GP + Nurse 2 hours | Objective: Resolve doubts, demystify concepts about LBP and promote adherence to the intervention |
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Theory program | ▪ Basics on anatomy and biomechanics of the spine |
▪ Pain mechanisms | |
▪ Causes of pain and predisposing factors | |
▪ Type of pain, mechanical, inflammatory, and severity | |
▪ Healthy life habits | |
Practical program | ▪ Discuss with the participants the doubts, beliefs and myths about back pain and give positive messages |
Physiotherapist 4 hours | Objective: Provide tools on exercises/postures to avoid the pain and the chronic course and improve quality of life. |
Theory program | ▪ Body posture and its implication in pain |
▪ Ergonomics | |
▪ Benefits of relative rest | |
Practical program | ▪ Diaphragmatic breathing exercises as the basis for relaxation, body awareness and postural control. |
▪ Pelvic floor/gyration exercises. | |
▪ Propioceptive and posture awareness exercises. | |
▪ Strengthening exercises of the psoas and the posterior chain: Paravertebral muscles, gluteus, ischiotibial muscles. | |
▪ Strengthening exercises of abdominal muscles, specially the abdominal transversus, gluteus, spinal extensors and scapular muscles. | |
Psychologist 4 hours | Objective: Provide participants with cognitive-behavioural therapy techniques |
Theory program | ▪ Influences of cognitions, emotions and behaviour in pain |
Practical program | ▪ Relaxation guidelines and methods |
▪ Cognitive restructuring (Modulation of negative thoughts affecting emotions and pain) | |
▪ Use of attention (Increasing attention focus) | |
▪ Assertiveness (improving social relationships) | |
▪ Problem solving (training in step by step techniques for decision making) | |
▪ Time organization and reinforcement of reform activities and physical exercise. | |
▪ Life values (increasing concordance between values and behaviour) | |
▪ Relapse prevention |