|OBJECTIVE||THEORY PROGRAM||PRACTICAL PROGRAM|
|INTERVENTION GROUP||GP + Nurse|
|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.
|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|
|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.