Effect of integrated exercise therapy and psychosocial interventions on self-efficacy in patients with chronic low back pain: A systematic review.

Vorensky, Mark; Murray, Tyler; McGovern, Andrew F; Patel, Yera Y; Rao, Smita; Batavia, Mitchell

doi:10.1016/j.jpsychores.2022.111126

Cited by 4 publications

(2 citation statements)

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“…However, these interventions exhibit limited to no efficacy in addressing psychological barriers in the recovery from low back pain [ 9 ]. Psychological factors play a significant role in an individual’s experience of LBP, impacting their function, pain perception, self-efficacy beliefs, and overall quality of life [ 6 , 9 , 10 ]. In the current landscape of multimodal interventions for the management of CLBP, there is a growing recommendation for approaches that involve pain education programs delivered alongside standard physiotherapy care [ 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

Effects of pain education on disability, pain, quality of life, and self-efficacy in chronic low back pain: A randomized controlled trial

Sidiq,

Muzaffar,

Janakiraman

et al. 2024

PLoS ONE

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Background Low back pain stands as a prevalent contributor to pain-related disability on a global scale. In addressing chronic low back pain (CLBP), there is a growing emphasis on incorporating psychological strategies into the management process. Among these, pain education interventions strive to reshape pain beliefs and mitigate the perceived threat of pain. This randomized controlled trial sought to assess the effects of pain education on various aspects, including pain levels, disability, quality of life, self-efficacy, and prognostic characteristics in individuals grappling with CLBP. Methods The clinical trial, retrospectively registered with the Clinical Trials Registry of India (CTRI/2021/08/035963), employed a two-arm parallel randomized design. Ninety-two participants with CLBP were randomly assigned to either the standard physiotherapy care with a pain education program or the control group. Both groups underwent a 6-week intervention. Assessment of pain intensity (using NPRS), disability (using RMDQ), self-efficacy (using the general self-efficacy scale), and well-being (using WHO 5I) occurred both before and after the 6-week study intervention. Findings Post-intervention score comparisons between the groups revealed that the pain education intervention led to a significant reduction in disability compared to the usual standard care at 6 weeks (mean difference 8.2, p < 0.001, effect size Cohen d = 0.75), a decrease in pain intensity (mean difference 3.5, p < 0.001, effect size Cohen d = 0.82), and an improvement in the well-being index (mean difference 13.7, p < 0.001, effect size Cohen d = 0.58). Conclusion The findings suggest that integrating a pain education program enhances the therapeutic benefits of standard physiotherapy care for individuals dealing with chronic LBP. In conclusion, the clinical benefits of pain education become apparent when delivered in conjunction with standard care physiotherapy during the management of chronic low back pain.

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Section: Introductionmentioning

confidence: 99%

Effects of pain education on disability, pain, quality of life, and self-efficacy in chronic low back pain: A randomized controlled trial

Sidiq,

Muzaffar,

Janakiraman

et al. 2024

PLoS ONE

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“…However, these interventions have modest to no effect in addressing psychological barriers in recovery from low back pain [6]. The role of psychological factors in an individual’s experience of LBP is reported to have a bearing on their function, pain perception, belief in self-efficacy, and quality of life [3,6,7]. The current multimodal interventions in the management of CLBP recommend approaches involving pain education programs delivered with standard physiotherapy care [8,9].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of pain education on pain, disability, quality of life and self-efficacy in chronic low back pain: A randomized controlled trial

Sidiq,

Muzaffar,

Janakiraman

et al. 2023

Preprint

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BackgroundLow back pain is one of the most common causes of pain-related disability worldwide. There are growing recommendations to use psychological approaches in the management of chronic low back pain. Pain education intervention is one such psychological approach aiming at re-conceptualizing pain beliefs and easing the pain threat value. This randomized controlled trial aimed to gain an understanding of the effectiveness of pain education on pain levels, disability, quality of life, and self-efficacy in individuals with chronic low back pain (CLBP).MethodsA two-arm parallel randomized trial was conducted recruiting 92 participants with CLBP, who were randomly allocated to either standard physiotherapy care with the pain education program, or the control group, and both groups received 6 weeks of intervention. Pain intensity (using NPRS), disability (using RMDQ), self-efficacy (using general self-efficacy scale), and wellbeing (using WHO 5I) were assessed before, and 6 weeks after the study intervention.FindingsThe post-intervention scores comparison between the groups showed that the pain education intervention reduced disability compared to the usual standard care at 6 weeks (mean difference 8.2, p < 0.001, effect size η2 = 0.75), the pain intensity (mean difference 3.5, p < 0.001, effect size η2 = 0.82) and improved the wellbeing index (mean difference 13.7, p < 0.001, effect size η2 = 0.58).ConclusionThe findings suggested that pain education program enhance the therapeutic benefits of usual standard physiotherapy care among participants with chronic LBP. We conclude that pain education seems to have clinical benefits when delivered along with standard care physiotherapy during the management of chronic low back pain.CTRI registration codeCTRI/2021/08/035963

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A Qualitative Study Identifying Barriers and Enablers to Exercise Adherence in People with Chronic Low Back Pain. “It’s a personal journey”

Gilanyi,

Rizzo,

Sharma

et al. 2024

The Journal of Pain

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Effect of integrated exercise therapy and psychosocial interventions on self-efficacy in patients with chronic low back pain: A systematic review.

Cited by 4 publications

References 56 publications

Effects of pain education on disability, pain, quality of life, and self-efficacy in chronic low back pain: A randomized controlled trial

Effects of pain education on disability, pain, quality of life, and self-efficacy in chronic low back pain: A randomized controlled trial

Effectiveness of pain education on pain, disability, quality of life and self-efficacy in chronic low back pain: A randomized controlled trial

A Qualitative Study Identifying Barriers and Enablers to Exercise Adherence in People with Chronic Low Back Pain. “It’s a personal journey”

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