关键词: 慢性腰痛；恐动症；多学科协作；认知行为

Abstract: Objective: To explore the influences of a multidisciplinary cognition intervention program on kinesiophobia in patients with chronic low back pain. Methods: A total of 150 chronic low back pain patients with kinesiophobia treated in the Spine Surgery Clinic of Nantong First People's Hospital from March 2018 to October 2018 were recruited, and randomly assigned into the observation group (n=75) and the control group (n=75). Conventional treatment and health education were applied in the control group while the multidisciplinary cognition intervention program involving nurses, spine surgeons, therapists and psychiatrists was applied in the observation group. Indicators including pain, kinesiophobia and dysfunction were assessed 1 week, 3 weeks, 3 months and 6 months after treatment. Compliance behaviors and revisit rate were compared 6 months after treatment between groups. Results: (1) The scores of pain and dysfunction (ODI score) at 3 weeks and 3 months in the observation group were significantly lower than those of the control group (P<0.05) and the scores of Tampa Scale For Kinesiophobia (TSK) were significantly lower in the observation group at all the indicated time points than the control group (P<0.05). (2) A higher rate of compliance behaviors and lower revisit rate were detected in the observation group at 6 months compared with those of the control group (P<0.05). Conclusion: The multidisciplinary cognition intervention program is beneficial to alleviate kinesiophobia, promote recovery of lumbar function, enhance compliance behaviors and reduce revisit rate in patients with chronic low back pain.

Key words: chronic low back pain; kinesiophobia; multidisciplinary cooperation; cognition behavior