Document Detail

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).
MedLine Citation:
PMID:  22507360     Owner:  NLM     Status:  MEDLINE    
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 J Main; G Sowden; J C Hill; P J Watson; E M Hay
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2011-06-12
Journal Detail:
Title:  Physiotherapy     Volume:  98     ISSN:  1873-1465     ISO Abbreviation:  Physiotherapy     Publication Date:  2012 Jun 
Date Detail:
Created Date:  2012-04-17     Completed Date:  2012-08-15     Revised Date:  2014-03-14    
Medline Journal Info:
Nlm Unique ID:  0401223     Medline TA:  Physiotherapy     Country:  England    
Other Details:
Languages:  eng     Pagination:  110-6     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Chartered Society of Physiotherapy. Published by Elsevier Ltd. All rights reserved.
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MeSH Terms
Disability Evaluation
Low Back Pain / diagnosis,  psychology*,  rehabilitation*
Physical Therapy Modalities*
Professional-Patient Relations
Randomized Controlled Trials as Topic*
Risk Factors
Grant Support
RP-PG-0707-10131//Department of Health

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