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Review
. 2018 Jun;7(1):1-12.
doi: 10.1007/s40122-018-0099-4. Epub 2018 May 16.

Behavioral Therapy Approaches for the Management of Low Back Pain: An Up-To-Date Systematic Review

Kristallia Vitoula  1 , Annalena Venneri  2 , Giustino Varrassi  3 , Antonella Paladini  3 , Panagiota Sykioti  4 , Joy Adewusi  5 , Panagiotis Zis  6
Affiliations
Review

Behavioral Therapy Approaches for the Management of Low Back Pain: An Up-To-Date Systematic Review

Kristallia Vitoula et al. Pain Ther. 2018 Jun.

Abstract

Low back pain is one of the most common causes for seeking medical treatment and it is estimated that one in two people will experience low back pain at some point during their lifetimes. Management of low back pain includes pharmacological and non-pharmacological approaches. Non-pharmaceutical treatments include interventions such as acupuncture, spinal manipulation, and psychotherapy. The latter is especially important as patients who suffer from low back pain often have impaired quality of life and also suffer from depression. Depressive symptoms can appear because back pain limits patients' ability to work and engage in their usual social activities. The aim of this systematic review was to overview the behavioral approaches that can be used in the management of patients with low back pain. Approaches such as electromyography (EMG) biofeedback, cognitive behavioral therapy, and mindfulness-based stress reduction are discussed as non-pharmacological options in the management of low back pain.

Keywords: Behavioral; Low back; Pain; Psychotherapy.

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References

    1. Koes BW, van Tulder MW, Thomas S. Diagnosis and treatment of low back pain. BMJ. 2006;332(7555):1430–1434. doi: 10.1136/bmj.332.7555.1430. - DOI - PMC - PubMed
    1. Meucci RD, Fassa AG, Faria NM. Prevalence of chronic low back pain: systematic review. Rev Saude Publ. 2015;49. 10.1590/s0034-8910.2015049005874. - PMC - PubMed
    1. Zis P, Bernali N, Argira E, Siafaka I, Vadalouka A. Effectiveness and impact of capsaicin 8% patch on quality of life in patients with lumbosacral pain: an open-label study. Pain Phys. 2016;19(7):E1049–E1053. - PubMed
    1. Zis P, Daskalaki A, Bountouni I, Sykioti P, Varrassi G, Paladini A. Depression and chronic pain in the elderly: links and management challenges. Clin Interv Aging. 2017;21(12):709–720. doi: 10.2147/CIA.S113576. - DOI - PMC - PubMed
    1. Hunot V, Moore THM, Caldwell D, Davies P, Jones H, Lewis G, Churchill R. Mindfulness-based “third wave” cognitive and behavioral therapies for depression. Cochrane Database Syst Rev. 2010;8(9):CD008704. - PMC - PubMed