The short cycle of psychotherapy reduces lower back pain for three years

The short -term path for a type of psychotherapy was three times more effective in relieving chronic lower back pain than standard treatments, even after years.

Cognitive career (CFT) provides people with personal programs that we have learned to understand and manage their pain through movement changes and lifestyle. In 2023, The researchers found that it relieves chronic lower back pain For at least a year after eight sessions.

Now, the researchers found that these sessions continued to achieve relief after three years – three times the improvement in pain and associated deficit levels compared to people who were already working, such as pain relievers, physical therapy or therapeutic massage.

Many of them say – for all practical purposes – ” Jean Hartvigson At the University of South Denmark.

Back pain of any kind The main cause of disability worldwideWith treatments often provides only moderate and short -term relief. In the trial of 2023, Hartevings and his colleagues employed 492 people suffering from chronic lower back pain, which was defined as a classification of at least 4 on the pain scale from 0 to 10 and this was moderate to reduce their physical activity for three months or more.

The researchers had a third of the participants continuing the typical care routine. Others stopped their usual care to participate in seven CFT sessions over 12 weeks, with a final session in 26 weeks.

During these sessions, physiotherapists who have intense training in how to provide this psychotherapy is examined by each individual and ideas about pain, emotions and lifestyle factors. They were aimed at helping the participants to see their pain differently, re -train their movement patterns, control strategies, adopting healthy meals, comfort strategies, stress management and exercise plans.

“Many people with chronic pain are afraid to use their bodies,” says Harviegs. “They are not crazy and not everything in their heads. But their behavior, beliefs, and nervous systems have become adaptation and get used to these pain behaviors so that they need someone that can form a strong therapeutic alliance with them.”

Half of the CFT participants were also suffering from biological reflux, a technique based on the sensor that allows them to track their real -time patterns to help re -train their position and movement.

In one year, both pain and impotence are measured – according to Roland Morris questionnaire for disability About three to four times in CFT collections improved compared to those who receive usual care. Biological reflux only increased only the effect of CFT.

In the new three -year follow -up, the Hartvigsen team won the updated reactions from 312 participants, who were evenly distributed through the treatment groups.

They found those who have received CFT still had a three -fold improvement of both pain and disability compared to the usual care group. In addition, about three times the number of people in CFT groups had very low disability degrees in the questionnaire whose pain is no longer considered a functional disabling.

But the participants were all free to request additional care after the first year, which was not registered.

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