Behavioral-graded activity compared with usual care after first-time disk surgery: considerations of the design of a randomized clinical trial.

Abstract:

OBJECTIVE:To present the design of a trial on the effectiveness of a behavioral-graded activity model. DESIGN:Randomized clinical trial. PATIENTS:Patients undergoing first-time lumbar disk surgery who still have low-back pain at the 6-week neurosurgical consultation. INTERVENTIONS:A patient-tailored behavioral-graded activity program that is based on operant therapy. The key elements of this program are baseline measurements, goal-setting, and time-contingency. This program is compared with usual care in physiotherapy, which is pain-contingent. OUTCOME MEASURES:Primary measures are the patient's global impression of the effect and their functional status. Secondary measures are kinesiophobia, catastrophizing, pain, main complaint, range of motion, and relapses. The direct and indirect costs will also be assessed. The effect measures are rated before randomization and 3, 6, and 12 months later. DISCUSSION:Several trials have been conducted on the effectiveness of behavioral treatments. Subjects were always patients with chronic low-back pain. In this trial, we apply such a treatment in patients after first-time disk surgery in a primary care setting.

authors

Ostelo RW,Köke AJ,Beurskens AJ,de Vet HC,Kerckhoffs MR,Vlaeyen JW,Wolters PM,Berfelo MW,van den Brandt PA

subject

Has Abstract

pub_date

2000-06-01 00:00:00

pages

312-9

issue

5

eissn

0161-4754

issn

1532-6586

pii

S0161-4754(00)90205-7

journal_volume

23

pub_type

临床试验,杂志文章,随机对照试验
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    authors: Sato T,Sato N,Masui K,Hirano Y

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    pub_type: 杂志文章

    doi:

    authors: Jordan A,Manniche C,Mosdal C,Hindsberger C

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    pub_type: 临床试验,杂志文章,随机对照试验

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    pub_type: 杂志文章

    doi:10.1016/j.jmpt.2016.02.011

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    pub_type: 杂志文章

    doi:

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    pub_type: 杂志文章

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    pub_type: 杂志文章

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    doi:10.1067/mmt.2002.120415

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    doi:10.1016/j.jmpt.2004.10.005

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    journal_title:Journal of manipulative and physiological therapeutics

    pub_type: 杂志文章

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    更新日期:2009-06-01 00:00:00

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    pub_type: 指南,杂志文章,评审

    doi:

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    更新日期:1992-09-01 00:00:00

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    pub_type: 杂志文章

    doi:

    authors: Sigler DC,Howe JW

    更新日期:1985-06-01 00:00:00

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    pub_type: 杂志文章

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    pub_type: 杂志文章

    doi:10.1016/s0161-4754(00)90245-8

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  • High-Force Versus Low-Force Lumbar Traction in Acute Lumbar Sciatica Due to Disc Herniation: A Preliminary Randomized Trial.

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    journal_title:Journal of manipulative and physiological therapeutics

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jmpt.2016.09.006

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    journal_title:Journal of manipulative and physiological therapeutics

    pub_type: 杂志文章

    doi:

    authors: Aspegren DD,Cox JM

    更新日期:1987-08-01 00:00:00

  • Altered metabolic enzyme activities in fast and slow twitch muscles due to induced sciatic neuropathy in the rat.

    abstract::A pilot study was conducted to examine enzymatic and metabolic alterations in end organs as a consequence of neuropathy. Silastic pellets were implanted transverse to the sciatic nerve of rats. Neurobehavioral evaluations based on hind limb gait were conducted at 2 and 4 weeks postoperatively. Four-week values demonst...

    journal_title:Journal of manipulative and physiological therapeutics

    pub_type: 杂志文章

    doi:

    authors: Christiansen JA,Meyer JJ

    更新日期:1987-10-01 00:00:00

  • Workplace Factors Associated With Neck Pain Experienced by Computer Users: A Systematic Review.

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    journal_title:Journal of manipulative and physiological therapeutics

    pub_type: 杂志文章

    doi:10.1016/j.jmpt.2018.01.005

    authors: Keown GA,Tuchin PA

    更新日期:2018-01-01 00:00:00

  • Exposure margin in skeletal radiography and its effect on tube tilt compensation.

    abstract:OBJECTIVE:To examine the rationale for and necessity of adjusting the film focal distance when X-ray angulation is employed during a radiographic study, and to determine the sensitivity of human interpreters to overall differences in film density and the correlation, if any, with digital analysis of radiographic films....

    journal_title:Journal of manipulative and physiological therapeutics

    pub_type: 杂志文章

    doi:

    authors: Andersen KK,Carstensen HM

    更新日期:1998-05-01 00:00:00

  • Physical examination of the cervical spine and shoulder girdle in patients with shoulder complaints.

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    journal_title:Journal of manipulative and physiological therapeutics

    pub_type: 杂志文章

    doi:

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    更新日期:1997-05-01 00:00:00

  • Fracture of the fabella.

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    journal_title:Journal of manipulative and physiological therapeutics

    pub_type: 杂志文章

    doi:

    authors: Woo CC

    更新日期:1988-10-01 00:00:00

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    pub_type: 杂志文章,随机对照试验

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    journal_title:Journal of manipulative and physiological therapeutics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Strender LE,Lundin M,Nell K

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  • Areas of capsaicin-induced secondary hyperalgesia and allodynia are reduced by a single chiropractic adjustment: a preliminary study.

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    journal_title:Journal of manipulative and physiological therapeutics

    pub_type: 临床试验,杂志文章,随机对照试验

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