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KMID : 1021220220130012579
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국제물리치료학회지
2022 Volume.13 No. 1 p.2579 ~ p.2584
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Effects of Pain Neuroscience Education Combined with Lumbar Mobilization on Pain, Lumbar Function and Fear Avoidance Belief for Chronic Low Back Pain
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Koo Ja-Pung
Kim Hong-Rae
Shin Hee-Joon
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Abstract
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Background: A recent study found that pain neuroscience education (PNE) alters pain intensity, knowledge of pain, disability, psychological function, and pain behavior in patients with musculoskeletal pain. However, they noted that PNE alone was not sufficient to affect chronic low back pain (CLBP) reduction.
Objectives: To investigated the effect of CLBP on the PNE combined with lumbar mobilization.
Design: Quasi-experiment study.
Methods: A total of 33 patients aged 25 to less than 65, recruited from L-hospital for low back pain in Chungcheongnam-do. Out of 33 subjects, 17 were pain neuroscience education combined with lumbar mobilization group (PLMG) and 16 were lumbar mobilization group (LMG). The outcome was visual analogue scale (VAS), oswestry disability index (ODI) and the fear avoidance beliefs questionnaire (FABQ). The collected data was analyzed using the SPSS ver. 21.0 program by paired t-test and independent t-test.
Results: PLMG was indicated statistically significant decrease in VAS, ODI and FABQ before and after intervention. However, there were statistically significant changes in VAS and ODI before and after intervention in LMG. PLMG and LMG before and after intervention indicated statistically significant differences in VAS, ODI and FABQ.
Conclusion: The inclusion of PNE combined with lumbar mobilization in patients with CLBP is a promising and feasible approach to the management of CLBP.
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KEYWORD
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Pain neuroscience education, Lumbar mobilization, Lumbar function, Fear avoidance belief, Chronic low back pain
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