What is the efficacy of an enhanced transtheoretical model intervention (ETMI) for the treatment of mechanical low back pain?

Updated: Mar 06, 2018
  • Author: Everett C Hills, MD, MS; Chief Editor: Stephen Kishner, MD, MHA  more...
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Answer

A prospective study by Ben-Ami et al of 189 patients with chronic LBP found that those who underwent a physical therapy program focused on dealing with obstacles to physical activity (an enhanced transtheoretical model intervention [ETMI]), including low self-efficacy and fear avoidance, in order to increase recreational physical activity, experienced better reduction in long-term disability than did patients who underwent usual physical therapy. The investigators determined that at 12-month follow-up, patients who underwent the ETMI had significantly better results with regard to worst pain, physical activity, and physical health. [30]


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