A biopsychological approach to chronic low back pain and disability in a private chiropractic setting: a case study
Year: 2002
Type: article
Study design: Case Report
Abstract: For the clinician in private practice, a patient presenting with chronic low back disability can be challenging. Physical factors as well as psychosocial factors play a role in the development of chronicity. In fact, psychosocial factors may be the most dominant factor in the development of chronic low back pain and disability. Fear-avoidance behaviour is identified as one component of the bio-psychosocial model of low back disability. The clinician must recognize that treatment outcome will be dependent on addressing both physical and psychosocial factors. This case study presents an attempt at addressing the psychosocial factors (specifically fear-avoidance behaviour) of a patient presenting with chronic low back disability with a cognitive-behavioural approach, including screening, education and graded exposure. This approach appears to have played a role in returning this patient to modified duties after a year absence from work. More empirical and clinical studies are needed to develop and define which measures and treatment protocols are the most practical and effective for a clinician in private practice to utilize.
Source: PubMed Central
Author: Kevin A. Parish
Language: English
Field: Health Professions
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W1908832726