Article

OBJECTIVES: To examine whether the addition of motivational enhancement treatment
(MET) to conventional physical therapy (PT) produces better outcomes than PT
alone in people with chronic low back pain (LBP).
DESIGN: A double-blinded,
prospective, randomized, controlled trial. SETTING: PT outpatient department.
PARTICIPANTS: Participants (N=76) with chronic LBP were randomly assigned to
receive 10 sessions of either MET plus PT or PT alone. INTERVENTION: MET included
motivational interviewing strategies and motivation-enhancing factors. The PT
program consisted of interferential therapy and back exercises. MAIN OUTCOME
MEASURES: Motivational-enhancing factors, pain intensity, physical functions, and
exercise compliance. RESULTS: The MET-plus-PT group produced significantly
greater improvements than the PT group in 3 motivation-enhancing factors; proxy
efficacy (P<.001), working alliance (P<.001), and treatment expectancy (P=.011).
Furthermore, they performed significantly better in lifting capacity (P=.015),
36-Item Short Form Health Survey General Health subscale (P=.015), and exercise
compliance (P=.002) than the PT group. A trend of a greater decrease in visual
analog scale and Roland-Morris Disability Questionnaire scores also was found in
the MET-plus-PT group than the PT group. CONCLUSION:
The addition of MET to PT
treatment can effectively enhance motivation and exercise compliance and show
better improvement in physical function in patients with chronic LBP compared
with PT alone.
CI - Copyright (c) 2011 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS