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Sökning: onr:"swepub:oai:DiVA.org:liu-153530" > GLA:D-(R) Back grou...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00005019naa a2200433 4500
001oai:DiVA.org:liu-153530
003SwePub
008181220s2018 | |||||||||||000 ||eng|
024a https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-1535302 URI
024a https://doi.org/10.1186/s12891-018-2334-x2 DOI
040 a (SwePub)liu
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Kjaer, Peru Univ Southern Denmark, Denmark; Univ Coll Lillebaelt, Denmark4 aut
2451 0a GLA:D-(R) Back group-based patient education integrated with exercises to support self-management of back pain- development, theories and scientific evidence-
264 c 2018-11-29
264 1b BMC,c 2018
338 a electronic2 rdacarrier
500 a Funding Agencies|SELFBACK project (European Union Horizon 2020 research and innovation programme) [689043]
520 a BackgroundClinical guidelines recommend that people with back pain be given information and education about their back pain, advice to remain active and at work, and exercises to improve mobility and physical activity. Guidelines, however, rarely describe how this is best delivered. The aim of this paper is to present the development, theories, and underlying evidence for GLA:D Back - a group education and exercise program that translates guideline recommendations into a clinician-delivered program for the promotion of self-management in people with persistent/recurrent back pain.MethodsGLA:D Back, which included a rationale and objectives for the program, theory and evidence for the interventions, and program materials, was developed using an iterative process. The content of patient education and exercise programs tested in randomised trials was extracted and a multidisciplinary team of expert researchers and clinicians prioritised common elements hypothesised to improve back pain beliefs and management skills. The program was tested on eight people with persistent back pain in a university clinic and 152 patients from nine primary care physiotherapy and chiropractic clinics. Following feedback from the clinicians and patients involved, the working version of the program was created.ResultsEducational components included pain mechanisms, pain modulation, active coping strategies, imaging, physical activity, and exercise that emphasised a balance between the sum of demands and the individuals capacity. These were operationalised in PowerPoint presentations with supporting text to aid clinicians in delivering two one-hour patient education lectures.The exercise program included 16 supervised one-hour sessions over 8weeks, each comprising a warm-up section and eight types of exercises for general flexibility and strengthening of six different muscle groups at four levels of difficulty. The aims of the exercises were to improve overall back fitness and, at the same time, encourage patients to explore variations in movement by incorporating education content into the exercise sessions.ConclusionFrom current best evidence about prognostic factors in back pain and effective treatments for back pain, research and clinical experts developed a ready-to-use structured program - GLA:D (R) Back - to support self-management for people with persistent/recurrent back pain.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Sjukgymnastik0 (SwePub)303072 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Physiotherapy0 (SwePub)303072 hsv//eng
653 a Back pain; Patient education; Exercise therapy; Intervention development; Primary health care
700a Kongsted, Aliceu Univ Southern Denmark, Denmark; Nord Inst Chiropract and Clin Biomech, Denmark4 aut
700a Ris, Ingeu Univ Southern Denmark, Denmark4 aut
700a Abbott, Allanu Linköpings universitet,Avdelningen för fysioterapi,Medicinska fakulteten4 aut0 (Swepub:liu)allab56
700a Rasmussen, Charlotte Diana Norregaardu Natl Res Ctr Working Environm, Denmark4 aut
700a Roos, Ewa M.u Univ Southern Denmark, Denmark4 aut
700a Skou, Soren T.u Univ Southern Denmark, Denmark; Naestved Slagelse Ringsted Hosp, Denmark4 aut
700a Andersen, Tonny Elmoseu Univ Southern Denmark, Denmark4 aut
700a Hartvigsen, Janu Univ Southern Denmark, Denmark; Nord Inst Chiropract and Clin Biomech, Denmark4 aut
710a Univ Southern Denmark, Denmark; Univ Coll Lillebaelt, Denmarkb Univ Southern Denmark, Denmark; Nord Inst Chiropract and Clin Biomech, Denmark4 org
773t BMC Musculoskeletal Disordersd : BMCg 19q 19x 1471-2474
856u https://liu.diva-portal.org/smash/get/diva2:1273236/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
856u https://bmcmusculoskeletdisord.biomedcentral.com/track/pdf/10.1186/s12891-018-2334-x
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-153530
8564 8u https://doi.org/10.1186/s12891-018-2334-x

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