PMID: 8976305Dec 1, 1996Paper

The affective dimension of low-back pain: its influence on the outcome of back school

Archives of Physical Medicine and Rehabilitation
D Bonaiuti, G Fontanella

Abstract

Back School is a rehabilitation treatment for back pain that requires patients to understand an educational message and motivate themselves to modify their behavior to prevent relapses. In examining failed cases, the question arose as to whether the failures could be attributed to affective dimensions of pain that could be reducing tolerance to the pain itself and jeopardizing patients' compliance. We studied the role of the affective component of back pain in Back School failures to see whether this component can be used to predict the treatment's negative results and whether it can be conditioned by the treatment itself. Inception cohort. Forty-two subjects with low back pain were treated with Back School at our rehabilitation department. Evaluation was carried out before Back School treatment and after 2 months, through functional clinical examination and Short Form-McGill Pain Questionnaire (affective and sensory pain indexes). As outcome of the treatment, we considered the modification of spontaneous and evoked pain and the motility of the spine. Unexpectedly, the nonparametric tests did not show a significant correlation between the affective indicators before and after the treatment. As expected, the two dimensions of pa...Continue Reading

Citations

Sep 11, 2007·Archives of Orthopaedic and Trauma Surgery·Natan WekslerTzvia Rudich
May 13, 2021·Advances in Wound Care·Junglyun KimJoyce Stechmiller

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