M4 Reading Guide 2 Flashcards
What are the typical components of a cognitive behavioral approach to chronic low back pain?
- gradual return to activities
- family involvement
- reframing of affective and cognitive resposnes
- intro of positive coping and relaxation skills
goal of graded exercise/exposure
- use positive behavioral and cognitive influences to confront, prescribe, and dose functional activity WITHOUT A GOAL OF PAIN RESOLUTION
graded exercise
uses operant conditioning to improve exercise and activity tolerance and reinforce healthy functioning behaviors
graded exposure
- pt and clinician establish a set of most to least fear activities
- exposure begins with least feared activity
- leads to decreased anxiety about the activity and increased participation
What is the main goal of pain education?
decrease the threat value associated with pain by increasing pt understanding
What is the role of modalities in the management of chronic low back pain?
- to improve disability, decrease use of medical services or improve work status
- research shows US, heat, cold, TENS is unsuccessful for these pts
What are the potential benefits of aerobic exercise for patients with chronic low back pain?
- maintain health and reduce risk of chronic disease (like CVD)
- improve depression, tender points, well-being, physical function, self-efficacy, and sx
- improve outcomes
- motion is lotion
What is the general exercise approach to rehabilitation after both disc surgery and fusion?
- trunk endurance and strength training common
- depends on the surgeon
What is the general exercise approach to rehabilitation after both disc replacement?
- immediate post-op: walking, undefined abd flexion, active/passive hip and knee flexion
- 4 weeks: maintain mobility, general conditioning, strengthening
General exercise approach to rehab after disc replacement:
When do sidebending and abdominal strengthing begin?
6 weeks
General exercise approach to rehab after disc replacement: When is swimming allowed?
4 weeks
