EFFECT OF SPECIFIC V NONSPECIFIC PHYSICIAN PRESCRIPTION ON PHYSICAL THERAPY TREATMENT AND OUTCOME IN ACUTE LOW-BACK PAIN

Objectives: To compare the responsiveness of disability measures with physical activity measures in patients with chronic low back pain (CLBP) undergoing a course of physical therapy treatment. Design: This is a prospective cohort study with two-month follow-up. Subjects: A total of 106 patients presenting with non-specific CLBP of more than three months duration were recruited. Main measures: Disability measures investigated were Quebec Back Pain Disability Scale and Roland Morris Disability Questionnaire. Physical activity measures analyzed include the Baecke Habitual Physical Activity Questionnaire and objective measures derived from an accelerometer (i.e. total time spent in moderate-to-vigorous and light physical activity, number of steps and counts per minute). Disability and physical activity measures were collected at the baseline and after eight weeks of treatment. For the responsiveness analyses, effect size (ES) and standardized response mean (SRM) were calculated. Correlations between the change in disability and physical activity measures were calculated. Results: Responsiveness for disability measures was considered to be large with ESs ranging from −1.03 to −1.45 and SRMs ranging from −0.99 to −1.34, whereas all physical activity measures showed values lower than 0.20. Changes in disability measures did not correlate with changes in physical activity measures (correlation coefficients ranged from −0.10 to 0.09). Conclusion: Disability measures were responsive after a course of physical therapy treatment in patients with CLBP. The lack of responsiveness in the physical activity measures might be due to the inability of these measures to detect change over time or the use of an intervention not designed to increase physical activity levels.

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Locus of control in active physical therapy treatment for non-specific chronic low back pain

Fisioterapia em Movimento ◽

10.1590/0103-5150.028.003.ao08 ◽

2015 ◽

Vol 28 (3) ◽

pp. 495-500

Author(s):

Alexandre Apolinário de Souza Batista ◽

Leandro Silva Rezende Diniz ◽

Vinícius Cunha Oliveira ◽

Claudia Venturini

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Locus Of Control ◽

Physical Therapy ◽

Chronic Low Back Pain ◽

Pain Treatment ◽

Health Locus Of Control ◽

Low Back ◽

Physical Therapy Treatment ◽

Therapy Treatment

AbstractIntroduction The health locus of control is defined as the perception of individuals in relation to whom they believe to be responsible for their health condition, including low back pain.Objective To identify whether individuals suffering from chronic low back pain in active physical therapy treatment believe they are responsible for their own condition.Material and methods Cross-sectional study involving 28 patients under active physical therapy treatment for non-specific chronic low back pain. Sociodemographic data and low back characteristics — including disability and pain severity — were collected. The Multidimensional Health Locus of Control (MHLC) scale was used to assess the health locus of control.Results Participants undergoing active low back pain treatment presented a mean (SD) of 26 points (11.40) in a 0–100 point scale for disability and 6.39 points (2.24) on a 0–10 scale for pain. In relation to the health locus of control, the means (SD) for internal, external and chance subscales were, respectively: 29.32 (3.98), 24.75 (3.58), and 13.71 (6.67). 82.1% of the participants presented higher rates for internal locus of control.Conclusion Patients undergoing active treatment for chronic low back pain believe they are responsible for their own condition. Further longitudinal studies may determine whether active treatments affect the beliefs of low back pain patients.

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Effective Physical Therapy Treatment of Post-Cesarean Section Low Back Pain – Case Report

Journal of Advances in Medicine and Medical Research ◽

10.9734/jammr/2017/34897 ◽

2017 ◽

Vol 22 (12) ◽

pp. 1-5

Author(s):

Timothy Hui

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Case Report ◽

Physical Therapy ◽

Cesarean Section ◽

Low Back ◽

Physical Therapy Treatment ◽

Therapy Treatment

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Distinguishing Patient Satisfaction With Treatment Delivery From Treatment Effect: A Preliminary Investigation of Patient Satisfaction With Symptoms After Physical Therapy Treatment of Low Back Pain

