Changes in pain self-efficacy, coping skills and fear avoidance beliefs in a randomized controlled trial of yoga, physical therapy, and education for chronic low back pain

Review written by Dr Sandy Hilton info

Key Points

  1. Reading an explanatory book about pain and movement was helpful to improve self-efficacy about chronic low back pain.
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BACKGROUND & OBJECTIVE

Low back pain continues to be a leading cause of disability, health care cost and lost work. This cost is not shared equally. Low-income individuals have less access to care and have a higher self-rating of pain (1). Furthermore, a person’s appraisal of pain is predictive of outcomes in chronic low back pain (2).

The purpose of the study was to determine if yoga or physical therapy can improve the cognitive appraisal of pain compared to an educational intervention.

A person’s appraisal of pain is predictive of outcomes in chronic low back pain.
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With encouragement from any source, people can improve their self-efficacy which will increase the likelihood that they can decrease their pain.

METHODS

This was a secondary analysis from the Back to Health Study where 320 low-income adults (< $30,000 USD/year) with chronic low back pain were randomized to three single blinded groups: 12-week yoga, physical therapy, and educational intervention (3).

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