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首页> 外文期刊>Physiotherapy theory and practice >Use of Therapeutic Neuroscience Education to address psychosocial factors associated with acute low back pain: A case report
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Use of Therapeutic Neuroscience Education to address psychosocial factors associated with acute low back pain: A case report

机译：使用治疗性神经科学教育解决与急性下背痛相关的社会心理因素：病例报告

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摘要

Acute low back pain (LBP) from injuries is prevalent in the work place. It has been shown that patients with psychosocial factors often progress with persistent pain and lead to significant workers compensation costs. Therapeutic Neuroscience Education (TNE) has been shown to be beneficial in changing a patient's cognition regarding their pain state, which may result in decrease fear, anxiety and catastrophization. A 19-year-old female who developed LBP from a work injury was the patient for this case report. A physical examination, Numeric Pain Rating Scale (NRPS), Oswestry Disability Index (ODI), Fear-Avoidance Beliefs Questionnaire (FABQ), Keele STarT Back Screening Tool (Keele SBST) and Acute Low Back Pain Screening (ALBPS) Questionnaires were assessed during initial physical therapy visit and discharge. Treatment consisted of use of TNE, manual therapy and exercises. She attended five total visits over a 2-week period prior to full discharge. During the initial visit the patient reported NRPS=3/10, ODI=36%, FABQ-PA=23, FABQ-W=30, Keele SBST=4/9, ALBPS=101. At discharge the patient reported a 0 on all outcome questionnaires with ability to return to full work and no pain complaints.
机译：受伤引起的急性下腰痛（LBP）在工作场所十分普遍。已经表明，具有社会心理因素的患者常常会持续疼痛，并导致大量的工人补偿费用。治疗神经科学教育（TNE）已被证明在改变患者对疼痛状态的认知方面是有益的，这可能会导致恐惧，焦虑和灾难性疾病减少。该病例报告的患者为一名19岁女性，因工伤导致LBP。在检查期间评估了身体检查，数字疼痛评分量表（NRPS），Oswestry残疾指数（ODI），避免恐惧信念问卷（FABQ），Keele STarT背部筛查工具（Keele SBST）和急性腰痛筛查（ALBPS）问卷。初始物理治疗就诊和出院。治疗包括使用TNE，手动治疗和锻炼。在完全出院之前的2周内，她共进行了5次探视。在初次就诊期间，患者报告NRPS = 3/10，ODI = 36％，FABQ-PA = 23，FABQ-W = 30，Keele SBST = 4/9，ALBPS = 101。出院时，患者在所有结局问卷中均报告为0，可以恢复全职工作，并且没有疼痛症状。

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