M4 Reading Guide 2

Question 1

What are the typical components of a cognitive behavioral approach to chronic low back pain?

Answer 1

• gradual return to activities
• family involvement
• reframing of affective and cognitive resposnes
• intro of positive coping and relaxation skills

Question 2

goal of graded exercise/exposure

Answer 2

• use positive behavioral and cognitive influences to confront, prescribe, and dose functional activity WITHOUT A GOAL OF PAIN RESOLUTION

Question 3

graded exercise

Answer 3

uses operant conditioning to improve exercise and activity tolerance and reinforce healthy functioning behaviors

Question 4

graded exposure

Answer 4

• pt and clinician establish a set of most to least fear activities
• exposure begins with least feared activity
• leads to decreased anxiety about the activity and increased participation

Question 5

What is the main goal of pain education?

Answer 5

decrease the threat value associated with pain by increasing pt understanding

Question 6

What is the role of modalities in the management of chronic low back pain?

Answer 6

• to improve disability, decrease use of medical services or improve work status
• research shows US, heat, cold, TENS is unsuccessful for these pts

Question 7

What are the potential benefits of aerobic exercise for patients with chronic low back pain?

Answer 7

• maintain health and reduce risk of chronic disease (like CVD)
• improve depression, tender points, well-being, physical function, self-efficacy, and sx
• improve outcomes
• motion is lotion

Question 8

What is the general exercise approach to rehabilitation after both disc surgery and fusion?

Answer 8

• trunk endurance and strength training common

- depends on the surgeon

Question 9

What is the general exercise approach to rehabilitation after both disc replacement?

Answer 9

• immediate post-op: walking, undefined abd flexion, active/passive hip and knee flexion
• 4 weeks: maintain mobility, general conditioning, strengthening

Question 10

General exercise approach to rehab after disc replacement:

When do sidebending and abdominal strengthing begin?

Answer 10

6 weeks

Question 11

General exercise approach to rehab after disc replacement: When is swimming allowed?

Answer 11

4 weeks