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.
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...
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
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]
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]
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]
Acta Anaesthesiologica Scandinavica, EarlyView.
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.
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...
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
Journal of Applied Biobehavioral Research, EarlyView.