Evidence for a direct relationship between cognitive and physical change during an education intervention in people with chronic low back pain

Background. Unhelpful pain cognitions of patients with chronic low back pain (LBP) may limit physical performance and undermine physical assessment. It is not known whether a direct relationship exists between pain cognitions and physical performance.

[1]  H. Brody The placebo response. Recent research and implications for family medicine. , 2000, The Journal of family practice.

[2]  C. Eccleston,et al.  Systematic review of outpatient services for chronic pain control. , 1997, Health technology assessment.

[3]  Scott R. Bishop,et al.  The Pain Catastrophizing Scale: Development and validation. , 1995 .

[4]  S. Spence,et al.  Cognitive-behavioural therapy versus EMG biofeedback in the treatment of chronic low back pain. , 1995, Behaviour research and therapy.

[5]  H. Flor,et al.  Assessment of stress-related psychophysiological reactions in chronic back pain patients. , 1985, Journal of consulting and clinical psychology.

[6]  M. Jensen,et al.  The relation between pain beliefs, negative thoughts, and psychosocial functioning in chronic pain patients , 2000, PAIN®.

[7]  R. Ashton,et al.  The measurement of attitudes towards and beliefs about pain , 1992, Pain.

[8]  P. Simkin Commentary: The Meaning of Labor Pain , 2000 .

[9]  C. Magid Pain, suffering, and meaning. , 2000, JAMA.

[10]  P. Simkin The meaning of labor pain. , 2000, Birth.

[11]  Tung Bui,et al.  Impact of Learning Strategies and Motivation on Performance: A Study in Web-Based Instruction. , 2001 .

[12]  H. Alaranta,et al.  Intensive Physical and Psychosocial Training Program for Patients with Chronic Low Back Pain; A Controlled Clinical Trial , 1994, Spine.

[13]  J. Francis Statistica for Windows , 1995 .

[14]  P. Watson,et al.  Evidence for the Role of Psychological Factors in Abnormal Paraspinal Activity in Patients with Chronic Low Back Pain , 1997 .

[15]  B. Ferrell,et al.  The meaning of cancer pain. , 1995, Seminars in oncology nursing.

[16]  P. Richardson,et al.  Evaluation of a cognitive behavioural programme for rehabilitating patients with chronic pain. , 1993, The British journal of general practice : the journal of the Royal College of General Practitioners.

[17]  M. Robinson,et al.  The relationship of depression and somatic focus to experimental and clinical pain in chronic pain patients , 1993 .

[18]  M. Simmonds,et al.  Physiotherapy for patients with chronic pain: An operant-behavioural approach , 1997 .

[19]  C. Eccleston,et al.  Systematic review and meta-analysis of randomized controlled trials of cognitive behaviour therapy and behaviour therapy for chronic pain in adults, excluding headache , 1999, Pain.

[20]  L. McCracken,et al.  Pain-related anxiety predicts non-specific physical complaints in persons with chronic pain. , 1998, Behaviour research and therapy.

[21]  H. Ohlsén,et al.  Anthropometry, spinal canal width, and flexibility of the spine and hamstring muscles in 45-55-year-old men with and without low back pain. , 1992, Journal of spinal disorders.

[22]  Getting inside knowledge : the application of Entwistle's model of surface/deep processing in producing open learning materials , 1997 .

[23]  J. Brox,et al.  Predictors of isokinetic back muscle strength in patients with low back pain. , 1999, Spine.

[24]  L. McCracken,et al.  The Role of Pain-Related Anxiety Reduction in the Outcome of Multidisciplinary Treatment for Chronic Low Back Pain: Preliminary Results , 1998, Journal of Occupational Rehabilitation.

[25]  S. Shapiro,et al.  A Comparative Study of Various Tests for Normality , 1968 .

[26]  R. Mayer,et al.  Engaging students in active learning: The case for personalized multimedia messages. , 2000 .

[27]  N. Pratt,et al.  The effect of hamstring muscle stretching on standing posture and on lumbar and hip motions during forward bending. , 1996, Physical therapy.

[28]  J. Sandberg,et al.  Deep learning is difficult , 1997 .

[29]  Niels Birbaumer,et al.  Extensive reorganization of primary somatosensory cortex in chronic back pain patients , 1997, Neuroscience Letters.

[30]  C. Main The Modified Somatic Perception Questionnaire (MSPQ). , 1983, Journal of psychosomatic research.

[31]  D. Ehde,et al.  Pain site and the effects of amputation pain: further clarification of the meaning of mild, moderate, and severe pain , 2001, Pain.

[32]  F. Keefe,et al.  The Role of Family Environment and Changes in Cognitive Processes , 1993, The Clinical journal of pain.

[33]  Lorimer Moseley,et al.  Combined physiotherapy and education is efficacious for chronic low back pain. , 2002, The Australian journal of physiotherapy.

[34]  Chris J. Main,et al.  Guarded Movements:: Development of Chronicity , 1996 .