New form of talking therapy shows promise for people suffering from chronic low back pain. The DRX9000 or ISCS Could Help.
BY ADMIN
/ FRIDAY, 18 DECEMBER 2015 /
New research
from Royal Holloway, University of London has found that a new form of talking
therapy is a credible and promising treatment for people with chronic low back
pain who are also suffering from related psychological stress.
Professor
Tamar Pincus from the Department of Psychology also found that patients
preferred a combination of talking therapy and physiotherapy to address both
the psychological and physical aspects of their back pain.
Low back
pain is one of the most common and costly health problems in the UK and
research is starting to reveal the important role that psychological factors
play in managing it.
A new
treatment, contextual cognitive behavioural therapy (CCBT), is particularly
promising, as it focuses on accepting pain that cannot be cured, and learning
to live life to the full amid the pain.
Researchers
carried out a feasibility study to test the credibility and acceptability of a
type of talking therapy called contextual cognitive behavioural therapy
compared to physiotherapy in 89 patients with low back pain.
Patients
were randomised to receive CCBT or physiotherapy over an 18 month period for
eight weeks. CCBT was delivered by trained psychologists on a one-to-one basis,
and comprised up to eight sessions. Physiotherapy involved back to fitness
group exercise exercises.
Patients
participating had low back pain for at least three months and high levels of
psychological distress, avoided everyday activities and were known as ‘fear
avoidant.’
Professor
Tamar Pincus, said: “Our study found that CCBT is acceptable to patients, but
interestingly many patients who took part, as well as several of the clinicians
involved – both psychologists and physiotherapists – thought the best treatment
was a combination of both physiotherapy and CCBT.
Patients and
clinicians felt the best solution would be to deal with both physical
difficulties and psychological problems.”
Another
important finding from the study was that patients reported that they wanted
their talking therapy to be on a one-to-one basis with a psychologist, which
contrasts with current trends of introducing psychology group as a group
activity led by physiotherapists.
The research
was published in the BMC Musculoskeletal Disorders journal online and was
funded by Arthritis Research UK.
Dr Stephen
Simpson, director research and programmes at the charity Arthritis Research UK
said: “We know that for some people with chronic low back pain psychological
stress is a major factor, and therefore there is a significant challenge to
find effective treatments. This pilot study has shown that combining physical
and psychological approaches could be the way forward to treat this common,
often disabling condition more effectively.”
Professor
Pincus and her team are now planning a larger clinical trial to explore whether
the combination of physiotherapy and psychology will improve outcomes for
patients and reduce treatment costs in the long term.
Integrity
Life Sciences delivers a multitude of orthotic treatment options
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systems are engineered to provide pain relief for compressive and degenerative
conditions of the spine. Specifically, conditions that may be treated include:
neck pain and back pain associated with herniated discs, protruding discs,
degenerative disc disease, posterior facet syndrome, and sciatica. It achieves
these effects through decompression of intervertebral discs, that is, unloading
due to distraction and positioning.
As a
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compliment to non-surgical spinal decompression therapy and was designed as an
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Integrity’s non-surgical spinal decompression systems and is an excellent
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Elements as
Published in the Royal Holloway, University of London
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