The Dutch Multidisciplinary Occupational Health Guideline to Enhance Work Participation Among Low Back Pain and Lumbosacral Radicular Syndrome Patients

Conclusions Based on systematic reviews and expert consensus, the good practice recommendations in this guideline focus on enhancing work participation among workers with LBP and LRS using a stepped-care approach to complement existing guidelines focusing on recovery and daily functioning.
Source: Journal of Occupational Rehabilitation - Category: Rehabilitation Source Type: research

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Eur J Phys Rehabil Med. 2021 May 5. doi: 10.23736/S1973-9087.21.06696-X. Online ahead of print.ABSTRACTBACKGROUND: Multidisciplinary rehabilitation induces disability improvement, pain reduction and favours return-to-work in patients with subacute low back pain (LBP). Current research advises additional high-quality trials.AIM: To test the effect of a multidisciplinary rehabilitative programme incorporating cognitivebehavioural interventions compared to general physiotherapy alone to treat subacute LBP, and to appraise its long-term extent.DESIGN: Randomised parallel-group superiority-controlled trial.SETTING: Outpatient r...
Source: European Journal of Physical and Rehabilitation Medicine - Category: Rehabilitation Authors: Source Type: research
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.
Source: Chiropractic and Manual Therapies - Category: Complementary Medicine Source Type: research
Once you begin to dip your toes into psychological therapies, it doesn’t take long before you begin to see TLAs all over the place. So today I’m going to post on two things: some of the TLAs, and why or how we might consider using these approaches in pain rehabilitation. The first one is CBT, or cognitive behavioural therapy. CBT grew out of two movements: behaviour therapy (Skinner and the pigeons, rats and all that behaviour modification stuff), and cognitive therapy (Ellis and Beck and the “cognitive triad” – more on this later). When the two approaches to therapy are combined, we have c...
Source: HealthSkills Weblog - Category: Anesthesiology Authors: Tags: ACT - Acceptance & Commitment Therapy Clinical reasoning Cognitive behavioral therapy Coping strategies Interdisciplinary teams Occupational therapy Physiotherapy Professional topics Psychology Research Science in practice Source Type: blogs
Purpose: Chronic low back pain (CLBP) is the greatest cause of years lived with disability worldwide thus debilitating for patients, challenging for health care systems and costly for societies. Physiotherapy is moderately effective but might be improved by incorporating psychological models and techniques. Acceptance and Commitment Therapy (ACT), a form of cognitive-behavioural therapy, is effective for people with chronic pain when delivered by psychologists but is uncommon in physiotherapy. This trial aimed to test the efficacy of physiotherapy informed by ACT (PACT) against usual care (UC) physiotherapy for CLBP.
Source: Physiotherapy - Category: Physiotherapy Authors: Tags: O0044 Source Type: research
Background: Chronic low back pain (CLBP) is a prevalent health problem which has proved difficult to manage. Acceptance and Commitment Therapy (ACT) is a newer generation of Cognitive Behavioural Therapy, which has shown effectiveness for chronic pain. Normally delivered by psychologists, it has not been tested as a physiotherapy delivered intervention and now requires evaluation in a CLBP population. An ongoing randomised controlled trial will compare outcomes of conventional physiotherapy with physiotherapy informed by ACT (PACT) in CLBP.
Source: Manual Therapy - Category: Physiotherapy Authors: Source Type: research
Conclusion There was some evidence people doing yoga – compared with those doing no exercise – saw some improvement in back-related function at three and six months. It was not clear if those undertaking yoga, compared with other exercise or adding yoga to exercise, was any better than exercise alone. The study does, however, have some downfalls: Only 12 trials were included, the majority of which were in the US. This may mean results are less generalisable to other countries. Not all trials looked at all reported outcomes. For example, only four trials were included when comparing yoga with non-yoga exerc...
Source: NHS News Feed - Category: Consumer Health News Tags: Lifestyle/exercise Neurology Source Type: news
Conclusion This systematic review aimed to combine available data on the prevalence of chronic pain in the UK adult population. The 19 identified studies suggested that 43% of people in the UK experience chronic pain. However, there are both strengths and limitations to this review that may affect the reliability of this finding. The review has strengths in the careful search methods which aimed to identify only studies relevant to the general population. The researchers also did their best to provide the most reliable estimate by performing a quality assessment of studies and excluding those at particularly high risk of ...
Source: NHS News Feed - Category: Consumer Health News Tags: Medical practice Medication Mental health Neurology Older people Source Type: news
Discussion This paper outlines the design of a randomised controlled trial that investigates the potential benefits of adding a widely available and inexpensive internet-based psychological intervention to standard multimodal manual therapy for the management of chronic low back pain. Trial registration ACTRN12615000269538
Source: Chiropractic and Manual Therapies - Category: Complementary Medicine Source Type: research
BACKGROUND: Low Back Pain (LBP) remains a common and costly problem. Psychological obstacles to recovery have been identified, but psychological and behavioural interventions have produced only moderate improvements. Reviews of trials have suggested that t...
Source: SafetyLit: All (Unduplicated) - Category: Global & Universal Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news
Conclusions: CCBT is a credible and acceptable intervention for LBP patients who exhibit psychological obstacles to recovery.Trial registrationISRCTN43733490, registered 15/12/2010.
Source: BMC Musculoskeletal Disorders - Category: Orthopaedics Authors: Source Type: research
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