Effect of a long-lasting multidisciplinary program on disability and fear-avoidance behaviors in patients with chronic low back pain: Results of a randomized controlled trial

Marco Monticone, Simona Ferrante, Barbara Rocca, Paola Baiardi, Fulvio Dal Farra, Calogero Foti

Research output: Contribution to journalArticlepeer-review

Abstract

OBJECTIVE: To evaluate the effect on disability, kinesiophobia, pain, and the quality of life of a long-lasting multidisciplinary program based on cognitive-behavioral therapy and targeted against fear-avoidance beliefs in patients with chronic low back pain. METHODS: Study design: parallel-group, randomized, superiority controlled study. Ninety patients were randomly assigned to a multidisciplinary program consisting of cognitive-behavior therapy and exercise training (experimental group, 45 patients) or exercise training alone (control group, 45 patients). Before treatment (T1), 5 weeks later (instructive phase, T2), and 12 (posttreatment analysis, T3) and 24 months after the end of the instructive phase (1-year follow-up, T4), all of the patients completed a booklet containing the Roland-Morris Disability Questionnaire Scale (primary outcome), the Tampa Scale for Kinesiophobia, a pain numerical rating scale, and the Short-Form Health Survey. A linear mixed model for repeated measures was used to analyze each outcome measure, and the reliable change index/clinically significant change method was used to assess the clinical significance of the changes. RESULTS: The linear mixed model analysis showed a remarkable group, time, and interaction effect for group * time in all of the primary and secondary outcomes (P always

Original languageEnglish
Pages (from-to)929-938
Number of pages10
JournalClinical Journal of Pain
Volume29
Issue number11
DOIs
Publication statusPublished - Nov 2013

Keywords

  • cognitive-behavioral therapy
  • kinesiophobia
  • low back pain
  • multidisciplinary intervention
  • rehabilitatioN

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Clinical Neurology

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