Joining forces -- combining cognition -- targeted motor control training with group or individual pain physiology education: a successful treatment for chronic low back pain

  • Moseley G
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Abstract

Chronic unremittent low back pain (LBP) is characterised by cognitive barriers to treatment. Combining a motor control training approach with individualised education about pain physiology is effective in this group of patients. This randomized comparative trial (i) evaluates an approach to motor control acquisition and training that considers the complexities of the relationship between pain and motor output, and (ii) compares the efficacy and cost of individualized and group pain physiology education. After an "ongoing usual treatment" period, patients participated in a 4-week motor control and pain physiology education program. Patients received four one-hour individualized education sessions (IE) or one 4-hour group lecture (GE). Both groups reduced pain (numerical rating scale) and disability (Roland Morris Disability Questionnaire). IE showed bigger decreases, which were maintained at 12 months (P

Author-supplied keywords

  • Adult
  • Analysis of Covariance
  • Chronic Pain -- Physiopathology
  • Chronic Pain -- Therapy
  • Clinical Trials
  • Cognition
  • Comparative Studies
  • Confidence Intervals
  • Descriptive Statistics
  • Disability Evaluation
  • Effect Size
  • Female
  • Funding Source
  • Human
  • Low Back Pain -- Therapy
  • Male
  • Muscle Strengthening
  • P-Value
  • Pain Measurement
  • Patient Education -- Methods
  • Physical Therapy -- Methods
  • Pretest-Posttest Design
  • Questionnaires
  • Random Assignment
  • Random Sample
  • Repeated Measures
  • Scales
  • Treatment Outcomes

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Authors

  • G L Moseley

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