TY - JOUR
T1 - A bio-psycho-social approach for treating sub-acute low back pain
AU - Giaquinto, Salvatore
AU - Bruti, Loredana
AU - Dall'Armi, Valentina
AU - Gison, Annalisa
AU - Palma, Enzo
PY - 2010
Y1 - 2010
N2 - Purpose.This article examines the distinctive opportunities and challenges involved in treating sub-acute low back pain (LBP). Several risk factors have been identified. Thus, a multi-disciplinary design and a comprehensive bio-psycho-social approach seem to be the best modality of intervention to improve outcome. Method.The relevant literature on various factors that are supposed to improve outcome is summarised and discussed. Results.A controversial on the rehabilitation benefits still exists. From one side, meta-analytic studies provide a small evidence of effectiveness. Most treatments for chronic LBP provide weak results and the benefits can be just transient. From the other side, comprehensive bio-psycho-social approaches seem to be the best modality of intervention to facilitate physical outcome and return to work. Conclusion.This article reflects the conviction that clinicians with a special knowledge on LBP problems and researchers with a special knowledge on health policy will better work together. Their targets are outcome and cost-benefit ratio by taking into account the economical and political milieu of the country where the research is carried out.
AB - Purpose.This article examines the distinctive opportunities and challenges involved in treating sub-acute low back pain (LBP). Several risk factors have been identified. Thus, a multi-disciplinary design and a comprehensive bio-psycho-social approach seem to be the best modality of intervention to improve outcome. Method.The relevant literature on various factors that are supposed to improve outcome is summarised and discussed. Results.A controversial on the rehabilitation benefits still exists. From one side, meta-analytic studies provide a small evidence of effectiveness. Most treatments for chronic LBP provide weak results and the benefits can be just transient. From the other side, comprehensive bio-psycho-social approaches seem to be the best modality of intervention to facilitate physical outcome and return to work. Conclusion.This article reflects the conviction that clinicians with a special knowledge on LBP problems and researchers with a special knowledge on health policy will better work together. Their targets are outcome and cost-benefit ratio by taking into account the economical and political milieu of the country where the research is carried out.
KW - Low back pain
KW - rehabilitation
KW - work
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U2 - 10.3109/09638281003797349
DO - 10.3109/09638281003797349
M3 - Article
C2 - 20455690
AN - SCOPUS:77957801556
VL - 32
SP - 1966
EP - 1971
JO - Disability and Rehabilitation
JF - Disability and Rehabilitation
SN - 0963-8288
IS - 23
ER -