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Biopsychosocial back pain

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https://www.readbyqxmd.com/read/29764423/multidisciplinary-biopsychosocial-rehabilitation-for-chronic-low-back-pain-the-need-to-present-minimal-important-differences-units-in-meta-analyses
#1
Silvia Gianola, Anita Andreano, Greta Castellini, Lorenzo Moja, Maria Grazia Valsecchi
BACKGROUND: The results of meta-analyses are all too often elusive, making it difficult to interpret their relevance for clinical practice. Reporting them in minimal important difference (MID) units could improve the interpretation of evidence in meta-analyses. The aim of this study was to compare, via calculation of MID units, outcomes after multidisciplinary biopsychosocial rehabilitation (MBR) versus usual care for pain relief in chronic low back pain (LBP). METHODS: We re-analyzed the data of a published Cochrane review on MBR...
May 15, 2018: Health and Quality of Life Outcomes
https://www.readbyqxmd.com/read/29683759/factor-structure-of-the-german-version-of-the-pain-attitudes-and-beliefs-scale-for-physiotherapists
#2
Brunner Emanuel, Meichtry André, Kieran O'Sullivan, Se-Sergio Baldew, Dankaerts Wim, Probst Michel
The Pain Attitudes and Beliefs Scale for Physiotherapists (PABS-PT) is a questionnaire that is frequently used to measure the treatment orientation of physiotherapists and other healthcare providers toward low back pain (LBP). Previous validation studies of the PABS-PT have reported consistently that exploratory factor analysis (EFA) yielded a two-factor model with the factors "biomedical" and "biopsychosocial." However, there remain concerns regarding the composition of these two factors and the internal consistency of the "biopsychosocial" factor...
April 23, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29672748/biopsychosocial-profiles-and-functional-correlates-in-older-adults-with-chronic-low-back-pain-a-preliminary-study
#3
Debra K Weiner, Angela Gentili, Katherine Coffey-Vega, Natalia Morone, Michelle Rossi, Subashan Perera
Objective: To describe key peripheral and central nervous system (CNS) conditions in a group of older adults with chronic low back pain (CLBP) and their association with pain severity and self-reported and performance-based physical function. Design: Cross-sectional. Setting: Outpatient VA clinics. Subjects: Forty-seven community-dwelling veterans with CLBP (age 68.0 ± 6.5 years, range = 60-88 years, 12.8% female, 66% white) participated...
April 16, 2018: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/29670003/stress-and-alterations-in-the-pain-matrix-a-biopsychosocial-perspective-on-back-pain-and-its-prevention-and-treatment
#4
Pia-Maria Wippert, Christine Wiebking
The genesis of chronic pain is explained by a biopsychosocial model. It hypothesizes an interdependency between environmental and genetic factors provoking aberrant long-term changes in biological and psychological regulatory systems. Physiological effects of psychological and physical stressors may play a crucial role in these maladaptive processes. Specifically, long-term demands on the stress response system may moderate central pain processing and influence descending serotonergic and noradrenergic signals from the brainstem, regulating nociceptive processing at the spinal level...
April 18, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29603805/resistance-band-training-or-general-exercise-in-multidisciplinary-rehabilitation-of-low-back-pain-a-randomized-trial
#5
Vegard Moe Iversen, Ottar Vasseljen, Paul Jarle Mork, Sigmund Gismervik, Gro Falkener Bertheussen, Øyvind Salvesen, Marius Steiro Fimland
Multidisciplinary biopsychosocial rehabilitation has been recommended for chronic low back pain (LBP), including physical exercise. However, which exercise-modality that is most advantageous in multidisciplinary biopsychosocial rehabilitation is unclear. In this study, we investigated whether multidisciplinary biopsychosocial rehabilitation could be more effective in reducing pain-related disability when general physical exercise was replaced by strength training in form of progressive resistance training using elastic resistance bands...
March 31, 2018: Scandinavian Journal of Medicine & Science in Sports
https://www.readbyqxmd.com/read/29573872/prevention-and-treatment-of-low-back-pain-evidence-challenges-and-promising-directions
#6
REVIEW
Nadine E Foster, Johannes R Anema, Dan Cherkin, Roger Chou, Steven P Cohen, Douglas P Gross, Paulo H Ferreira, Julie M Fritz, Bart W Koes, Wilco Peul, Judith A Turner, Chris G Maher
Many clinical practice guidelines recommend similar approaches for the assessment and management of low back pain. Recommendations include use of a biopsychosocial framework to guide management with initial non-pharmacological treatment, including education that supports self-management and resumption of normal activities and exercise, and psychological programmes for those with persistent symptoms. Guidelines recommend prudent use of medication, imaging, and surgery. The recommendations are based on trials almost exclusively from high-income countries, focused mainly on treatments rather than on prevention, with limited data for cost-effectiveness...
