A multidisciplinary rehabilitation programme improves disability, kinesiophobia and walking ability in subjects with chronic low back pain: results of a randomised controlled pilot study

Marco Monticone, Emilia Ambrosini, Barbara Rocca, Silvia Magni, Flavia Brivio, Simona Ferrante

Research output: Contribution to journalArticle

Abstract

Methods: This was a parallel-group, randomised, superiority-controlled pilot study in which 20 patients were randomly assigned to a programme consisting of motor training (spinal stabilising exercises plus usual-care) and cognitive–behavioural therapy (experimental group, 10 subjects) or usual-care alone (control group, 10 subjects). Before treatment, 8 weeks later (post-treatment), and 3 months after the end of treatment, the Oswestry Disability Index, the Tampa Scale for Kinesiophobia, the Pain Catastrophizing Scale, a pain numerical rating scale, and the Short-Form Health Survey were assessed. Spatio-temporal gait parameters were also measured by means of an electronic walking mat. A linear mixed model for repeated measures was used for each outcome measure.

Purpose: To evaluate the effect of a multidisciplinary rehabilitation programme on disability, kinesiophobia, catastrophizing, pain, quality of life and gait disturbances in patients with chronic low back pain (CLBP).

Results: The programme had significant group (p = 0.027), time (p 

Conclusion: The multidisciplinary rehabilitation programme including cognitive–behavioural therapy was superior to the exercise programme in reducing disability, kinesiophobia, catastrophizing, and enhancing the quality of life and gait cadence of patients with CLBP.

Original languageEnglish
Pages (from-to)2105-2113
Number of pages9
JournalEuropean Spine Journal
Volume23
Issue number10
DOIs
Publication statusPublished - Sep 27 2014

Keywords

  • Catastrophizing
  • Chronic low back pain
  • Kinesiophobia
  • Rehabilitation
  • Spatio-temporal gait parameters

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine
  • Medicine(all)

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