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Biopsychosocial back pain

Arnaud Dupeyron, Matthias Toulotte, Sophie Bastide, Sandrine Alonso, Emmanuel Coudeyre
OBJECTIVE: Fears and beliefs play a key role in the development of low back pain according to the biopsychosocial model without specific tool in French. The Back and Beliefs Questionnaire (BBQ) is a validated self-administered questionnaire, allowing to detect the presence of false beliefs related to lumbar disease and that can guide therapeutic management. The objectives of this study were to (i) translate, (ii) validate the BBQ in French, (iii) and compare results with published validations...
September 2016: Annals of Physical and Rehabilitation Medicine
R M A van Erp, I P J Huijnen, A J A Köke, F E Abbink, M den Hollander, R J E M Smeets
: Biopsychosocial interventions provided in multidisciplinary settings are promising for improving functional disability levels in patients with chronic low back pain (CLBP). These multidisciplinary biopsychosocial interventions mainly focus on cognitive-behavioural approaches that aim to change negative cognitions, emotions, behaviour, work and social factors. As some patients with CLBP treated in primary care settings also experience psychosocial factors that influence their level of disability, these patients may benefit from the provision of a biopsychosocial intervention in primary care...
May 11, 2016: Physiotherapy
Aoife Synnott, Mary O'Keeffe, Samantha Bunzli, Wim Dankaerts, Peter O'Sullivan, Katie Robinson, Kieran O'Sullivan
QUESTION: What are physiotherapists' perspectives on managing the cognitive, psychological and social dimensions of chronic low back pain after intensive biopsychosocial training? DESIGN: Qualitative study design using semi-structured interviews to explore physiotherapists' perceptions of their identification and treatment of the biopsychosocial dimensions of chronic low back pain after intensive Cognitive Functional Therapy (CFT) training. PARTICIPANTS: Thirteen qualified physiotherapists from four countries who had received specific CFT training...
October 2016: Journal of Physiotherapy
Ryan Hulla, Michael Moomey, Tyler Garner, Christopher Ray, Robert J Gatchel
This study examined the biopsychosocial characteristics of chronic low back pain (CLBP) in an understudied but increasingly larger part of the population: the elderly (i.e., 65 years and older). A new innovative physical functioning measure (postural control, which is a proxy for the common problem of slips and falls in the elderly) was part of this biopsychosocial evaluation. Also, the National Institutes of Health (NIH)-developed Patient-Reported Outcome Measurement Information System (PROMIS) was also part of this comprehensive evaluation...
August 23, 2016: Healthcare (Basel, Switzerland)
Kenneth Jay, Mikkel Brandt, Markus Due Jakobsen, Emil Sundstrup, Kasper Gymoese Berthelsen, Mc Schraefel, Gisela Sjøgaard, Lars L Andersen
People with chronic musculoskeletal pain often experience pain-related fear of movement and avoidance behavior. The Fear-Avoidance model proposes a possible mechanism at least partly explaining the development and maintenance of chronic pain. People who interpret pain during movement as being potentially harmful to the organism may initiate a vicious behavioral cycle by generating pain-related fear of movement accompanied by avoidance behavior and hyper-vigilance.This study investigates whether an individually adapted multifactorial approach comprised of biopsychosocial elements, with a focus on physical exercise, mindfulness, and education on pain and behavior, can decrease work-related fear-avoidance beliefs...
August 2016: Medicine (Baltimore)
Stefan Peters, Hermann Faller, Klaus Pfeifer, Karin Meng
A standardized curriculum back school (CBS) has been recommended for further dissemination in medical rehabilitation in Germany. However, implementation of self-management education programs into practice is challenging. In low back pain care, individual factors of professionals could be decisive regarding implementation fidelity. The study aim was to explore attitudes and experiences of professionals who conducted the back school. Qualitative interviews were led with 45 rehabilitation professionals. The data were examined using thematic analysis...
