Cognitive representations in low back pain in patients receiving chiropractic versus physiotherapy treatment.

This study focused on cognitive representations of low back pain patients receiving chiropractic (n = 213) versus physiotherapy treatment (n = 125). Variables assessed included satisfaction with care, illness perceptions, beliefs about pain and medicines, attitudes towards doctors and medicine, suffering, adherence and functional incapacity. In the chiropractic treatment, functional incapacity was predicted by painful symptoms, suffering and personal control, and in the physiotherapy treatment by age, pain intensity, positive suffering, care satisfaction, illness identity and medication adherence. The groups differed on all cognitive variables assessed.

Interventions should take into consideration cognitive dimensions, across treatment modalities.

Neck Pain

Out of all 291 conditions studied in the Global Burden of Disease 2010 Study, neck pain ranked 4th highest in terms of disability and 21st in terms of overall burden.

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