimodal therapy outcome (post) was analysed by structural equation model.ResultsCompared to the control group, multimodal therapy patients’ pain intensity and psychological variables were significantly reduced. Longitudinal effects with respect to pre-measures were significant at three-month follow-up for pain intensity (ES = -0.48), well-being (ES = 0.78), anxiety (ES = -0.33), and depression (ES = -0.30). Effect sizes at twelve-month follow-up were small for anxiety (ES = -0.22), and moderate for general well-being (ES = 0.61). Structural equation model revealed that a higher number of pre-admission treatment types was associated with poorer post-treatment outcomes in pain intensity, well-being, and depression.ConclusionMultimodal therapy proved to be effective with regard to improvements in pain intensity, depression, anxiety, and well-being. The association between treatment effect and number of pre-admission pain treatment types suggests that patients would benefit more from attending multimodal therapy in an earlier stage of health care.

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Section: Discussionmentioning

confidence: 71%

Effectiveness of a Multimodal Therapy for Patients with Chronic Low Back Pain Regarding Pre-Admission Healthcare Utilization

et al. 2015

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“…to enhance psychological outcomes in depression 30 , in women with menstrual disorders 31 , in reducing anxiety 32 , in glycemic control 33 , during cancer treatment 34 and, of course, in nCLBP 17 , is widely documented. Back school has proved useful in back pain management 35 but recently Borys et al 36 have proved that this program could be also useful to ameliorate painrelated stress and associated psychological aspects. Literature also describe the so-called fear-avoidance © C I C E d i z i o n i I n t e r n a z i o n a l i model, according to which people develop chronic musculoskeletal pain as a result of avoidant behavior based on fear 11,37 .…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of yoga combined with back school program on anxiety, kinesiophobia and pain in people with non-specific chronic low back pain: a prospective randomized trial

Giorgio

Padulo

Kuvačić

2019

Muscle Ligaments and Tendons J

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Introduction: The aim of this study was to investigate the efficacy of Yoga combined with Back school program intervention compared to Yoga program only in order to evaluate anxiety, kinesiophobia, back pain disability and quality of life in people affected by non-specific chronic low back pain. Methods: In this randomized controlled trial, 70 participants (age 37.97±5.54 years) with non-specific chronic low back pain were randomized to undergone experimental Yoga combined with Back school group (35 subjects; Intervention) or Hatha Yoga program group (35 subjects, Control) respectively. The intervention consisted of Yoga exercise sessions with Back school meetings, two times per week for 8 weeks. We investigate the effectiveness of these interventions through some psychological factors: anxiety (Hamilton anxiety scale HAM-A), kinesiophobia (Tampa Scale for Kinesiophobia TSK), back pain disability (Roland Morris Disabilities RMQ), and quality of life (36 Item Short Form Survey SF-36). Results: We found significant decrease in mean scores of all psychological variables (Anxiety F2,68=53.504, p<0.001; Kinesiophobia F2,68=52.244, p<0.001; Disability F2,68=128.343, p<0.001) and increase in health-related quality of life sub-scales (Bodily pain F1,34=20.907, p<0.001; General mental health F1,34=7.319, p=0.011; General health perceptions F1,34=7.879, p=0.008) in Intervention group. Both groups were significantly different in all psychological variables and three sub-scales relate to the quality life (Physical functioning, Bodily pain, and General health perceptions) at the end of 8 and 12 training interventions weeks. Conclusions: This study demonstrated effectiveness of Yoga combined with Back school intervention in people affected by nCLBP with lowering Anxiety, Kinesiophobia and Disability together with improving the quality of life. Level of evidence: Ib.

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“…Especially overly socially avoidant interpersonal behaviour can be treated successfully by interpersonal-based group therapy [ 35 ]. Wittingham [ 22 ] for example, developed a brief, semi-structured process group approach targeting reduction in interpersonal distress (Focused Brief Group Therapy, FBGT). Focus lies on specific interpersonal behaviours that will decrease the patient’s level of interpersonal distress.…”

Section: Discussionmentioning

confidence: 99%

“…The New German Back School integrates components of the classical Back School (exercise) and education based on psychological and social aspects. The back pain group participated in the Back School, with 12 one-and-a-half-hour theoretical and practical trainings held once a week [ 22 ].…”

Section: Methodsmentioning

confidence: 99%

Interpersonal problem behavior and low back pain

et al. 2018

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ObjectiveThe theory of interpersonal problem behaviour (IPB) provides a more fundamental framework for understanding the psychosocial aspects of pain. The present study focused on the IPB, based on the Interpersonal Problem Circumplex (IPC), in persons with low back pain and its association with pain, psychological characteristics, and health care utilisation.MethodsIn a cross-sectional design, individuals with back pain (N = 88) and healthy control persons who matched by age, gender, and educational level (N = 88) were compared with regard to IPB. Furthermore, back pain patients classified by their IPB (N = 24 low, N = 48 moderate, N = 16 high) were compared regarding pain, depression, catastrophising, and health care utilisation.ResultsIn comparison to the healthy reference sample, a significant difference in the interpersonal problems of the low back pain group, with a tendency towards being overly ‘introverted’, ‘exploitable’, and ‘subassertive’, was revealed. In the back pain group, participants with elevated IPB showed significantly higher levels of pain intensity, functional disability, depression, catastrophising, and health care utilisation than participants with IPB in the normal range.ConclusionApplication of the Interpersonal Circumplex Model can help to characterize a subgroup of persons with low back pain. Increased general interpersonal problems are associated with elevated burden in pain-related, psychological, and health care-related variables. Future research should focus on the treatment opportunities for this subgroup, as well as on the influence of interpersonal problems during the course of back pain.

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Evaluation of the German new back school

Cited by 9 publications

References 25 publications

Effectiveness of a Multimodal Therapy for Patients with Chronic Low Back Pain Regarding Pre-Admission Healthcare Utilization

Effectiveness of a Multimodal Therapy for Patients with Chronic Low Back Pain Regarding Pre-Admission Healthcare Utilization

Effectiveness of yoga combined with back school program on anxiety, kinesiophobia and pain in people with non-specific chronic low back pain: a prospective randomized trial

Interpersonal problem behavior and low back pain

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