The Effect of Therapeutic Neuroscience Education on Chronic Low Back Pain
Condition: Chronic Low-back Pain Interventions: Other: physiotherapy and education; Other: Physiotherapy alone Sponsor: Pamukkale University Completed
ConclusionsSeveral shared and unique barriers and facilitators to using the stratified care approaches for non-specific LBP among Canadian physiotherapists and chiropractors were identified. Findings may help inform the design of tailored theory-based knowledge translation interventions to increase the uptake of stratified care approaches in clinical practice.
Condition: Chronic Low-back Pain Interventions: Other: Pain Neuroscience Education; Other: Conventional education Sponsors: University Hospital, Lille; Société Française de Physiothérapie (SFP). Not yet recruiting
Conclusions: Personal conflicts were identified between clinicians' descriptions of their wishes to "sell" their own perspectives to patients while simultaneously wanting to demonstrate a patient-focused approach and avoid the interpersonal conflicts which arose from clashes with patients' beliefs. Building a good initial rapport, showing empathy and adapting approaches in response to perceptions of patients' reactions were perceived as strategies to help mitigate the risks of failed communication, but this was something for which participants felt unprepared by their prior training. PMID: 31744369 [PubMed -...
To investigate the effectiveness of spinal manipulation combined with myofascial release compared with spinal manipulation alone, in individuals with chronic non-specific low back pain (CNLBP).
Resumo O Problema Cr ônico de Coluna (PCC) é uma das doenças mais prevalentes no mundo e representa uma das principais causas de anos de vida perdidos por incapacidade. Embora de grande relevância para a saúde pública, estudos sobre o acesso e a utilização dos tipos de tratamento são escassos. O objetivo deste artigo é descrever os principais tratamentos para PCC no Brasil, analisar os fatores associados à sua utilização e discutir possíveis desigualdades na utilização de fisioterapia /exercícios e a utiliza...
ConclusionThere was no additional benefit of an internet-delivered CBT program (MoodGYM) to physical treatments in those with chronic non-specific LBP at medium risk of ongoing disability measured at post-treatment, or at 6 and 12 months.Trial registrationThis trial was prospectively registered with Australian New Zealand Clinical Trials Registry Number (ACTRN)12615000269538.
CONCLUSION: CFT reduced disability, but not pain, at 6 and 12 months compared with the group-based exercise and education intervention. Future research should examine whether the greater reduction in disability achieved by CFT renders worthwhile differences for health systems and patients. TRIAL REGISTRATION NUMBER: ClinicalTrials.gov registry (NCT02145728). PMID: 31630089 [PubMed - as supplied by publisher]