What predicts outcome in non-operative treatments of chronic low back pain ? A systematic review
| العنوان: | What predicts outcome in non-operative treatments of chronic low back pain ? A systematic review |
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| المؤلفون: | Thomas Ewert, T. Wessels, H. Limm, Gerold Stucki, Maurits W. van Tulder, T. Sigl |
| المساهمون: | Nutrition and Health, Health Economics and Health Technology Assessment |
| المصدر: | European Spine Journal, 15(11), 1633-1644. Springer Verlag Wessels, T, van Tulder, M, Sigl, T, Ewert, T, Limm, H & Stucki, G 2006, ' What predicts outcome in non-operative treatments of chronic low back pain ? A systematic review ', European Spine Journal, vol. 15, no. 11, pp. 1633-1644 . https://doi.org/10.1007/s00586-006-0073-4 |
| سنة النشر: | 2006 |
| مصطلحات موضوعية: | medicine.medical_specialty, Descriptive statistics, business.industry, Alternative medicine, MEDLINE, Combined Modality Therapy, Outcome (game theory), Low back pain, Exercise Therapy, Chronic low back pain, Treatment Outcome, Physical medicine and rehabilitation, Systematic review, Chronic Disease, Physical therapy, Humans, Medicine, Orthopedics and Sports Medicine, Surgery, Neurosurgery, medicine.symptom, business, Low Back Pain |
| الوصف: | Systematic reviews have shown that as non-operative treatments exercise, behavioural and multimodal treatment programs are effective for chronic low back pain. There is, however, a lack of knowledge concerning the association between changes in treatment process variables and changes in outcome for the three treatment forms. The objective of this systematic review was to evaluate which changes in treatment process variables predict outcome of exercise, behavioural and multimodal treatment of chronic low back pain. Medline, Embase and PsychInfo were systematically searched. A descriptive analysis was used to summarize the results regarding the outcomes pain, disability and return to work (RTW). 13 studies were identified. The results showed that functional coping mechanisms and pain reduction were associated with a decrease in disability and increase in RTW, and physical performance factors were not. Related to pain reduction decreases in disability, functional coping mechanisms as well as physical performance factors were associated. Strong conclusions cannot be drawn from this review, because of the heterogeneity and the limited number of studies. The results of this review raise the question if changes in behavioural variables and reductions of disability which facilitate an improvement in function, may be more important than physical performance factors for successful treatment of chronic low back pain. This is relevant for the refinement of future treatment programs. © 2006 Springer-Verlag. |
| اللغة: | English |
| تدمد: | 0940-6719 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d9efa6bd646b346c8a255eaa14080f1a https://hdl.handle.net/1871.1/54d45d13-2bd7-4d6b-841a-0cf4689dc7f1 |
| حقوق: | RESTRICTED |
| رقم الأكسشن: | edsair.doi.dedup.....d9efa6bd646b346c8a255eaa14080f1a |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 09406719 |
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