Addition of Cognitive Behavioral Therapy with Motor Control Exercises on Pain and Function in Elderly Individuals with Chronic Low Back Pain

Abstract

Introduction: Low back pain is a common, disabling, costly medical problem in most countries. CLBP is one of the most frequently reported conditions affecting the older adults. Numerous studies have also documented the associations of pain-related beliefs and appraisals with pain intensity and related problems, including depression, physical disability, and activity and social role limitations. Recently there is an increased attention to the role of cognitions in mood, anxiety, and other psychological disorders sparked interest in incorporating cognitive therapy techniques into behavioral therapies for chronic pain. CBT is a form of psychological therapy. It focuses on actions are the behavioral part. CBT is a feasible treatment for cognitively intact, older persons with CLBP, and may be efficacious as well. The aim of the study is to analyze the effect of cognitive behavioral therapy with Motor control exercises programme on CLBP. Methods: Study is an experimental study design includes 40 patients with CLBP with more than 6 months duration. 20 participants underwent motor control exercises with moist heat pack and 20 participants underwent motor control exercises with cognitive behavioral therapy and moist heat pack. Study was conducted for 8weeks of duration and the outcome measures were pain and disability which was measured using numerical pain scale and Oswestry disability index. Results: The between group comparison was made using the unpaired t test and the results were found to be 10.15 ±0.502, at the 95% of the Confidence intervals for disability. The between group comparison was made using the unpaired t test and the results were obtained are 7.47 ± 0.22, at the 95% of the Confidence intervals for Pain. Conclusion: The study concluded that motor control exercises with cognitive behavioral therapy were significantly effective in reducing pain and disability.