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Vol.63 (2017) >

Please use this identifier to cite or link to this item: http://ir.fmu.ac.jp/dspace/handle/123456789/644

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Title: Short-term effect of back school based on cognitive behavioral therapy involving multidisciplinary collaboration
Authors: Motoya, Ryo
Otani, Koji
Nikaido, Takuya
Ono, Yoko
Matsumoto, Takatomo
Yamagishi, Ryohei
Yabuki, Shoji
Konno, Shin-Ichi
Niwa, Shin-Ichi
Yabe, Hirooki
Affiliation: 整形外科学講座
リハビリテーションセンター
神経精神医学講座
Source title: Fukushima Journal of Medical Science
Volume: 63
Issue: 2
Start page: 81
End page: 89
Issue Date: 2017
Abstract: Objectives: 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. Design: This school was implemented in the form of five 90-minute group sessions held every other week. Methods: 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. This school contents were patient education, self-monitoring, back exercise, relaxation, stress management, cognitive restructuring, activity pacing, and exposure. Results: 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'. Conclusions: 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.
Publisher: The Fukushima Society of Medical Science
Publisher (Alternative foam): 福島医学会
language: eng
URI: http://ir.fmu.ac.jp/dspace/handle/123456789/644
Full text URL: http://ir.fmu.ac.jp/dspace/bitstream/123456789/644/1/FksmJMedSci_63_p81.pdf
ISSN: 0016-2590
2185-4610
DOI: 10.5387/fms.2016-07
PubMed ID: 28724842
Related Page: http://doi.org/10.5387/fms.2016-07
Rights: © 2017 The Fukushima Society of Medical Science
Appears in Collections:Vol.63 (2017)

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