March 20, 2018: Lancet
https://www.readbyqxmd.com/read/29521556/factors-influencing-physiotherapists-attitudes-and-beliefs-toward-chronic-low-back-pain-impact-of-a-care-network-belonging
#7
Audrey Petit, Cyril Begue, Isabelle Richard, Yves Roquelaure
OBJECTIVES: To assess the attitudes and beliefs of physiotherapists (PTs) regarding the management of chronic LBP and to investigate the factors which influence them. METHODS: A cross-sectional study conducted in the French Loire Valley region by a questionnaire sent to the private PTs between June and September 2014. Demographic data and modalities of practices were collected in association with the Pain Attitudes and Beliefs Scale (PABS) which is a specific self-administered questionnaire designed to assess the "biomedical" or "behavioral" (i...
March 9, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29460009/the-global-spine-care-initiative-applying-evidence-based-guidelines-on-the-non-invasive-management-of-back-and-neck-pain-to-low-and-middle-income-communities
#8
REVIEW
Roger Chou, Pierre Côté, Kristi Randhawa, Paola Torres, Hainan Yu, Margareta Nordin, Eric L Hurwitz, Scott Haldeman, Christine Cedraschi
PURPOSE: The purpose of this review was to develop recommendations for the management of spinal disorders in low-income communities, with a focus on non-invasive pharmacological and non-pharmacological therapies for non-specific low back and neck pain. METHODS: We synthesized two evidence-based clinical practice guidelines for the management of low back and neck pain. Our recommendations considered benefits, harms, quality of evidence, and costs, with attention to feasibility in medically underserved areas and low- and middle-income countries...
February 19, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29416373/as-if-one-pain-problem-was-not-enough-prevalence-and-patterns-of-coexisting-chronic-pain-conditions-and-their-impact-on-treatment-outcomes
#9
M Gabrielle Pagé, Maude Fortier, Mark A Ware, Manon Choinière
Introduction: The presence of multiple coexisting chronic pain (CP) conditions (eg, low-back pain and migraines) within patients has received little attention in literature. The goals of this observational longitudinal study were to determine the prevalence of coexisting CP conditions, identify the most frequent ones and patterns of coexistence, investigate the relationships among patients' biopsychosocial characteristics and number of CP conditions, and determine the impact of coexisting CP conditions on treatment response...
2018: Journal of Pain Research
https://www.readbyqxmd.com/read/29392237/development-of-a-risk-stratification-and-prevention-index-for-stratified-care-in-chronic-low-back-pain-focus-yellow-flags-mispex-network
#10
Pia-Maria Wippert, Anne-Katrin Puschmann, David Drießlein, Adamantios Arampatzis, Winfried Banzer, Heidrun Beck, Marcus Schiltenwolf, Hendrik Schmidt, Christian Schneider, Frank Mayer
Introduction: Chronic low back pain (LBP) is a major cause of disability; early diagnosis and stratification of care remain challenges. Objectives: This article describes the development of a screening tool for the 1-year prognosis of patients with high chronic LBP risk (risk stratification index) and for treatment allocation according to treatment-modifiable yellow flag indicators (risk prevention indices, RPI-S). Methods: Screening tools were derived from a multicentre longitudinal study (n = 1071, age >18, intermittent LBP)...
November 2017: Pain Reports (Baltimore, Md.)
https://www.readbyqxmd.com/read/29280231/a-biopsychosocial-understanding-of-lower-back-pain-content-analysis-of-online-information
#11
N M Black, S J Sullivan, R Mani
OBJECTIVES: (1) To develop a checklist to assess the representation of biopsychosocial lower back pain (LBP) online information; (2) to analyse publicly accessed online LBP information from a Google search for the degree that psychosocial contributors are described alongside the traditional biomedical approach to explaining LBP; (3) whether websites use information on pain biology to educate on LBP; (4) any inaccurate or false information regarding the mechanisms of LBP and; (5) the amount of websites certified by established benchmarks for quality health information...
April 2018: European Journal of Pain: EJP
https://www.readbyqxmd.com/read/29225944/biopsychosocial-factors-associated-with-chronic-low-back-pain-disability-in-rural-nigeria-a-population-based-cross-sectional-study
#12
Chinonso Nwamaka Igwesi-Chidobe, Bolaji Coker, Chika N Onwasigwe, Isaac O Sorinola, Emma L Godfrey
Introduction: Many people in Nigeria are living with disability due to chronic low back pain (CLBP), with the greatest burden accounted for by people living in rural Nigeria. However, factors associated with disability in rural Nigeria have not yet been established. We investigated the biomechanical and psychosocial predictors of CLBP disability in a rural Nigerian population. Methods: A cross-sectional study of adults with non-specific CLBP recruited from rural communities in Enugu State, South-eastern Nigeria...
2017: BMJ Global Health
https://www.readbyqxmd.com/read/29186635/identification-of-indirect-effects-in-a-cognitive-patient-education-cope-intervention-for-low-back-pain
#13
RANDOMIZED CONTROLLED TRIAL
Gemma Mansell, Kjersti Storheim, Ida Løchting, Erik L Werner, Margreth Grotle
Background: Many interventions for the treatment of low back pain exist, but the mechanisms through which such treatments work are not always clear. This situation is especially true for biopsychosocial interventions that incorporate several different components and methods of delivery. Objective: The study objective was to examine the indirect effects of the Cognitive Patient Education (COPE) intervention via illness perceptions, back pain myths, and pain catastrophizing on disability outcome...
