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Chiropractic Research Review

Effectiveness of Pain Management Programs

Eighty-four patients with chronic low-back pain were treated using cognitive behavioral principles on a pain-management program. Outcome data were collected and psychological and functional variables were measured before and after treatment, and at a six month follow-up visit.



The objective was to identify the differences in outcomes between programs that treated patients as part of a group vs. those treated individually, and the effects of duration of treatment on outcome.

Conclusions: Cognitive behavioral rehabilitation programs have been demonstrated to be an effective means of reducing psychological distress, changing cognition, and improving the function of patients with chronic low-back pain. However, the length of the program, and whether patients were treated individually or as part of a group, did not affect outcomes.

Rose MJ, Reilly JP, Pennie B, Bowen-Jones K, Stanley IM, Slade PD. Chronic low-back pain rehabilitation programs: a study of the optimum duration of treatment and a comparison of group and individual therapy. Spine, Oct. 1997;22(19), pp2246-53.

Chiropractic Research Review

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