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Comparing physical and behavior therapy for chronic low back pain on physical abilities, psychological distress, and patients' perceptions

Identifieur interne : 001459 ( Istex/Corpus ); précédent : 001458; suivant : 001460

Comparing physical and behavior therapy for chronic low back pain on physical abilities, psychological distress, and patients' perceptions

Auteurs : Richard L. Heinrich ; Michael J. Cohen ; Bruce D. Naliboff ; Gretchen A. Collins ; Adelita D. Bonebakker

Source :

RBID : ISTEX:92062ED4026F239C0935006CC881529A41CACFAB

Abstract

Abstract: A treatment-outcome study was conducted to study the impact of behavior and physical therapy on components of the chronic low back pain syndrome. Eighteen patients received behavior therapy and 15 patients received physical therapy. All patients had at least a 6-month history of seeking treatment for chronic low back pain. Prior to treatment patients were assessed in four principal areas of functioning: (1) physical abilities; (2) current physical functioning; (3) psychological and psychosocial functioning; and (4) pain intensity and pain perception. Treatments were conducted in a group (five to eight patients) outpatient setting. Both behavior therapy and physical therapy groups met for 10-weekly sessions, each lasting 2 hr. Behavior therapy was designed to address the environmental, social, and emotional components of the low back pain syndrome as well as the depression and decreased activity that result from chronic low back pain. Physical therapy was based upon traditional rehabilitation theory and was designed to improve low back function. Patients were reevaluated at posttreatment, 6 months, and 1 year. The results showed a general improvement for patients in both groups and a few treatment-specific differences in outcome measures.

Url:
DOI: 10.1007/BF00845512

Links to Exploration step

ISTEX:92062ED4026F239C0935006CC881529A41CACFAB

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<AuthorName DisplayOrder="Western">
<GivenName>Bruce</GivenName>
<GivenName>D.</GivenName>
<FamilyName>Naliboff</FamilyName>
</AuthorName>
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<AuthorName DisplayOrder="Western">
<GivenName>Gretchen</GivenName>
<GivenName>A.</GivenName>
<FamilyName>Collins</FamilyName>
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<GivenName>Adelita</GivenName>
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<FamilyName>Bonebakker</FamilyName>
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<OrgName>Veterans Administration Medical Center</OrgName>
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<Postcode>91343</Postcode>
<City>Sepulveda</City>
<State>California</State>
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<OrgDivision>Department of Psychiatry and Biobehavioral Sciene</OrgDivision>
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<Postcode>90024</Postcode>
<City>Los Angeles</City>
<State>California</State>
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<OrgDivision>Department of Anesthesiology</OrgDivision>
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<Postcode>90024</Postcode>
<City>Los Angeles</City>
<State>California</State>
</OrgAddress>
</Affiliation>
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<OrgDivision>Department of Rehabilitation Medicine</OrgDivision>
<OrgName>University of California, Irvine</OrgName>
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<City>Irvine</City>
<State>California</State>
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<State>California</State>
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<Para>A treatment-outcome study was conducted to study the impact of behavior and physical therapy on components of the chronic low back pain syndrome. Eighteen patients received behavior therapy and 15 patients received physical therapy. All patients had at least a 6-month history of seeking treatment for chronic low back pain. Prior to treatment patients were assessed in four principal areas of functioning: (1) physical abilities; (2) current physical functioning; (3) psychological and psychosocial functioning; and (4) pain intensity and pain perception. Treatments were conducted in a group (five to eight patients) outpatient setting. Both behavior therapy and physical therapy groups met for 10-weekly sessions, each lasting 2 hr. Behavior therapy was designed to address the environmental, social, and emotional components of the low back pain syndrome as well as the depression and decreased activity that result from chronic low back pain. Physical therapy was based upon traditional rehabilitation theory and was designed to improve low back function. Patients were reevaluated at posttreatment, 6 months, and 1 year. The results showed a general improvement for patients in both groups and a few treatment-specific differences in outcome measures.</Para>
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<Heading>Key words</Heading>
<Keyword>back pain</Keyword>
<Keyword>physical therapy</Keyword>
<Keyword>behavior therapy</Keyword>
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<SimplePara>This research was supported by the Veterans Administration Medical Research Program. Portions of this paper were read at the Annual Meeting of the American Pain Society, New York, September 1980.</SimplePara>
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<namePart type="given">L.</namePart>
<namePart type="family">Heinrich</namePart>
<affiliation>Veterans Administration Medical Center, 91343, Sepulveda, California</affiliation>
<affiliation>Department of Psychiatry and Biobehavioral Sciene, UCLA, 90024, Los Angeles, California</affiliation>
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<namePart type="given">Michael</namePart>
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<affiliation>Veterans Administration Medical Center, 91343, Sepulveda, California</affiliation>
<affiliation>Department of Psychiatry and Biobehavioral Sciene, UCLA, 90024, Los Angeles, California</affiliation>
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<affiliation>Department of Anesthesiology, UCLA, 90024, Los Angeles, California</affiliation>
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<namePart type="given">Gretchen</namePart>
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<affiliation>Veterans Administration Medical Center, 91343, Sepulveda, California</affiliation>
<affiliation>Department of Rehabilitation Medicine, University of California, Irvine, 92664, Irvine, California</affiliation>
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<affiliation>Department of Medicine, UCLA, 90024, Los Angeles, California</affiliation>
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<abstract lang="en">Abstract: A treatment-outcome study was conducted to study the impact of behavior and physical therapy on components of the chronic low back pain syndrome. Eighteen patients received behavior therapy and 15 patients received physical therapy. All patients had at least a 6-month history of seeking treatment for chronic low back pain. Prior to treatment patients were assessed in four principal areas of functioning: (1) physical abilities; (2) current physical functioning; (3) psychological and psychosocial functioning; and (4) pain intensity and pain perception. Treatments were conducted in a group (five to eight patients) outpatient setting. Both behavior therapy and physical therapy groups met for 10-weekly sessions, each lasting 2 hr. Behavior therapy was designed to address the environmental, social, and emotional components of the low back pain syndrome as well as the depression and decreased activity that result from chronic low back pain. Physical therapy was based upon traditional rehabilitation theory and was designed to improve low back function. Patients were reevaluated at posttreatment, 6 months, and 1 year. The results showed a general improvement for patients in both groups and a few treatment-specific differences in outcome measures.</abstract>
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<title>Journal of Behavioral Medicine</title>
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<originInfo>
<dateIssued encoding="w3cdtf">1985-03-01</dateIssued>
<copyrightDate encoding="w3cdtf">1985</copyrightDate>
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<genre>Psychology</genre>
<topic>Public Health/Gesundheitswesen</topic>
<topic>Clinical Psychology</topic>
<topic>Health Psychology</topic>
</subject>
<identifier type="ISSN">0160-7715</identifier>
<identifier type="eISSN">1573-3521</identifier>
<identifier type="JournalID">10865</identifier>
<identifier type="IssueArticleCount">6</identifier>
<identifier type="VolumeIssueCount">4</identifier>
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<date>1985</date>
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<number>8</number>
<caption>vol.</caption>
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<detail type="issue">
<number>1</number>
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<extent unit="pages">
<start>61</start>
<end>78</end>
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<identifier type="DOI">10.1007/BF00845512</identifier>
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<accessCondition type="use and reproduction" contentType="copyright">Plenum Publishing Corporation, 1985</accessCondition>
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