[Development and content of the behavioral therapy module of the MiSpEx intervention: Randomized, controlled trial on chronic nonspecific low back pain].
Back pain is a complex phenomenon that goes beyond a simple medical diagnosis. The aetiology and chronification of back pain can be best described as an interaction between biological, psychological, and social processes. However, to date, multimodal prevention and intervention programs for back pain that target all three aetiological factors have demonstrated limited effectiveness. This lack of supportive evidence for multimodal programmes in the treatment of back pain could be due to the fact that few programs are suitable for long-term and unsupervised use in everyday life. Moreover, in combining the elements from various therapies, little attention has been paid to the mechanisms underlying the synergistic effects of the separate components. In this contribution, we will describe the development of a new multimodal intervention for back pain that set out to address these limitations. To this end, the biological elements of neuromuscular adaptation is supplemented with cognitive behavioral and psychophysiological techniques in an intervention that can be followed at home as well as in clinics, and that is suitable for all grades of pain. The efficacy of this intervention will be tested in a multicentric randomized controlled longitudinal trial (n = 714) at five time points over a period of 6 months. Here we will describe the development and the content of this new intervention.
Sport- und Gesundheitssoziologie, Universität Potsdam, Am Neuen Palais 10, Haus 12, 14169, Potsdam, Deutschland. wippert@uni-potsdam.de.
P-M
PM
Wippert
Sport- und Gesundheitssoziologie, Universität Potsdam, Am Neuen Palais 10, Haus 12, 14169, Potsdam, Deutschland.
J
J
de Witt Huberts
Sport- und Gesundheitssoziologie, Universität Potsdam, Am Neuen Palais 10, Haus 12, 14169, Potsdam, Deutschland.
K
K
Klipker
Zentrum für Orthopädie, Unfallchirurgie und Paraplegiologie, Universitätsklinikum Heidelberg, Heidelberg, Deutschland.
S
S
Gantz
Zentrum für Orthopädie, Unfallchirurgie und Paraplegiologie, Universitätsklinikum Heidelberg, Heidelberg, Deutschland.
M
M
Schiltenwolf
Sportmedizin und Sportorthopädie, Hochschulambulanz, Universität Potsdam, Potsdam, Deutschland.
F
F
Mayer
D000328:Adult; D000368:Aged; D001288:Attention; D015928:Cognitive Behavioral Therapy / Q000379:methods* / Q000458:organization & administration*; D003131:Combined Modality Therapy / Q000379:methods; D005260:Female; D005858:Germany; D006801:Humans; D008137:Longitudinal Studies; D017116:Low Back Pain / Q000209:etiology / Q000523:psychology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D010353:Patient Education as Topic; D026741:Physical Therapy Modalities; D012648:Self Care
Chronic pain; Cognitive behavioral therapy; Combined modality therapy; Psychoeducation; Sensorimotor training