Title
Primena individualno koncipiranog kineziterapijskog tretmana i kognitivno-bihejvioralne terapije u lečenju hroničnog bolnog lumbalnog sindroma
Creator
Stanković, Anita M., 1976-
Copyright date
2015
Object Links
Select license
Autorstvo-Nekomercijalno-Deliti pod istim uslovima 3.0 Srbija (CC BY-NC-SA 3.0)
License description
Dozvoljavate umnožavanje, distribuciju i javno saopštavanje dela, i prerade, ako se navede ime autora na način odredjen od strane autora ili davaoca licence i ako se prerada distribuira pod istom ili sličnom licencom. Ova licenca ne dozvoljava komercijalnu upotrebu dela i prerada. Osnovni opis Licence: http://creativecommons.org/licenses/by-nc-sa/3.0/rs/deed.sr_LATN Sadržaj ugovora u celini: http://creativecommons.org/licenses/by-nc-sa/3.0/rs/legalcode.sr-Latn
Language
Serbian
Cobiss-ID
Theses Type
Doktorska disertacija
description
Datum odbrane: 04.03.2016.
Other responsibilities
mentor
Stanković, Ivona
član komisije
Dimitrijević, Lidija
član komisije
Lazović, Milica
član komisije
Kocić, Mirjana
član komisije
Žikić, Olivera
Academic Expertise
Medicinske nauke
University
Univerzitet u Nišu
Faculty
Medicinski fakultet
Group
Katedra za fizikalnu medicinu i rehabilitaciju i medicinu rada
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
Physical medicine and rehabilitation - Back muscles
Abstract (en)
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)
Type
Elektronska teza
Abstract (en)
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.
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