Please use this identifier to cite or link to this item: http://hdl.handle.net/10397/19760
Title: Motivational enhancement therapy in addition to physical therapy improves motivational factors and treatment outcomes in people with low back pain: A randomized controlled trial
Authors: Vong, SK
Cheing, GL 
Chan, F
So, EM
Chan, CC 
Keywords: Low back pain
Motivation
Physical therapy
Rehabilitation
Issue Date: 2011
Publisher: W.B. Saunders
Source: Archives of physical medicine and rehabilitation, 2011, v. 92, no. 2, p. 176-183 How to cite?
Journal: Archives of physical medicine and rehabilitation 
Abstract: Objectives To examine whether the addition of motivational enhancement treatment (MET) to conventional physical therapy (PT) produces better outcomes than PT alone in people with chronic low back pain (LBP). Design A double-blinded, prospective, randomized, controlled trial. Setting PT outpatient department. Participants Participants (N=76) with chronic LBP were randomly assigned to receive 10 sessions of either MET plus PT or PT alone. Intervention MET included motivational interviewing strategies and motivation-enhancing factors. The PT program consisted of interferential therapy and back exercises. Main Outcome Measures Motivational-enhancing factors, pain intensity, physical functions, and exercise compliance. Results The MET-plus-PT group produced significantly greater improvements than the PT group in 3 motivation-enhancing factors; proxy efficacy (P<.001), working alliance (P<.001), and treatment expectancy (P=.011). Furthermore, they performed significantly better in lifting capacity (P=.015), 36-Item Short Form Health Survey General Health subscale (P=.015), and exercise compliance (P=.002) than the PT group. A trend of a greater decrease in visual analog scale and Roland-Morris Disability Questionnaire scores also was found in the MET-plus-PT group than the PT group. Conclusion The addition of MET to PT treatment can effectively enhance motivation and exercise compliance and show better improvement in physical function in patients with chronic LBP compared with PT alone.
URI: http://hdl.handle.net/10397/19760
ISSN: 0003-9993
EISSN: 1532-821X
DOI: 10.1016/j.apmr.2010.10.016
Appears in Collections:Journal/Magazine Article

Access
View full-text via PolyU eLinks SFX Query
Show full item record

SCOPUSTM   
Citations

59
Last Week
0
Last month
1
Citations as of Apr 19, 2018

WEB OF SCIENCETM
Citations

55
Last Week
0
Last month
2
Citations as of Apr 1, 2018

Page view(s)

69
Last Week
0
Last month
Citations as of Apr 23, 2018

Google ScholarTM

Check

Altmetric


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.