PubMed:32964624 JSONTXT

{"target":"https://pubannotation.org/docs/sourcedb/PubMed/sourceid/32964624","sourcedb":"PubMed","sourceid":"32964624","source_url":"https://www.ncbi.nlm.nih.gov/pubmed/32964624","text":"The effect of in-session exposure in Fear-Avoidance treatment of chronic low back pain: A randomized controlled trial.\nBACKGROUND: Treatment based on the Fear-Avoidance (FA) model has been found to be effective with chronic low back pain (CLBP), and in-vivo exposure of fear evoking movements is proposed as a key change mechanism. Exposure tasks may be conducted in the session (in-session exposure; ISE), in other real-life situations (between sessions exposure) as part of homework assignments, or both. Utilising a randomized, controlled dismantling study design, the aim of this study was to examine the unique effects of ISE in FA-treatment of CLBP.\nMETHODS: Patients (N = 90) with CLBP as primary medical complaints were randomized to receive six sessions of either (a) FA-treatment with ISE (FA-ISE) or (b) FA-treatment without ISE (FA), allowing for between sessions exposure in both treatment groups. Patients were assessed with a large battery of outcome measures at four time-points (pre-treatment, post-treatment, after a booster-session and at 1-year follow-up) including pain intensity, pain catastrophising, self-efficacy, physical performance and quality of life.\nRESULTS: Both treatment groups (FA-ISE, FA) demonstrated statistically significant improvements on primary and most secondary outcomes, with mostly non-significant between-group differences.\nCONCLUSIONS: No added benefit was found for the inclusion of ISE of feared movements in FA-treatment for CLBP, delivered in a group format to participants with moderately elevated levels of fear-avoidance beliefs. Clinical trials: NCT01158339.\nSIGNIFICANCE: This study adds to the existing research literature demonstrating FA-treatment to be effective with CLBP, but further experimental studies are needed in order to examine under what circumstances ISE of feared movements may add to positive treatment outcomes.","tracks":[{"project":"maxiaofeng52_800_3","denotations":[{"id":"T1","span":{"begin":216,"end":237},"obj":"DP"},{"id":"T2","span":{"begin":65,"end":86},"obj":"DP"},{"id":"T3","span":{"begin":239,"end":243},"obj":"DP"},{"id":"T4","span":{"begin":650,"end":654},"obj":"DP"},{"id":"T5","span":{"begin":688,"end":692},"obj":"DP"},{"id":"T6","span":{"begin":1477,"end":1481},"obj":"DP"},{"id":"T7","span":{"begin":1730,"end":1734},"obj":"DP"}],"attributes":[{"subj":"T1","pred":"source","obj":"maxiaofeng52_800_3"},{"subj":"T2","pred":"source","obj":"maxiaofeng52_800_3"},{"subj":"T3","pred":"source","obj":"maxiaofeng52_800_3"},{"subj":"T4","pred":"source","obj":"maxiaofeng52_800_3"},{"subj":"T5","pred":"source","obj":"maxiaofeng52_800_3"},{"subj":"T6","pred":"source","obj":"maxiaofeng52_800_3"},{"subj":"T7","pred":"source","obj":"maxiaofeng52_800_3"}]},{"project":"wangzhuo19_800_3","denotations":[{"id":"T1","span":{"begin":216,"end":237},"obj":"DP"},{"id":"T2","span":{"begin":65,"end":86},"obj":"DP"},{"id":"T3","span":{"begin":239,"end":243},"obj":"DP"},{"id":"T4","span":{"begin":650,"end":654},"obj":"DP"},{"id":"T5","span":{"begin":688,"end":692},"obj":"DP"},{"id":"T6","span":{"begin":1477,"end":1481},"obj":"DP"},{"id":"T7","span":{"begin":1730,"end":1734},"obj":"DP"}],"attributes":[{"subj":"T1","pred":"source","obj":"wangzhuo19_800_3"},{"subj":"T2","pred":"source","obj":"wangzhuo19_800_3"},{"subj":"T3","pred":"source","obj":"wangzhuo19_800_3"},{"subj":"T4","pred":"source","obj":"wangzhuo19_800_3"},{"subj":"T5","pred":"source","obj":"wangzhuo19_800_3"},{"subj":"T6","pred":"source","obj":"wangzhuo19_800_3"},{"subj":"T7","pred":"source","obj":"wangzhuo19_800_3"}]}],"config":{"attribute types":[{"pred":"source","value type":"selection","values":[{"id":"maxiaofeng52_800_3","color":"#ecc993","default":true},{"id":"wangzhuo19_800_3","color":"#af93ec"}]}]}}