December 1, 2017: Physical Therapy
https://www.readbyqxmd.com/read/29149847/individuals-explanations-for-their-persistent-or-recurrent-low-back-pain-a-cross-sectional-survey
#14
Jenny Setchell, Nathalia Costa, Manuela Ferreira, Joanna Makovey, Mandy Nielsen, Paul W Hodges
BACKGROUND: Most people experience low back pain (LBP), and it is often ongoing or recurrent. Contemporary research knowledge indicates individual's pain beliefs have a strong effect on their pain experience and management. This study's primary aim was to determine the discourses (patterns of thinking) underlying people's beliefs about what causes their LBP to persist. The secondary aim was to investigate what they believed was the source of this thinking. METHODS: We used a primarily qualitative survey design: 130 participants answered questions about what caused their LBP to persist, and where they learned about these causes...
November 17, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29055379/biopsychosocial-risk-factors-associated-with-chronic-low-back-pain-after-lower-limb-amputation
#15
Shawn Farrokhi, Brittney Mazzone, Michael Schneider, Sara Gombatto, John Mayer, M Jason Highsmith, Brad D Hendershot
Low back pain is a common secondary health condition after lower limb amputation with important implications related to functional capabilities and overall quality of life. Despite the high prevalence of low back pain after lower limb amputation, the underlying etiologies of the disorder remain unknown. This hypothesis-driven communication provides evidence in support of using the multifactorial, biopsychosocial model of low back pain experience in the general population for identification of potential risk factors and rehabilitation targets for low back pain after lower limb amputation...
October 2017: Medical Hypotheses
https://www.readbyqxmd.com/read/29053135/-nonspecific-low-back-pain-approaches-to-diagnosis-and-treatment
#16
REVIEW
M S Vygonskaya
This review considers the problem of pain chronification process based on the biopsychosocial model. Treatment of nonspecific low-back pain is specifically highlighted. Algorithms for the management of such patients are described. The efficacy and safety of nimesulide is discussed.
2017: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
https://www.readbyqxmd.com/read/29036904/biopsychosocial-measures-related-to-chronic-low-back-pain-postural-control-in-older-adults
#17
Ryan Hulla, Robert J Gatchel, Angela Liegey-Dougall
This study examined the biopsychosocial measures related to postural control in the growing population of older adults (i.e., 60 years and older). The sample of the study consisted of 129 older adults (M = 74.45, SD = 6.95), with 34 males and 95 females; 36 were classified with chronic low-back pain (CLBP), and 93 without chronic low-back pain (NCLBP). Physical and psychosocial constructs were analyzed as predictors for postural control measures. Additionally, gender and classification of low-back pain were examined as moderators for all physical and psychosocial measures...
October 14, 2017: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/28730301/biopsychosocial-factors-predict-quality-of-life-in-thoracolumbar-spine-surgery
#18
Dean A Tripp, Edward Abraham, Maude Lambert, Kate Wagg, Erin Bigney, Eden Daly, Phylicia Verreault, Neil Manson
PURPOSE: Surgical intervention is a treatment option for various spinal pathology but many patients report no improvement or even an exacerbation of symptoms like pain. This study examined the association of preoperative (pre-op) biopsychosocial risk factors with poor quality of life at 2 and 6 months using hierarchical models controlling demographic and medical variables. METHOD: Participants undergoing thoracolumbar spine surgery (N = 214) were provided with questionnaire packages to complete pre-op, at 2 and at 6-month postoperative clinical follow-ups (i...
November 2017: Quality of Life Research
https://www.readbyqxmd.com/read/28656659/multidisciplinary-biopsychosocial-rehabilitation-for-subacute-low-back-pain
#19
REVIEW
Teresa J Marin, Dwayne Van Eerd, Emma Irvin, Rachel Couban, Bart W Koes, Antti Malmivaara, Maurits W van Tulder, Steven J Kamper
BACKGROUND: Low back pain (LBP) is associated with enormous personal and societal burdens, especially when it reaches the chronic stage of the disorder (pain for a duration of more than three months). Indeed, individuals who reach the chronic stage tend to show a more persistent course, and they account for the majority of social and economic costs. As a result, there is increasing emphasis on the importance of intervening at the early stages of LBP.According to the biopsychosocial model, LBP is a condition best understood with reference to an interaction of physical, psychological, and social influences...
June 28, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28637605/-i-need-to-do-another-course-italian-physiotherapists-knowledge-and-beliefs-when-assessing-psychosocial-factors-in-patients-presenting-with-chronic-low-back-pain
#20
Giacomo Zangoni, Oliver P Thomson
OBJECTIVES: Psychosocial factors play an important role in the development and subsequent recovery of individuals suffering from chronic low back pain (CLBP). The study explored physiotherapists' personal beliefs and knowledge about the biopsychosocial model and the different ways they assess and manage psychosocial factors in patients presenting with CLBP. METHODS: Qualitative research design using semi-structured interviews and a constructivist grounded theory approach to data collection and analysis...
February 2017: Musculoskeletal Science & Practice
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