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David Rogers

Royal Orthopaedic Hospital, Birmingham, UK

Title: A Retrospective Analysis of a Functional Restoration Service for Patients with Persistent Low Back Pain

Biography

Biography: David Rogers

Abstract

Back pain is of considerable interest in society today and is a source of ongoing disability and days lost from work in the adult population (Driscoll et al., 2014).Historically, the recommended management has encompassed conservative methods, from physiotherapy and a range of other manipulative techniques to surgical interventions in various forms. There is now agreement that adults with persistent low back pain who have failed physiotherapy and have high levels of disability and psychological distress are best managed through a combined physical and psychological approach, which should be up to 100 hours in length (NICE, 2009). This combined approach has been modified by authors in several forms, of varying duration, with good results, supporting the idea that benefit can be gained from interventions of a lesser duration (Hill et al., 2011; Hunter et al., 2006; Lamb et al., 2010). The present paper reports on the results, as measured using the Oswestry Disability Index (ODI) and Pain Self-Efficacy Questionnaire (PSEQ), of a four-week functional restoration programme (FRP) treatment intervention, run in a tertiary spinal centre, which used a combined physical and psychological approach.