Cited by 107Musculoskeletal pain and rehabilitationMedical Practices and RehabilitationSpine and Intervertebral Disc Pathology

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A multidisciplinary rehabilitation programme improves disability, kinesiophobia and walking ability in subjects with chronic low back pain: results of a randomised controlled pilot study

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Monticone, Marco, Ambrosini, Emilia, Rocca, Barbara, Magni, Silvia, Brivio, Flavia, Ferrante, Simona·2014·European Spine Journal

DOI 10.1007/s00586-014-3478-5

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Abstract

Purpose To evaluate the effect of a multidisciplinary rehabilitation programme on disability, kinesiophobia, catastrophizing, pain, quality of life and gait disturbances in patients with chronic low back pain (CLBP).Methods This was a parallel-group, randomised, superiority-controlled pilot study in which 20 patients were randomly assigned to a programme consisting of motor training (spinal stabilising exercises plus usual-care) and cognitive-behavioural therapy (experimental group, 10 subjects) or usual-care alone (control group, 10 subjects). Before treatment, 8 weeks later (post-treatment), and 3 months after the end of treatment, the Oswestry Disability Index, the Tampa Scale for Kinesiophobia, the Pain Catastrophizing Scale, a pain numerical rating scale, and the Short-Form Health Survey were assessed. Spatio-temporal gait parameters were also measured by means of an electronic walking mat. A linear mixed model for repeated measures was used for each outcome measure.Results The programme had significant group (p = 0.027), time (p < 0.001), and time-by-group interaction (p < 0.001) effects on disability, with the experimental group showing an improvement after training of about 61 % (25 % in the control group). The analyses of kinesiophobia, catastrophizing, and the quality of life also revealed significant time, group, and time-by-group interaction effects in favour of the experimental group, and there was a significant effect of time on pain. Both groups showed a general improvement in gait parameters, with the experimental group increasing cadence significantly more.Conclusion The multidisciplinary rehabilitation programme including cognitive-behavioural therapy was superior to the exercise programme in reducing disability, kinesiophobia, catastrophizing, and enhancing the quality of life and gait cadence of patients with CLBP.

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Compensatory Latency Time Differences During Repeated Slip- and Trip-Induced Perturbations in Older Adults with and Without KinesiophobiaPreprint
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Authors: Monticone, M., Ambrosini, E., Rocca, B., Magni, S., Brivio, F., & Ferrante, S.
Affiliations: Fondazione Salvatore Maugeri (IT)
Politecnico di Milano (IT)
Corresponding author: Monticone, Marco
ORCID: Monticone, Marco
Ambrosini, Emilia
Rocca, Barbara
Ferrante, Simona
Venue: European Spine Journal
Publisher: Springer Science and Business Media LLC
Published: 2014-07-27
Volume: 23
Issue: 10
Pages: 2105-2113
ISSN: 0940-6719 (ISSN-L)
1432-0932
DOI: 10.1007/s00586-014-3478-5
OpenAlex: W1967577185
Cited by: 107
References: 33
Citations by year: 2026: 5 · 2025: 15 · 2024: 9 · 2023: 5 · 2022: 6 · 2021: 12 · 2020: 9 · 2019: 8 · 2018: 6 · 2017: 11 · 2016: 13 · 2015: 7 · 2014: 1
FWCI: 7.75
Type: journal article
Language: en
Open access: green
hdl.handle.net
Licence: other-oa
www.springer.com/tdm (tdm)
Locations: European Spine Journal (publishedVersion)
PubMed (publishedVersion)
Virtual Community of Pathological Anatomy (University of Castilla La Mancha) (submittedVersion, other-oa)
Institutional Research Information System (Università degli Studi di Brescia) (submittedVersion)
UNICA IRIS Institutional Research Information System (University of Cagliari) (submittedVersion)
Topics: Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
Health Sciences › Medicine › Orthopedics and Sports Medicine › Spine and Intervertebral Disc Pathology
Keywords: chronic low back pain, multidisciplinary rehabilitation, cognitive behavioral therapy, kinesiophobia, pain catastrophizing, disability, quality of life, gait cadence, exercise therapy
MeSH terms: Adult, Aged, Disability Evaluation, Exercise Therapy, Female, Persons with Disabilities, Humans, Male, Middle Aged, Pain Measurement, Patient Care Team, Pilot Projects, Quality of Life, Program Evaluation, Cognitive Behavioral Therapy, Walking, Treatment Outcome, Low Back Pain, Catastrophization, Chronic Pain

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A multidisciplinary rehabilitation programme improves disability, kinesiophobia and walking ability in subjects with chronic low back pain: results of a randomised controlled pilot study

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