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Creator:	Stanković, Anita M., 1976-
Title:	Primena individualno koncipiranog kineziterapijskog tretmana i kognitivno-bihejvioralne terapije u lečenju hroničnog bolnog lumbalnog sindroma
Copyright date:	2015
Permanent link:	https://phaidrani.ni.ac.rs/detail_object/o:1160?tab=0#mda
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Select license:	Autorstvo-Nekomercijalno-Deliti pod istim uslovima 3.0 Srbija (CC BY-NC-SA 3.0)
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Academic metadata

Theses Type:	Doktorska disertacija
Academic Expertise :	Medicinske nauke
University:	Univerzitet u Nišu
Faculty:	Medicinski fakultet
Group:	Katedra za fizikalnu medicinu i rehabilitaciju i medicinu rada

Other Theses Metadata

Alternative title:	The application of individually designed exercies and cognitive-behavioral therapy in the treatment of chronic low back pain syndrome
Publisher:	[A. M. Stanković]
Format:	XIII, 152, [4] listova
description:	Beleška o autoru: list [153] Prilozi: listovi 120-152
description:	Datum odbrane: 04.03.2016.
description:	Physical medicine and rehabilitation - Back muscles
Other responsibilities:	Stanković, Ivona (mentor)
Other responsibilities:	Dimitrijević, Lidija (član komisije)
Other responsibilities:	Lazović, Milica (član komisije)
Other responsibilities:	Kocić, Mirjana (član komisije)
Other responsibilities:	Žikić, Olivera (član komisije)
Abstract:	Introduction. Chronic low back pain (CLBP) is a complex medical problem. Therapy involves adequately composed and conducted exercises and cognitive-behavioral therapy for chronic pain. Objective. Evaluation of the significance of the individually designed exercises and cognitive-behavioral therapy application in the treatment of patients with CLBP and their combined effect on pain, functional and psychosocial status. Method. The study included 130 patients divided into four groups. One group had individually designed strengthening and stretching exercises with a set of stabilization exercises and cognitive-behavioral treatment for chronic pain. The second group had the same exercises without CBT. The third had a standard protocol, without stabilization exercises. The control group had no treatment. Before, after therapy and 3 months later, the patients completed questionnaires: SF-36, ODQ, RDQ, NPRS, HSCL, FABQ, TSK, BDI, BAI, PHQ, WHOQOL-BREF. Results. After completion of therapy and three months later, all the parameters improved significantly in groups that had the individually designed stabilization exercise program, with better results in the group that had the cognitive-behavioral treatment in addition. The pain was reduced by 2.77±1.31/3.77±1.77 and disability (ODS) decreased by 12.91±8.06/ 14.46±7.97. A significant improvement in symptoms of depression and anxiety, reduction of fear avoidance and kinesiophobia parameters, as well as improvement of the overall quality of life, was evidented. Conclusion. Individually designed exercises and cognitive-behavioral therapy for chronic pain were effective in the treatment of patients with CLBP and should be introduced into everyday clinical practice.
Authors Key words:	lumbalni bol, kineziterapija, kognitivno-bihejvioralni tretman
Authors Key words:	low back pain, exercises, cognitive behavioral treatment
Classification:	616.711-009:615.825(043.3)
Subject:	616.711-009:615.851(043.3)
Language:	Serbian
Identifier:	1025467373
Type:	Elektronska teza

Abstract:

Introduction. Chronic low back pain (CLBP) is a complex medical problem. Therapy involves adequately composed and conducted exercises and cognitive-behavioral therapy for chronic pain. Objective. Evaluation of the significance of the individually designed exercises and cognitive-behavioral therapy application in the treatment of patients with CLBP and their combined effect on pain, functional and psychosocial status. Method. The study included 130 patients divided into four groups. One group had individually designed strengthening and stretching exercises with a set of stabilization exercises and cognitive-behavioral treatment for chronic pain. The second group had the same exercises without CBT. The third had a standard protocol, without stabilization exercises. The control group had no treatment. Before, after therapy and 3 months later, the patients completed questionnaires: SF-36, ODQ, RDQ, NPRS, HSCL, FABQ, TSK, BDI, BAI, PHQ, WHOQOL-BREF. Results. After completion of therapy and three months later, all the parameters improved significantly in groups that had the individually designed stabilization exercise program, with better results in the group that had the cognitive-behavioral treatment in addition. The pain was reduced by 2.77±1.31/3.77±1.77 and disability (ODS) decreased by 12.91±8.06/ 14.46±7.97. A significant improvement in symptoms of depression and anxiety, reduction of fear avoidance and kinesiophobia parameters, as well as improvement of the overall quality of life, was evidented. Conclusion. Individually designed exercises and cognitive-behavioral therapy for chronic pain were effective in the treatment of patients with CLBP and should be introduced into everyday clinical practice.