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福島県立医科大学学術成果リポジトリ = Fukushima Medical University Repository >
福島医学会 = The Fukushima Society of Medical Science >
Fukushima Journal of Medical Science >
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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