Physical therapy
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Randomized Controlled Trial
The therapeutic alliance between clinicians and patients predicts outcome in chronic low back pain.
The impact of the relationship (therapeutic alliance) between patients and physical therapists on treatment outcome in the rehabilitation of patients with chronic low back pain (LBP) has not been previously investigated. ⋯ Positive therapeutic alliance ratings between physical therapists and patients are associated with improvements of outcomes in LBP. Future research should investigate the factors explaining this relationship and the impact of training interventions aimed at optimizing the alliance.
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Randomized Controlled Trial
Cognitive treatment of illness perceptions in patients with chronic low back pain: a randomized controlled trial.
Illness perceptions have been shown to predict patient activities. Therefore, studies of the effectiveness of a targeted illness-perception intervention on chronic nonspecific low back pain (CLBP) are needed. ⋯ This first trial evaluating cognitive treatment of illness perceptions concerning CLBP showed statistically significant and clinically relevant improvements in patient-relevant physical activities at 18 weeks.
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Physical activity is assumed to be important in the prevention and treatment of frailty. It is unclear, however, to what extent frailty can be influenced because instruments designed to assess frailty have not been validated as evaluative outcome instruments in clinical practice. ⋯ The EFIP is a reliable and valid instrument to evaluate the effect of physical activity on frailty in research and in clinical practice.