Integrating physical and psychological approaches to treatment in low back pain: the development and content of the STarT Back trial's 'high-risk' intervention (StarT Back; ISRCTN 37113406)
Integrating physical and psychological approaches to treatment in low back pain: the development and content of the STarT Back trial's 'high-risk' intervention (StarT Back; ISRCTN 37113406)
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DOI：
10.1016/j.physio.2011.03.003
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发表时间：
2012-06-01
期刊：
影响因子：
3.3
通讯作者：
Hay, E. M.
中科院分区：
文献类型：
--
作者：
Main, C. J.;Sowden, G.;Hay, E. M.
最近描述了一项新的随机对照试验，用于干预腰痛。在这项试验中，发现筛选和有针对性的方法比目前的最佳做法更有效，更具成本效益。嵌套在干预臂内的是三种不同的干预措施，针对患者确定为“低”，“中”或“高”的风险取决于（主要）心理社会风险因素的存在。在本文中，STartT背部试验的“高风险”干预的发展和内容进行了描述。它提供了一种系统的方法，称为“心理知情的做法”，以整合物理和心理方法来治疗物理治疗师对腰痛患者的管理。术语“残疾”用于指自我报告的疼痛相关功能限制，“心理”用于指与腰痛相关的信念/期望、情绪反应和行为反应。(C)2011年，物理治疗特许协会。由爱思唯尔有限公司出版。保留所有权利。
A new randomised controlled trial of intervention in low back pain has been described recently. In this trial, a screening and targeted approach was found to be more effective and cost-effective than current best practice. Nested within the intervention arm were three different interventions targeting patients identified as 'low', 'medium' or 'high' risk dependent on the presence of (mainly) psychosocial risk factors. In this paper, the development and content of the STarT Back trial's 'high-risk' intervention is described. It offers a systematic approach, termed 'psychologically informed practice', to the integration of physical and psychological approaches to treatment for the management of people with low back pain by physiotherapists. The term 'disability' is used to refer to self-reported pain-associated functional limitations, and 'psychological' is used to refer to the beliefs/expectations, emotional responses and behavioural responses associated with low back pain. (C) 2011 Chartered Society of Physiotherapy. Published by Elsevier Ltd. All rights reserved.