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Use of Therapeutic Neuroscience Education to address psychosocial factors associated with acute low back pain : a case report

ZIMNEY K; LOUW DF; PUENTEDURA EJ
PHYSIOTHER THEORY PRACT , 2014, vol. 30, n° 3, p. 202-209
Doc n°: 169726
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.3109/09593985.2013.856508
Descripteurs : CE51 - LOMBALGIE

Acute low back pain (LBP) from injuries is prevalent in the work place. It has
been shown that patients with psychosocial factors often progress with persistent
pain and lead to significant workers compensation costs. Therapeutic Neuroscience
Education (TNE) has been shown to be beneficial in changing a patient's cognition
regarding their pain state, which may result in decrease fear, anxiety and
catastrophization. A 19-year-old female who developed LBP from a work injury was
the patient for this case report.
A physical examination, Numeric Pain Rating
Scale (NRPS), Oswestry Disability Index (ODI), Fear-Avoidance Beliefs
Questionnaire (FABQ), Keele STarT Back Screening Tool (Keele SBST) and Acute Low
Back Pain Screening (ALBPS) Questionnaires were assessed during initial physical
therapy visit and discharge. Treatment consisted of use of TNE, manual therapy
and exercises. She attended five total visits over a 2-week period prior to full
discharge. During the initial visit the patient reported NRPS = 3/10, ODI = 36%,
FABQ-PA = 23, FABQ-W = 30, Keele SBST = 4/9, ALBPS = 101. At discharge the
patient reported a 0 on all outcome questionnaires with ability to return to full
work and no pain complaints.

Langue : ANGLAIS

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