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Objectives: To examine whether the addition of motivational enhancement treatment (MET) to conventional physical therapy (PT) produces better outcomes than PT alone in people with chronic low back pain (LBP).
Design: A double-blinded, prospective, randomized, controlled trial.
Setting: PT outpatient department.
Participants: Participants (N=76) with chronic LBP were randomly assigned to receive 10 sessions of either MET plus PT or PT alone.
Intervention: MET included motivational interviewing strategies and motivation-enhancing factors. The PT program consisted of interferential therapy and back exercises.
Main Outcome Measures: Motivational-enhancing factors, pain intensity, physical functions, and exercise compliance.
Results: The MET-plus-PT group produced significantly greater improvements than the PT group in 3 motivation-enhancing factors; proxy efficacy (P<.001), working alliance (P<.001), and treatment expectancy (P=.011). Furthermore, they performed significantly better in lifting capacity (P=.015), 36-Item Short Form Health Survey General Health subscale (P=.015), and exercise compliance (P=.002) than the PT group. A trend of a greater decrease in visual analog scale and Roland-Morris Disability Questionnaire scores also was found in the MET-plus-PT group than the PT group.
Conclusion: The addition of MET to PT treatment can effectively enhance motivation and exercise compliance and show better improvement in physical function in patients with chronic LBP compared with PT alone.
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http://dx.doi.org/10.1016/j.apmr.2010.10.016 | DOI Listing |
Bioact Mater
April 2025
Zhanjiang Key Laboratory of Orthopaedic Technology and Trauma Treatment, Key Laboratory of Traditional Chinese Medicine for the Prevention and Treatment of Infectious Diseases, Guangdong Key Laboratory for Research and Development of Natural Drugs, School of Pharmacy, School of Ocean and Tropical Medicine, The Affiliated Hospital, The Second Affiliated Hospital, Zhanjiang Central Hospital, Guangdong Medical University, Zhanjiang, 524037, China.
Repair of osteoporotic bone defects (OBD) remains a clinical challenge due to dysregulated bone homeostasis, characterized by impaired osteogenesis and excessive osteoclast activity. While drug-loaded 3D-printed scaffolds hold great potential in the restoration of bone homeostasis for enhanced OBD repair, achieving the controlled release and targeted delivery of drugs in a 3D-printed scaffold is still unmet. Herein, we developed an electrostatic encapsulation strategy to motivate 3D-printed polyelectrolyte scaffolds (APS@P) with bone-targeting liposome formulation of salvianolic acid B (SAB-BTL).
View Article and Find Full Text PDFVaccine
December 2024
Department of Clinical Pharmacy, Saarland University, Saarbrücken, Germany. Electronic address:
To address the challenges posed by influenza, its associated complications, and economic burden, the World Health Organization recommends a vaccination rate exceeding 75 % for populations at elevated risk of severe diseases. Presently, vaccination rates in Germany severely lag behind. To augment these rates, pilot projects have been initiated, allowing community pharmacists to administer vaccines.
View Article and Find Full Text PDFInt J Med Inform
December 2024
Life Supporting Technologies Research Group, Universidad Politécnica de Madrid, Avda Complutense 30, 28040 Madrid, Spain.
Background: The development of Artificial Intelligence in the healthcare sector is generating a great impact. However, one of the primary challenges for the implementation of this technology is the access to high-quality data due to issues in data collection and regulatory constraints, for which synthetic data is an emerging alternative. While previous research has reviewed synthetic data generation techniques, there is limited focus on their applications and the motivations driving their synthesis.
View Article and Find Full Text PDFBMC Pregnancy Childbirth
December 2024
School of Nursing, Southern Medical University, Guangzhou, 510080, China.
Background: This study aims to determine the impact of a childbirth educational intervention, based on empowerment theory, on childbirth experience and empowerment in women with fetal occiput posterior and occiput transverse malpositions.
Methods: A randomized controlled trial was conducted from February 2022 to December 2022 involving pregnant women with fetal occiput posterior and occiput transverse malpositions. Eligible women were randomly assigned to either the control or study group.
Sci Rep
December 2024
Advanced Manufacturing Institute, King Saud University, Riyadh, 11421, Saudi Arabia.
Recently, social demands for a good quality of life have increased among the elderly and disabled people. So, biomedical engineers and robotic researchers aimed to fuse these techniques in a novel rehabilitation system. Moreover, these models utilized the biomedical signals acquired from the human body's particular organ, cells, or tissues.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!