Evidence-Based Review of the Efficacy of Functional Restoration for the Management of Chronic Low Back Pain

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Evidence-Based Review of the Efficacy of Functional Restoration for the Management of Chronic Low Back Pain

Show simple item record Gatchel, Robert J. Mayer, Tom G. 2010-08-11T18:33:52Z 2010-08-11T18:33:52Z 2008-01
dc.identifier.citation Published in The Spine Journal 8:40-44, 2008 en_US
dc.description Author's final draft after peer review, also known as a post print. en_US
dc.description.abstract There are now almost 20 years of evidence-based clinical outcome data, from the United States as well as from other countries around the world, demonstrating the therapeutic effectiveness of functional restoration, a specific form of interdisciplinary rehabilitation, in successfully managing chronic low back pain (CLBP) and disability. Purpose. This article comprehensively reviews all the available evidence evaluating the therapeutic effectiveness of functional restoration for CLBP. Study Design. Searches of the CLBP and functional restoration literature during the past 20 years were conducted, using MEDLINE, PSYCHLIT and the Cochrane Database of Systematic Reviews. Patient Sample. All studies evaluating CLBP patients who were administered functional restoration were included in this review. Outcome Measures. Studies reporting treatment-outcome data for variables such as self-reported pain and disability, functional measures such as strength and range-of-motion, medication use, and socioeconomic outcomes such as work return/retention, health care utilization, insurance claim resolution, and recurrent injuries were used in this review. Results. The scientific literature is quite clear in demonstrating the therapeutic effectiveness of functional restoration for the management of CLBP, not only for traditional measures of self-reported pain and disability, but also for important socioeconomic-outcome variables. Conclusions. The significant advantage of functional restoration relative to traditional unimodal methods of treating CLBP is that it simultaneously addresses, and has a positive impact on, multiple outcome measures: traditional self-report indices of pain and disability; more objective Manuscripts\functionalrestoration-evidence-based-review.611\6/14/2010 3 physical functional measures; and important socioeconomic outcomes that often “drive up” the societal economic costs of this prevalent chronic pain disorder. en_US
dc.description.sponsorship The writing of this manuscript was supported in part by grant numbers 1K05 MH071892 and 3R01 MH 045462 from the National Institutes of Health, and DAMD 17-03-1-0055 from the Department of Defense en_US
dc.language.iso en_US en_US
dc.publisher Elsevier en_US
dc.subject Functional restoration en_US
dc.subject chronic pain en_US
dc.subject disability en_US
dc.subject workers' compensation en_US
dc.subject chronic low back pain en_US
dc.subject chronic spinal disorders en_US
dc.subject return to work en_US
dc.subject health utilization en_US
dc.subject recurrent injury en_US
dc.subject biopsychosocial approach en_US
dc.subject chronic pain/disability management en_US
dc.title Evidence-Based Review of the Efficacy of Functional Restoration for the Management of Chronic Low Back Pain en_US
dc.type Article en_US
dc.publisher.department Department of Psychology, The University of Texas at Arlington en_US
dc.identifier.externalLink en_US
dc.identifier.externalLinkDescription The original publication is available at the journal homepage. en_US

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