TY - JOUR
T1 - Effect of a long-lasting multidisciplinary program on disability and fear-avoidance behaviors in patients with chronic low back pain
T2 - Results of a randomized controlled trial
AU - Monticone, Marco
AU - Ferrante, Simona
AU - Rocca, Barbara
AU - Baiardi, Paola
AU - Farra, Fulvio Dal
AU - Foti, Calogero
PY - 2013/11
Y1 - 2013/11
N2 - 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
AB - 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
KW - cognitive-behavioral therapy
KW - kinesiophobia
KW - low back pain
KW - multidisciplinary intervention
KW - rehabilitatioN
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UR - http://www.scopus.com/inward/citedby.url?scp=84885418192&partnerID=8YFLogxK
U2 - 10.1097/AJP.0b013e31827fef7e
DO - 10.1097/AJP.0b013e31827fef7e
M3 - Article
C2 - 23328343
AN - SCOPUS:84885418192
VL - 29
SP - 929
EP - 938
JO - Clinical Journal of Pain
JF - Clinical Journal of Pain
SN - 0749-8047
IS - 11
ER -