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Mindfulness-Based Stress Reduction, Cognitive-Behavioral Therapy Shown To Be Cost Effective for Chronic Low-Back Pain

Results of a new NCCIH-supported study suggest group sessions of mindfulness-based stress reduction (MBSR) or cognitive-behavioral therapy (CBT) are cost-effective for chronic low-back pain.
Source: NCCAM Featured Content - Category: Complementary Medicine Authors: Source Type: news

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Clinical reasoning has been defined as “the process by which a therapist interacts with a patient, collecting information, generating and testing hypotheses, and determining optimal diagnosis and treatment based on the information obtained.” (thanks to https://www.physio-pedia.com/Clinical_Reasoning#cite_note-Higgs-1). The model or lens through which we do these processes naturally has a major influence on our relationship with the person, the information we think is relevant, the hypotheses we develop, and ultimately the problems we identify and how we treat them. No arguments so far, yes? So when we come to t...
Source: HealthSkills Weblog - Category: Anesthesiology Authors: Tags: ACT - Acceptance & Commitment Therapy Assessment Back pain Clinical reasoning Low back pain Pain conditions Professional topics Research Science in practice biopsychosocial pain management Source Type: blogs
Conditions:   Low Back Pain, Recurrent;   Chronic Low Back Pain Interventions:   Procedure: Real transcranial direct current stimulation + therapeutic exercises for back pain;   Procedure: Sham transcranial direct current stimulation + therapeutic exercises for back pain Sponsors:   Universidade Federal do Piauí;   Fundação de Amparo à Pesquisa do Estado do Piauí (FAPEPI) Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conclusions: This pilot trial demonstrated that home-based telephone-supported PA interventions were feasible, acceptable, and safe for older adult veterans. The results provide support for a larger trial investigating these interventions. PMID: 29669086 [PubMed - in process]
Source: Physical Therapy - Category: Physiotherapy Authors: Tags: Phys Ther Source Type: research
Conclusions: The OSPRO-ROS tool may be used to improve the prediction of persistent musculoskeletal pain at 12 months in conjunction with comorbidities and pain intensity (baseline and 4 weeks). These are potentially important findings because persistent pain was not commonly evaluated in previous screening studies; however, it is a relevant outcome in an era of front-line nonpharmacological pain management. PMID: 29669081 [PubMed - in process]
Source: Physical Therapy - Category: Physiotherapy Authors: Tags: Phys Ther Source Type: research
Conclusions: Blended-learning PNE was able to improve kinesiophobia and illness perceptions in participants with chronic spinal pain. As effect sizes remained small to medium, PNE should not be used as a sole treatment but rather should be used as a key element within a comprehensive active rehabilitation program. Future studies should compare the effects of blended-learning PNE with offline PNE and should consider cost-effectiveness. PMID: 29669079 [PubMed - in process]
Source: Physical Therapy - Category: Physiotherapy Authors: Tags: Phys Ther Source Type: research
Acta Anaesthesiologica Scandinavica, EarlyView.
Source: Acta Anaesthesiologica Scandinavica - Category: Anesthesiology Authors: Source Type: research
A recent Institute for Clinical and Economic Review provides evidence that some cognitive and mind-body therapies are effective for chronic low back pain and also cost-effective.
Source: RAND Research Health and Health Care - Category: Health Management Authors: Source Type: research
Authors: Tayer-Shifman OE, Bar-On Y, Pereg D, Hershko AY Abstract BACKGROUND: Physical inactivity is a pivotal factor in the development and progression of various chronic diseases. However, most fitness facilities exclude unhealthy individuals. Therefore, an exercise program that admits such patients is imperative. OBJECTIVES: To evaluate the effectiveness of a fitness facility that admits adult subjects with multiple chronic diseases. METHODS: We conducted a retrospective screening of patient records from the Medical Fitness Facility at Meir Medical Center, Israel. Intake of subjects was done by a multidi...
Source: The Israel Medical Association Journal - Category: General Medicine Tags: Isr Med Assoc J Source Type: research
Condition:   Chronic Low Back Pain Intervention:   Other: Multidisciplinary rehabilitation program Sponsors:   Haute Ecole Cantonale Vaudoise de Santé;   University of Lausanne Hospitals;   University of Lausanne Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Journal of Applied Biobehavioral Research, EarlyView.
Source: Journal of Applied Biobehavioral Research - Category: Psychiatry & Psychology Authors: Source Type: research
More News: Back Pain | Chronic Pain | Complementary Medicine | Low Back Pain | Pain | Study