Physiotherapist-delivered cognitive-behavioural interventions are effective for low back pain, but can they be replicated in clinical practice? A systematic review.

CONCLUSIONS: With additional training, physiotherapists can deliver effective CB interventions. However, without training or resources, successful translation and implementation remains unlikely. Researchers should improve reporting of procedural information, provide relevant materials, and offer accessible provider training. Implications for Rehabilitation Previous reviews have established that traditional biomedical-based treatments (e.g., acupuncture, manual therapy, massage, and specific exercise programmes) that focus only on physical symptoms do provide short-term benefits but the sustained effect is questionable. A cognitive-behavioural (CB) approach includes techniques to target both physical and psychosocial symptoms related to pain and provides patients with long-lasting skills to manage these symptoms on their own. This combined method has been used in a variety of settings delivered by different health care professionals and has been shown to produce long-term effects on patient outcomes. What has been unclear is if these programmes are effective when delivered by physiotherapists in routine physiotherapy settings. Our study synthesises the evidence for this context. We have confirmed with high-quality evidence that with additional training, physiotherapists can deliver CB interventions that are effective for patients with back pain. Physiotherapists who are considering enhancing their treatment for patients with low back pain should consider undertaking some addi...
Source: Disability and Rehabilitation - Category: Rehabilitation Authors: Tags: Disabil Rehabil Source Type: research

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J Neurol Surg A Cent Eur Neurosurg DOI: 10.1055/s-0038-1655760 Background Lumbar spinal stenosis (LSS) and low-grade degenerative spondylolisthesis are frequently associated with facet joint degeneration, considered the main cause of low back pain. Surgery is the treatment of choice in patients affected by LSS unresponsive to conservative treatment. The aim of this study was to evaluate the clinical and radiologic outcome of patients treated with posterior decompression and transfacet fixation for single-level LSS and facet joint degeneration. Methods A total of 25 patients between May 2015 and June 2016 af...
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - Category: Neurosurgery Authors: Tags: Original Article Source Type: research
Chronic low back pain (CLBP), one of the most common complaints seen by physicians, is a primary cause of disability in the United States and is associated with between $100 and $200 billion in annual costs.1,8,43,63,72 Although some patients with CLBP may have identifiable etiologies, for many there are no discernable mechanisms to account for their pain and dysfunction.9 There is growing evidence that like other chronic pain conditions, idiopathic CLBP involves changes in the central nervous system that result in pain augmentation.
Source: The Journal of Pain - Category: Materials Science Authors: Tags: Original Reports Source Type: research
I’m not certain Theodore Roosevelt actually said that – but who cares?! It’s a great statement. For the person living with persistent pain, though, it can be the last thing you want to hear. After all, it’s tough enough getting up and just doing the normal things let alone challenge yourself! So… how can a health professional help? Let’s briefly recap. Self efficacy is the confidence I can do something successfully if I wanted to. It’s a robust predictor of many health behaviours including exercise, stopping smoking, eating healthily and coping well with persistent pain (Jackson, ...
Source: HealthSkills Weblog - Category: Anesthesiology Authors: Tags: Back pain Chronic pain Clinical reasoning Coping Skills Coping strategies Professional topics Research Resilience Science in practice biopsychosocial function healthcare pain management physiotherapy rehabilitation self effic Source Type: blogs
CONCLUSIONS: A combination of rehabilitation and mattress overlay use seems an effective approach for improvement of pain, perceived back disability, sleep, spine mobility, and lumbar multifidus size and structure of LBP patients. PMID: 29991121 [PubMed - as supplied by publisher]
Source: Journal of Back and Musculoskeletal Rehabilitation - Category: Orthopaedics Tags: J Back Musculoskelet Rehabil Source Type: research
ConclusionThis study did not find an association between the use of a backpack and low back pain in Malaysian pre-university students.
Source: Journal of Taibah University Medical Sciences - Category: Universities & Medical Training Source Type: research
ConclusionsThere is no relationship between Modic changes in MRI and greater intensity of lumbar pain or need for medical or surgical treatment at 10 years of follow-up. Modic changes cannot be considered a sign of bad prognosis by themselves, or an indication for surgery.ResumenObjetivoValor de los cambios Modic a 10 años en la evolución del dolor lumbar y requerimiento quirúrgico.Material y métodoEstudio observacional longitudinal de cohortes prospectivo. Se compara la evolución a los 10 años de 2 grupos de pacientes con dolor lumbar crónico: el grupo A mostraba cambios Mo...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - Category: Orthopaedics Source Type: research
Publication date: January 2018Source: The Egyptian Rheumatologist, Volume 40, Issue 1Author(s): Hanan Ahmed Kotb, Dina Abbas Effat, Mohamed Reda Awad, Shereen Hefny DerbalaAbstractAim of the workTo assess the efficacy of CT-guided transforaminal epidural steroid injection (CT-TFESI) as compared to vertebral axial decompression (VAX-D), the combined effect of both and medical treatment in the management of acute lumbar disc herniation.Patients and methodsForty-eight patients complaining of low back pain (LBP) with radicular symptoms due to lumbar disc herniation (
Source: The Egyptian Rheumatologist - Category: Rheumatology Source Type: research
ConclusionsPatients showed less muscle activation than controls at baseline (L5-S1 level), but the LSEP did not normalize this impairment. The links between RUSI measures and the change in clinical outcomes during LSEP should be further explored.This clinical trial has been recorded in the International Standard Registered Clinical/soCial sTudy Number (ISRCTN) registry (ID: ISRCTN94152969).Level of EvidenceII
Source: PMandR - Category: Rehabilitation Source Type: research
ConclusionsIt appears that patients with CLBP have greater difficulty generating visual and kinesthetic motor images compared with asymptomatic participants, and they also need more time to perform these mental tasks.Level of EvidenceII
Source: PMandR - Category: Rehabilitation Source Type: research
ConclusionThe ODI is a valid outcome tool for low-back and lower-extremity pain-related disability for patients with AMC. Upper-extremity issues were not addressed by the ODI, which will be further addressed in future research.
Source: Annals of Physical and Rehabilitation Medicine - Category: Rehabilitation Source Type: research
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