Table 2 |
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Components of the biopsychosocial multidisciplinary group intervention |
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GP + Nurse 2 hours |
Objective: Resolve doubts, demystify concepts about LBP and promote adherence to the intervention |
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■ Basics on anatomy and biomechanics of the spine |
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■ Pain mechanisms |
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Theory program |
■ Causes of pain and predisposing factors |
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■ Type of pain, mechanical, inflammatory, and severity |
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■ Healthy life habits |
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Practical program |
■ Discuss with the participants the doubts, beliefs and myths about back pain and give positive messages |
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Physiotherapist 4 hours |
Objective: Provide tools on exercises/postures to avoid the pain and the chronic course and improve quality of life. |
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■ Body posture and its implication in pain |
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Theory program |
■ Ergonomics |
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■ Benefits of relative rest |
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■ Diaphragmatic breathing exercises as the basis for relaxation, body awareness and postural control. |
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■ Pelvic floor/gyration exercises. |
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Practical program |
■ Propioceptive and posture awareness exercises. |
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■ Strengthening exercises of the psoas and the posterior chain: Paravertebral muscles, gluteus, ischiotibial muscles. |
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■ Strengthening exercises of abdominal muscles, specially the abdominal transversus, gluteus, spinal extensors and scapular muscles. |
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Psychologist 4 hours |
Objective: Provide participants with cognitive-behavioural therapy techniques |
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Theory program |
■ Influences of cognitions, emotions and behaviour in pain |
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■ Relaxation guidelines and methods |
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■ Cognitive restructuring (Modulation of negative thoughts affecting emotions and pain) |
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■ Use of attention (Increasing attention focus) |
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Practical program |
■ Assertiveness (improving social relationships) |
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■ Problem solving (training in step by step techniques for decision making) |
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■ Time organization and reinforcement of reform activities and physical exercise. |
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■ Life values (increasing concordance between values and behaviour) ■ Relapse prevention |
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Notes: GP = general practitioner; LBP = low back pain. |
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Berenguera et al. BMC Musculoskeletal Disorders 2011 12:194 doi:10.1186/1471-2474-12-194 |
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