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Title: Effectiveness of interdisciplinary pain therapy programme in patients with chronic low back pain

Abstract:

Chronic low back pain is one of the most common pain syndromes. One of the possible reasons of low back pain is failed back surgery. Guidelines for chronic low back pain management, as the most efficacious method, recommend the multidisciplinary pain therapy.The aim of the study was to assess the efficacy of the multidisciplinary pain therapy programme emphasizing patient’s own activity in patients with chronic low back pain and additional diagnosis of failed back surgery syndrome (FBSS) and its comparison to conventional treatment.The duration of pain therapy programme was planned for 4 weeks. The multidisciplinary pain therapy programme included: a self-help guide for patients with chronic low back pain, CD with relaxation training, physical exercises guidelines, acupuncture and laser therapy. The pharmacotherapy as usual was continued. Within the programme patients had also possibility to consult with physician, physiotherapist and/or psychologist.67 patients of Department of Pain Research and Treatment of University Hospital in Krakow were included to the study; 60 of them were included to statistical analysis (30 patients in treatment group and 30 in control). Treatment group participated in multidisciplinary pain therapy programme, and control group was treated as usual.The results showed the effectiveness of multidisciplinary chronic pain therapy in chronic low back pain patients and FBSS diagnosis in order to almost all outcome measures, including: pain intensity and its impact on everyday functioning (BPI-SF and MPQ questionnaires), perceived disability (ODI and RMDQ), anxiety and depression (HADS), acceptance of illness (AIS) and coping with pain (CSQ). Moreover the patients from treatment group reported high level of satisfaction with participation in the pain therapy programme, and assessed the self-help guide as very useful in coping with pain.Whereas in control group deterioration in some outcome measures in the period of 4-6 weeks from the first assessment was observed. Further studies including larger number of patients could verify received results.

Place of publishing:

Kraków

Level of degree:

2 - studia doktoranckie

Degree discipline:

choroby narządów ruchu

Degree grantor:

Uniwersytet Jagielloński. Collegium Medicum. Wydział Lekarski.

Promoter:

Jan Dobrogowski

Date issued:

2013

Format:

application/pdf

Identifier:

oai:dl.cm-uj.krakow.pl:3921

Call number:

ZB-121433

ControlNumberVIRTUA:

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Language:

pol

Access rights:

tylko w bibliotece

Location of original object:

Biblioteka Medyczna Uniwersytetu Jagiellońskiego- Collegium Medicum

Object collections:

Last modified:

Jun 26, 2019

In our library since:

Nov 25, 2014

Number of object content hits:

59

Number of object content views in PDF format

59

All available object's versions:

http://dl.cm-uj.krakow.pl:8080/publication/3921

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ZB-121433 Jun 26, 2019
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