Short-term effect of back school based on cognitive behavioral therapy involving multidisciplinary collaboration
-
- Motoya Ryo
- Department of Clinical Psychology, School of Psychological Science, Health Sciences University of Hokkaido
-
- Otani Koji
- Department of Orthopaedic Surgery, School of Medicine, Fukushima Medical University
-
- Nikaido Takuya
- Department of Orthopaedic Surgery, School of Medicine, Fukushima Medical University
-
- Ono Yoko
- Rehabilitation Center, Fukushima Medical University Hospital
-
- Matsumoto Takatomo
- Department of Neuropsychiatry, School of Medicine, Fukushima Medical University
-
- Yamagishi Ryohei
- System Division, S.B.C. Co., Ltd.
-
- Yabuki Shoji
- Department of Orthopaedic Surgery, School of Medicine, Fukushima Medical University Rehabilitation Center, Fukushima Medical University Hospital
-
- Konno Shin-Ichi
- Department of Orthopaedic Surgery, School of Medicine, Fukushima Medical University
-
- Niwa Shin-Ichi
- Department of Neuropsychiatry, School of Medicine, Fukushima Medical University The Executive Administrator, Prefectural Hospital Bureau of Fukushima
-
- Yabe Hirooki
- Department of Neuropsychiatry, School of Medicine, Fukushima Medical University
Search this article
Abstract
<p>Objectives</p><p>The purpose of this study was to develop a comprehensive back school program that included elements of CBT (Cognitive Behavioral Therapy), implement this through multidisciplinary collaboration, and ascertain its effectiveness as a pilot study. </p><p>Design</p><p>This school was implemented in the form of five 90-minute group sessions held every other week.</p><p>Methods</p><p>Participants comprised 7 chronic low back pain patients with poor improvement in the usual treatment. Practitioners were orthopaedic surgeon, physical therapist, and a clinical psychologist. </p><p>This school contents were patient education, self-monitoring, back exercise, relaxation, stress management, cognitive restructuring, activity pacing, and exposure. </p><p>Results</p><p>From the Wilcoxon signed-rank test, each score of four scales or items (sense of control, PCS (pain catastrophizing), PASS-20 (escape/avoidance), FFD (finger-floor distance)) after this program significantly improved. Results of calculating the effect size, sense of control (d=0.55) is ‘moderate’, the PCS (d=1.12) and the PASS-20 (d=1.64) were ‘large’.</p><p>Conclusions</p><p>This back school may be useful for physical function and psychological variables which much related to pain management and daily disabilities in patients with poor respond to standard orthopaedic treatment.</p>
Journal
-
- FUKUSHIMA JOURNAL OF MEDICAL SCIENCE
-
FUKUSHIMA JOURNAL OF MEDICAL SCIENCE 63 (2), 81-89, 2017
THE FUKUSHIMA SOCIETY OF MEDICAL SCIENCE
- Tweet
Keywords
Details
-
- CRID
- 1390282681281857408
-
- NII Article ID
- 130005966808
-
- NII Book ID
- AA0065246X
-
- ISSN
- 21854610
- 00162590
-
- PubMed
- 28724842
-
- Text Lang
- en
-
- Data Source
-
- JaLC
- IRDB
- Crossref
- PubMed
- CiNii Articles
- KAKEN
-
- Abstract License Flag
- Disallowed