Cognitive functional therapy (CFT)-based rehabilitation improves clinical outcomes in UK military personnel with persistent low back pain
| Autor: | Dean Conway, S Mani-Babu, Alexander N. Bennett, Jane Ferreira, Peter Ladlow |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Patient Health Questionnaire Statistics Nonparametric 03 medical and health sciences 0302 clinical medicine medicine Humans 030212 general & internal medicine Prospective Studies Brief Pain Inventory Pain Measurement Rehabilitation Cognitive Behavioral Therapy business.industry General Medicine Low back pain United Kingdom Oswestry Disability Index Military personnel Military Personnel Treatment Outcome Physical therapy Anxiety Observational study Female medicine.symptom business Psychosocial Low Back Pain 030217 neurology & neurosurgery |
| Zdroj: | Conway, D, Ladlow, P, Ferreira, J, Mani-Babu, S & Bennett, A 2020, ' Cognitive functional therapy (CFT)-based rehabilitation improves clinical outcomes in UK military personnel with persistent low back pain ', Journal of the Royal Army Medical Corps, vol. 166, no. 5, pp. 336-341 . https://doi.org/10.1136/jramc-2018-001136 |
| ISSN: | 2633-3775 |
| Popis: | IntroductionLow back pain (LBP) has been reported as the most common reason for presentation to the Medical Centre in the British Military, and the most common re-referral for the same condition. In 2015, the UK Defence Medical Rehabilitation Centre (DMRC) adopted a cognitive functional therapy (CFT) approach to spinal rehabilitation in line with National Institute for Health and Care Excellence and military best practice guidelines. The aim of this study is to evaluate the functional and psychosocial outcomes of all patients with chronic LBP treated with CFT-based multidisciplinary rehabilitation at DMRC, Headley Court.MethodsA prospective observational service evaluation of British Military patients (n=238) with LBP who attended 3 weeks of inpatient multidisciplinary CFT-based programme from 2015 to the end of 2017 at DMRC was analysed. Functional outcomes include: multistage locomotion test (MSLT) and sit and reach test. Psychosocial outcomes include: Tampa Scale of Kinesiophobia, Oswestry Disability Index, Brief Pain Inventory (BPI), General Anxiety Disorder-7 and Patient Health Questionnaire-9.ResultsThere were significant improvements in endurance (MSLT), range of motion, kinesiophobia, pain-related lifestyle interference (BPI-Lifestyle), anxiety and depression (p≤0.001). However, no improvements in pain intensity (BPI-Intensity) were demonstrated (p>0.05).ConclusionAfter 3 weeks of CFT-based multidisciplinary rehabilitation, function and psychosocial health improved with symptoms of pain being less obtrusive to activities of daily activity. There were however no patient-reported reductions in pain intensity. The improvements demonstrated are indicative of outcomes that facilitate greater integration back to work or into society. |
| Databáze: | OpenAIRE |
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