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dc.contributor.authorGatchel, Robert J.
dc.contributor.authorMayer, Tom G.
dc.date.accessioned2010-08-11T18:33:52Z
dc.date.available2010-08-11T18:33:52Z
dc.date.issued2008-01
dc.identifier.citationPublished in The Spine Journal 8:40-44, 2008en_US
dc.identifier.urihttp://hdl.handle.net/10106/5007
dc.descriptionAuthor's final draft after peer review, also known as a post print.en_US
dc.description.abstractThere are now almost 20 years of evidence-based clinical outcome data, from the United States as well as from other countries around the world, demonstrating the therapeutic effectiveness of functional restoration, a specific form of interdisciplinary rehabilitation, in successfully managing chronic low back pain (CLBP) and disability. Purpose. This article comprehensively reviews all the available evidence evaluating the therapeutic effectiveness of functional restoration for CLBP. Study Design. Searches of the CLBP and functional restoration literature during the past 20 years were conducted, using MEDLINE, PSYCHLIT and the Cochrane Database of Systematic Reviews. Patient Sample. All studies evaluating CLBP patients who were administered functional restoration were included in this review. Outcome Measures. Studies reporting treatment-outcome data for variables such as self-reported pain and disability, functional measures such as strength and range-of-motion, medication use, and socioeconomic outcomes such as work return/retention, health care utilization, insurance claim resolution, and recurrent injuries were used in this review. Results. The scientific literature is quite clear in demonstrating the therapeutic effectiveness of functional restoration for the management of CLBP, not only for traditional measures of self-reported pain and disability, but also for important socioeconomic-outcome variables. Conclusions. The significant advantage of functional restoration relative to traditional unimodal methods of treating CLBP is that it simultaneously addresses, and has a positive impact on, multiple outcome measures: traditional self-report indices of pain and disability; more objective Manuscripts\functionalrestoration-evidence-based-review.611\6/14/2010 3 physical functional measures; and important socioeconomic outcomes that often “drive up” the societal economic costs of this prevalent chronic pain disorder.en_US
dc.description.sponsorshipThe writing of this manuscript was supported in part by grant numbers 1K05 MH071892 and 3R01 MH 045462 from the National Institutes of Health, and DAMD 17-03-1-0055 from the Department of Defenseen_US
dc.language.isoen_USen_US
dc.publisherElsevieren_US
dc.subjectFunctional restorationen_US
dc.subjectchronic painen_US
dc.subjectdisabilityen_US
dc.subjectworkers' compensationen_US
dc.subjectchronic low back painen_US
dc.subjectchronic spinal disordersen_US
dc.subjectreturn to worken_US
dc.subjecthealth utilizationen_US
dc.subjectrecurrent injuryen_US
dc.subjectbiopsychosocial approachen_US
dc.subjectchronic pain/disability managementen_US
dc.titleEvidence-Based Review of the Efficacy of Functional Restoration for the Management of Chronic Low Back Painen_US
dc.typeArticleen_US
dc.publisher.departmentDepartment of Psychology, The University of Texas at Arlingtonen_US
dc.identifier.externalLinkhttp://www.spine.org/pages/publications/thespinejournal/default.aspxen_US
dc.identifier.externalLinkDescriptionThe original publication is available at the journal homepage.en_US


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