2016: Rehabilitation Research and Practice
Pinky Budhrani-Shani, Donna L Berry, Patricia Arcari, Helene Langevin, Peter M Wayne
Background. Chronic low back pain (CLBP) among nurses is a growing health concern. The multimodal nature of mind-body exercises has potential to impact physiological and psychological processes associated with chronic pain, affording possible advantages over conventional unimodal therapies. This paper summarizes the prevalence of and risk factors for CLBP among nurses, reviews the effectiveness in treating pain and disability of mind-body exercises (yoga and tai chi) for CLBP among the general and nursing population, and describes implications...
2016: Nursing Research and Practice
Timothy Clark, Jean Claude Wakim, Carl Noe
Chronic low back pain is one of the major health problems in the U.S., resulting in a large number of years of disability. To address the biopsychosocial nature of pain, interdisciplinary pain programs provide integrated interventions by an interdisciplinary team in a unified setting with unified goals. This study examined outcomes of an interdisciplinary program located at two sites with different staff, yet with a unified model of treatment and documentation. Efficacy at the combined sites was examined by comparing standard measures obtained upon admission to the program with measures at completion of a 3-4 week long program for 393 patients with chronic low back pain (CLBP)...
2016: Healthcare (Basel, Switzerland)
R Hilfiker, I A Knutti, B Raval-Roland, G Rivier, G Crombez, Emmanuelle Opsommer
PURPOSE: The assessment of a broad range of biopsychosocial aspects is important in the rehabilitation of patients with chronic low back pain (CLBP) for the prediction of outcome as well as for evaluation. The objective of this study was to test the responsiveness, construct validity and predictive value of the Örebro Musculoskeletal Pain Screening Questionnaire (OMPSQ) compared to other instruments widely used to assess biopsychosocial aspects in patients with CLBP. METHODS: 111 patients with CLBP admitted to an inpatient rehabilitation completed a set of questionnaires on biopsychosocial aspects at baseline and at discharge...
September 2016: European Spine Journal
Christopher P Dwyer, Hannah Durand, Pádraig MacNeela, Bronagh Reynolds, Robert M Hamm, Christopher J Main, Laura L O'Connor, Sinéad Conneely, Darragh Taheny, Brian W Slattery, Ciaran O'Neill, Saoirse NicGabhainn, Andrew W Murphy, Thomas Kropmans, Brian E McGuire
INTRODUCTION: Chronic lower back pain (CLBP) is a major healthcare problem with wide ranging effects. It is a priority for appropriate management of CLBP to get individuals back to work as early as possible. Interventions that identify biopsychosocial barriers to recovery have been observed to lead to successfully reduced pain-related work absences and increased return to work for individuals with CLBP. Modern conceptualisations of pain adopt a biopsychosocial approach, such as the flags approach...
2016: BMJ Open
Nicolaas D Eland, Alice Kvåle, Raymond W J G Ostelo, Liv Inger Strand
BACKGROUND AND PURPOSE: The Pain Attitudes and Beliefs Scale for Physiotherapists (PABS-PT) is a self-administered instrument developed to assess the strength of two possible treatment orientations of physiotherapists towards the management of low back pain. The aim of this study was to translate the PABS-PT into Norwegian from the original 36-item Dutch version and to examine its dimensionality and internal consistency. METHODS: The Norwegian version was generated in a forward-backward translation procedure...
May 20, 2016: Physiotherapy Research International: the Journal for Researchers and Clinicians in Physical Therapy
Peter Paisley, Mick Serpell
Jont pain in oldder people The prevalence of chronic pain in older people in the community ranges from 25 to 76% and for those in residential care, it is even higher at 83 to 93%. The most common sites affected are the back, hip, or knee, and other joints. There is increased reporting of pain in women (79%) compared with men (53%). Common conditions include osteoarthritis and, to a lesser extent, the inflammatory arthropathies such as rheumatoid arthritis. The differential diagnosis includes non-articular pain such as vascular limb pain and nocturnal cramp, some neuropathic pain conditions (such as compressive neuropathies and postherpetic neuralgia), soft tissue disorders such as fibromyalgia and myofascial pain syndromes...
