Programa De Rehabilitación Integral en Pacientes Con Dolor Cronico De Espalda: Un Estudio De Caso

Abstract

The use of combined strategies for the management of patients with chronic pain has shown effectiveness in recovery, so this work shows the application of psychological approaches and physiotherapy in the rehabilitation of a 62 year old male patient with chronic back pain. The applied physiotherapy strategies were based on the application of techniques such as Tens, Ultrasound, balloon-therapy exercises, isometric and isotonic exercises, physical mediums, the McKenzy technique and kinetic chain exercises, which were provided as one hour long daily session, for a period of 15 days and the effect of the applied treatment was evaluated by assessing musculoskeletal problems (OM). The accompanying psychological treatment was based on a cognitive behavioral training (ECC) that was performed weekly; the level of life improvement of the patients was measured with the Hamilton anxiety scale, the coping strategies questionnaire (CIQ) and Euro-gol. The physiotherapy assessments were applied before, during and after the treatment, while psychological assessments were applied before and after and showed an efficient complete rehabilitation, reducing chronic back pain, increasing mobility and improving quality of life by reducing the indexes of tenderness to pain and movement, with the Borg numerical scale. Furthermore, it was observed that the lumbar disability index of Oswestry also decreased, as well as the anxiety levels and there was a total patient recovery demonstrating that comprehensive patient rehabilitation was effective. KEY WORDSPhysical rehabilitation, chronic back pain, cognitive behavioral training