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Physical therapy utilization of graded exposure for patients with low back pain.

Publication ,  Journal Article
George, SZ; Zeppieri, G
Published in: J Orthop Sports Phys Ther
July 2009

SYNOPSIS: The fear-avoidance model of musculoskeletal pain suggests that elevated pain-related fear is a precursor to chronic low back pain. Recent prospective studies support the predictive validity of this model, and treatment approaches based on the model have also been reported in the literature. Graded exercise/activity is one treatment approach that has been well described in the literature, with reports describing physical-therapy-specific application. Graded exposure is another intervention with the potential to reduce pain-related fear, yet physical-therapy-specific application of graded exposure has not been widely described in the literature. The purpose of this clinical commentary was to provide information on the theoretical aspects of graded exposure, to briefly review available evidence for graded exposure, and to describe physical therapy application of graded exposure for 2 patients enrolled in a physical therapy clinical trial. LEVEL OF EVIDENCE: Therapy, level 5. J Orthop Sport Phys Ther 2009;39(7):496-505, Epub 24 February 2009. doi:10.2519/jospt.2009.2983.

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Published In

J Orthop Sports Phys Ther

DOI

ISSN

0190-6011

Publication Date

July 2009

Volume

39

Issue

7

Start / End Page

496 / 505

Location

United States

Related Subject Headings

  • Stress, Psychological
  • Physical Therapy Modalities
  • Orthopedics
  • Low Back Pain
  • Humans
  • Fear
  • Exercise Therapy
  • Disability Evaluation
  • Chronic Disease
  • Avoidance Learning
 

Citation

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George, S. Z., & Zeppieri, G. (2009). Physical therapy utilization of graded exposure for patients with low back pain. J Orthop Sports Phys Ther, 39(7), 496–505. https://doi.org/10.2519/jospt.2009.2983
George, Steven Z., and Giorgio Zeppieri. “Physical therapy utilization of graded exposure for patients with low back pain.J Orthop Sports Phys Ther 39, no. 7 (July 2009): 496–505. https://doi.org/10.2519/jospt.2009.2983.
George SZ, Zeppieri G. Physical therapy utilization of graded exposure for patients with low back pain. J Orthop Sports Phys Ther. 2009 Jul;39(7):496–505.
George, Steven Z., and Giorgio Zeppieri. “Physical therapy utilization of graded exposure for patients with low back pain.J Orthop Sports Phys Ther, vol. 39, no. 7, July 2009, pp. 496–505. Pubmed, doi:10.2519/jospt.2009.2983.
George SZ, Zeppieri G. Physical therapy utilization of graded exposure for patients with low back pain. J Orthop Sports Phys Ther. 2009 Jul;39(7):496–505.

Published In

J Orthop Sports Phys Ther

DOI

ISSN

0190-6011

Publication Date

July 2009

Volume

39

Issue

7

Start / End Page

496 / 505

Location

United States

Related Subject Headings

  • Stress, Psychological
  • Physical Therapy Modalities
  • Orthopedics
  • Low Back Pain
  • Humans
  • Fear
  • Exercise Therapy
  • Disability Evaluation
  • Chronic Disease
  • Avoidance Learning