January 2016: Practitioner
Frances Nanadiego, Michael Seffinger
No abstract text is available yet for this article.
May 1, 2016: Journal of the American Osteopathic Association
Louisa Chou, Sharmayne R E Brady, Donna M Urquhart, Andrew J Teichtahl, Flavia M Cicuttini, Julie A Pasco, Sharon L Brennan-Olsen, Anita E Wluka
Low back pain (LBP) and obesity are major public health problems; however, the relationship between body composition and low back pain in men is unknown. This study aims to examine the association between body composition and LBP and disability in a population-based sample of men, as well as the factors that may affect this relationship. Nine hundred seventy-eight male participants from the Geelong Osteoporosis Study were invited to participate in a follow-up study in 2006. Participants completed questionnaires on sociodemographics and health status...
April 2016: Medicine (Baltimore)
Reni M A van Erp, Ivan P J Huijnen, Jeanine A Verbunt, Rob J E M Smeets
No abstract text is available yet for this article.
April 2016: Journal of Physiotherapy
M V Vygonskaya, E G Filatova
The paper is devoted to the most complicated aspects of low back pain. The differences between specific and nonspecific low back pain using the "red flags" system is highlighted. The authors consider the causes of pain chronification (the "yellow flags" system) and the necessity of using a biopsychosocial model. Main pathogenetic mechanisms of chronic muscle/skeletal pain are considered and the possible involvement of several mechanism in the pathogenesis of chronic pain as well as the use of complex therapy is discussed...
2016: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
N Lemeunier, C Leboeuf-Yde, O Gagey, N Wedderkopp, P Kjaer
PURPOSES: We used two different methods to classify low back pain (LBP) in the general population (1) to assess the overlapping of individuals within the different subgroups in those two classifications, (2) to explore if the associations between LBP and some selected bio-psychosocial factors are similar, regardless which of the two classifications is used. METHOD: During 1 year, 49- or 50-year-old people from the Danish general population were sent fortnightly automated text messages (SMS-Track) asking them if they had any LBP in the past fortnight...
September 2016: European Spine Journal
Samantha Bunzli, Sarah McEvoy, Wim Dankaerts, Peter O'Sullivan, Kieran O'Sullivan
BACKGROUND: Cognitive functional therapy (CFT) has been shown to reduce pain and disability in people with chronic low back pain. OBJECTIVES: The purpose of this study was to investigate participants' experience of CFT by comparing participants who reported differing levels of improvement after participation in CFT, potentially yielding insight into the implementation of this approach. DESIGN: This was a noninterventional, cross-sectional, qualitative study with an interpretive description framework...
September 2016: Physical Therapy
Eric Bair, Sheila Gaynor, Gary D Slade, Richard Ohrbach, Roger B Fillingim, Joel D Greenspan, Ronald Dubner, Shad B Smith, Luda Diatchenko, William Maixner
The classification of most chronic pain disorders gives emphasis to anatomical location of the pain to distinguish one disorder from the other (eg, back pain vs temporomandibular disorder [TMD]) or to define subtypes (eg, TMD myalgia vs arthralgia). However, anatomical criteria overlook etiology, potentially hampering treatment decisions. This study identified clusters of individuals using a comprehensive array of biopsychosocial measures. Data were collected from a case-control study of 1031 chronic TMD cases and 3247 TMD-free controls...
June 2016: Pain
Linda M Speer, Saudia Mushkbar, Tara Erbele
Chronic pelvic pain in women is defined as persistent, noncyclic pain perceived to be in structures related to the pelvis and lasting more than six months. Often no specific etiology can be identified, and it can be conceptualized as a chronic regional pain syndrome or functional somatic pain syndrome. It is typically associated with other functional somatic pain syndromes (e.g., irritable bowel syndrome, nonspecific chronic fatigue syndrome) and mental health disorders (e.g., posttraumatic stress disorder, depression)...
March 1, 2016: American Family Physician
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