Title |
A comparative effectiveness trial of postoperative management for lumbar spine surgery: changing behavior through physical therapy (CBPT) study protocol
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Published in |
BMC Musculoskeletal Disorders, October 2014
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DOI | 10.1186/1471-2474-15-325 |
Pubmed ID | |
Authors |
Kristin R Archer, Rogelio A Coronado, Christine M Haug, Susan W Vanston, Clinton J Devin, Christopher J Fonnesbeck, Oran S Aaronson, Joseph S Cheng, Richard L Skolasky, Lee H Riley, Stephen T Wegener |
Abstract |
The United States has the highest rate of lumbar spine surgery in the world, with rates increasing over 200% since 1990. Medicare spends over $1 billion annually on lumbar spine surgery. Despite surgical advances, up to 40% of patients report chronic pain and disability following surgery. Our work has demonstrated that fear of movement is a risk factor for increased pain and disability and decreased physical function in patients following lumbar spine surgery for degenerative conditions. Cognitive-behavioral therapy and self-management treatments have the potential to address psychosocial risk factors and improve outcomes after spine surgery, but are unavailable or insufficiently adapted for postoperative care. Our research team developed a cognitive-behavioral based self-management approach to postoperative rehabilitation (Changing Behavior through Physical Therapy (CBPT)). Pilot testing of the CBPT program demonstrated greater improvement in pain, disability, physical and mental health, and physical performance compared to education. The current study compares which of two treatments provided by telephone - a CBPT Program or an Education Program about postoperative recovery - are more effective for improving patient-centered outcomes in adults following lumbar spine surgery for degenerative conditions. |
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Germany | 1 | 50% |
Unknown | 1 | 50% |
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Members of the public | 2 | 100% |
Mendeley readers
Geographical breakdown
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United Kingdom | 1 | <1% |
United States | 1 | <1% |
Unknown | 284 | 99% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Master | 44 | 15% |
Student > Bachelor | 31 | 11% |
Student > Ph. D. Student | 28 | 10% |
Researcher | 26 | 9% |
Student > Doctoral Student | 24 | 8% |
Other | 45 | 16% |
Unknown | 88 | 31% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 68 | 24% |
Nursing and Health Professions | 50 | 17% |
Psychology | 31 | 11% |
Sports and Recreations | 10 | 3% |
Social Sciences | 9 | 3% |
Other | 19 | 7% |
Unknown | 99 | 35% |