OBJECTIVE | THEORY PROGRAM | PRACTICAL PROGRAM | ||
---|---|---|---|---|
INTERVENTION GROUP | GP + Nurse 2 h | Answer queries, demystify concepts about LBP and promote adherence to the intervention | Basics of anatomy and biomechanics of the spine | Pain mechanisms, types, causes and susceptibility factors. Healthy life habits, concerns and beliefs about LBP. |
Physiotherapist 4 h | Provide tools on exercises/postures to avoid pain and improve quality of life | Body posture, ergonomics and benefits | Relaxation exercises (breathing), body awareness and postural control | |
Psychologist 4 h | Provide participants with cognitive-behavioural therapy techniques. | Influence of cognition, emotions and behaviour in pain | Relaxation guidelines, cognitive restructuring and time management. Assertiveness and problem solving, life values. | |
CONTROL GROUP | Clinical Practice Guidelines for Lumbar Spine Disease in Adults • Patient education, give reassuring and positive information about the benign nature of LBP, offer written information including specific advice. • Advise avoiding bed rest and encourage the person to be physically active and continue with normal activities as far as possible. • Consider offering a structured physical exercises program tailored to personal preferences. • Physical exercise should be introduced gently at first (walking, cycling and swimming) and progressively increased in intensity. • Recommend attendance to the “Back school” after six weeks to those patients who have resumed their daily tasks. • Prescribe pharmacological treatment according to established guidelines. |