Archives of Physical Medicine and Rehabilitation ◽

10.1016/j.apmr.2004.11.037 ◽

2005 ◽

Vol 86 (7) ◽

pp. 1338-1344 ◽

Cited By ~ 37

Author(s):

Steven Z. George ◽

Adam T. Hirsh

Keyword(s):

Low Back Pain ◽

Patient Satisfaction ◽

Back Pain ◽

Physical Therapy ◽

Preliminary Investigation ◽

Low Back ◽

Treatment Delivery ◽

Satisfaction With Treatment ◽

Physical Therapy Treatment ◽

Therapy Treatment

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Physical Therapy for Acute Low Back Pain

Spine ◽

10.1097/brs.0b013e31817bd853 ◽

2008 ◽

Vol 33 (16) ◽

pp. 1800-1805 ◽

Cited By ~ 67

Author(s):

Julie M. Fritz ◽

Joshua A. Cleland ◽

Matthew Speckman ◽

Gerard P. Brennan ◽

Stephen J. Hunter

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Physical Therapy ◽

Low Back ◽

Acute Low Back Pain

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IMPACT OF TIMING OF PHYSICAL THERAPY ON HEALTH CARE UTILIZATION AND COSTS AMONG PATIENTS WITH ACUTE LOW BACK PAIN: EVIDENCE FROM NEW YORK STATE

Value in Health ◽

10.1016/j.jval.2016.03.1118 ◽

2016 ◽

Vol 19 (3) ◽

pp. A240

Author(s):

X. Liu ◽

W. Hanney ◽

M. Masaracchio

Keyword(s):

Health Care ◽

New York ◽

Low Back Pain ◽

Back Pain ◽

Physical Therapy ◽

New York State ◽

Care Utilization ◽

Low Back ◽

York State ◽

Acute Low Back Pain

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Changes in Pain Catastrophizing and Fear-Avoidance Beliefs as Mediators of Early Physical Therapy on Disability and Pain in Acute Low-Back Pain: A Secondary Analysis of a Clinical Trial

Pain Medicine ◽

10.1093/pm/pnab292 ◽

2021 ◽

Author(s):

Brittany L Sisco-Taylor ◽

John S Magel ◽

Molly McFadden ◽

Tom Greene ◽

Jincheng Shen ◽

...

Keyword(s):

Clinical Trial ◽

Low Back Pain ◽

Back Pain ◽

Physical Therapy ◽

Pain Catastrophizing ◽

Low Back ◽

Fear Avoidance ◽

Fear Avoidance Beliefs ◽

Acute Low Back Pain ◽

Early Physical Therapy

Abstract Objective The Fear-Avoidance Model of chronic pain (FAM) posits that pain catastrophizing and fear-avoidance beliefs are prognostic for disability and chronicity. In acute low-back pain, early physical therapy (PT) is effective in reducing disability in some patients. How early PT impacts short- and long-term changes in disability for patients with acute pain is unknown. Based on the FAM, we hypothesized that early reductions in pain catastrophizing and fear-avoidance beliefs would mediate early PT’s effect on changes in disability (primary outcome) and pain intensity (secondary outcome) over 3 months and 1 year. Subjects Participants were 204 patients with low-back pain of < 16 days duration, who enrolled in a clinical trial (NCT01726803) comparing early PT sessions or usual care provided over 4 weeks. Methods Patients completed the Pain Catastrophizing Scale (PCS), Fear-Avoidance Beliefs Questionnaire (FABQ work and physical activity scales) and outcomes (Oswestry Disability Index and Numeric Pain Rating Scale) at baseline, 4 weeks, 3 months, and 1 year. We applied longitudinal mediation analysis with single and multiple mediators. Results Early PT led to improvements in disability and pain over 3 months, but not 1 year. In the single mediator model, four-week reductions in pain catastrophizing mediated early PT’s effects on 3-month disability and pain intensity improvements, explaining 16% and 22% of the association, respectively, but the effects were small. Pain catastrophizing and fear-avoidance beliefs did not jointly mediate these associations. Conclusions In acute low-back pain, early PT may improve disability and pain outcomes at least partly through reducing patients’ catastrophizing.

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