Physiotherapy theory and practice
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Physiother Theory Pract · Jan 2012
Case ReportsUse of an abbreviated neuroscience education approach in the treatment of chronic low back pain: a case report.
Chronic low back pain (CLBP) remains prevalent in society, and conservative treatment strategies appear to have little effect. It is proposed that patients with CLBP may have altered cognition and increased fear, which impacts their ability to move, perform exercise, and partake in activities of daily living. Neuroscience education (NE) aims to change a patient's cognition regarding their pain state, which may result in decreased fear, ultimately resulting in confrontation of pain barriers and a resumption of normal activities. ⋯ Immediately following the 75-minute evaluation and NE session, the patient reported improvement in all four outcome measures, most notably a reduction in the FABQ-W score to 2/42 and the FABQ-PA to 1/24. At a 7-month follow-up, all outcome measures continued to be improved. NE aimed at decreasing fear associated with movement may be a valuable adjunct to movement-based therapy, such as exercise, for patients with CLBP.
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Physiother Theory Pract · Jan 2012
Pain, balance, self-reported function and physical function in individuals with knee osteoarthritis.
Disability resulting from knee osteoarthritis (OA) is determined by physiological and functional variables though the interactions between the variables remain unclear and deserve further study. This study's major objective was to explore the relationship between pain, body mass index (BMI), balance, self-report function, and physical function in a cohort who had both unilateral and bilateral knee OA. Fifty-two patients (46 female, 6 male) ranging from 31 to 80 years of age (mean ± SD: 59.0 ± 9.8 years) with radiograph-confirmed OA of the knees participated in this study. ⋯ Significant inverse correlation was observed between age and balance (r = -0.58, p = 0.01) in participants with unilateral knee OA. In the regression model for all participants, self-reported function and age accounted for 27.0% of the variance in stair climbing test and 29.0% of the variance in the TUG test. Self-reported function and age are significant predictors of physical function in individuals with knee OA.