Limits...
Better or Worse: a Study of Day-to-Day Changes over Five Months of Rosen Method Bodywork Treatment for Chronic Low Back Pain.

Fogel A - Int J Ther Massage Bodywork (2013)

Bottom Line: All clients reported reductions in pain and/or disability in post- compared to pretreatment.In spite of a high level of day-to-day variability in the daily assessments, there were significant reductions in pain and fatigue, and significant increases in positive emotional state and sense of control across the treatment period.In reaching this end, however, some clients had slow and steady improvements, some improved more rapidly, while others got worse before they got better.

View Article: PubMed Central - PubMed

Affiliation: Department of Psychology, University of Utah, Salt Lake City, UT, USA.

ABSTRACT

Background: Fluctuations of good days and bad days-in physical symptoms and emotional states-are common for individuals with chronic illness. This pilot study examines these fluctuations during bodywork treatment.

Purpose: We analyzed changes in daily self-reports over a period of five months for five individuals who received weekly treatments of Rosen Method Bodywork (RMB), which uses touch and words to enhance body awareness of physical sensations and emotional states.

Subjects and design: Five subjects (aged 31-56) who had chronic low back pain (CLBP) received 16 weekly treatments given by three experienced RMB practitioners.

Measures: Pre- and posttreatment assessments covered demographics, disability, and pain. Clients also completed daily bedtime assessments of pain, fatigue, emotional state, and sense of control during the entire treatment period.

Results: All clients reported reductions in pain and/or disability in post- compared to pretreatment. In spite of a high level of day-to-day variability in the daily assessments, there were significant reductions in pain and fatigue, and significant increases in positive emotional state and sense of control across the treatment period. In reaching this end, however, some clients had slow and steady improvements, some improved more rapidly, while others got worse before they got better.

Conclusions: The natural course of healing-with its inevitable fluctuations in symptoms-is part of a process leading to successful treatment outcomes. Rosen Method Bodywork may be especially helpful in developing and accepting both sensory and emotional body awareness changes that facilitate overall improvement.

No MeSH data available.


Related in: MedlinePlus

Regression models of pain for each client during the treatment period. Significance of the regression F-values for each client are as follows (see also, Table 3): ***p < .001.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC3757229&req=5

f2-ijtmb-6-14: Regression models of pain for each client during the treatment period. Significance of the regression F-values for each client are as follows (see also, Table 3): ***p < .001.

Mentions: The statistical tests for trends across treatment for all measures and subjects—including the regression coefficients for the intercept, linear, and quadratic terms of the model—are shown in Table 3. As expected, there were overall significant reductions in pain and fatigue, and significant increases in positive emotional state and sense of control. Figures 2–5 show the modeled trajectories for each measure and each client. Note that in Figure 2, one of the modeled trajectories for pain has a negative value, which is an artifact of the regression prediction algorithm. There were no actual data points with a value less than zero. Emotional state and sense of control show primarily linear and steadily improving trajectories for most subjects. Pain and fatigue, however, in addition to high levels of day-to-day variability (Table 1), also have more variable and nonlinear trends. Some subjects got worse before they got better (inverted U-shaped modeled trajectories). Some got better then worsened again toward the end of treatment (U-shaped modeled trajectories), although they ended treatment with less pain and fatigue than at the start.


Better or Worse: a Study of Day-to-Day Changes over Five Months of Rosen Method Bodywork Treatment for Chronic Low Back Pain.

Fogel A - Int J Ther Massage Bodywork (2013)

Regression models of pain for each client during the treatment period. Significance of the regression F-values for each client are as follows (see also, Table 3): ***p < .001.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3757229&req=5

f2-ijtmb-6-14: Regression models of pain for each client during the treatment period. Significance of the regression F-values for each client are as follows (see also, Table 3): ***p < .001.
Mentions: The statistical tests for trends across treatment for all measures and subjects—including the regression coefficients for the intercept, linear, and quadratic terms of the model—are shown in Table 3. As expected, there were overall significant reductions in pain and fatigue, and significant increases in positive emotional state and sense of control. Figures 2–5 show the modeled trajectories for each measure and each client. Note that in Figure 2, one of the modeled trajectories for pain has a negative value, which is an artifact of the regression prediction algorithm. There were no actual data points with a value less than zero. Emotional state and sense of control show primarily linear and steadily improving trajectories for most subjects. Pain and fatigue, however, in addition to high levels of day-to-day variability (Table 1), also have more variable and nonlinear trends. Some subjects got worse before they got better (inverted U-shaped modeled trajectories). Some got better then worsened again toward the end of treatment (U-shaped modeled trajectories), although they ended treatment with less pain and fatigue than at the start.

Bottom Line: All clients reported reductions in pain and/or disability in post- compared to pretreatment.In spite of a high level of day-to-day variability in the daily assessments, there were significant reductions in pain and fatigue, and significant increases in positive emotional state and sense of control across the treatment period.In reaching this end, however, some clients had slow and steady improvements, some improved more rapidly, while others got worse before they got better.

View Article: PubMed Central - PubMed

Affiliation: Department of Psychology, University of Utah, Salt Lake City, UT, USA.

ABSTRACT

Background: Fluctuations of good days and bad days-in physical symptoms and emotional states-are common for individuals with chronic illness. This pilot study examines these fluctuations during bodywork treatment.

Purpose: We analyzed changes in daily self-reports over a period of five months for five individuals who received weekly treatments of Rosen Method Bodywork (RMB), which uses touch and words to enhance body awareness of physical sensations and emotional states.

Subjects and design: Five subjects (aged 31-56) who had chronic low back pain (CLBP) received 16 weekly treatments given by three experienced RMB practitioners.

Measures: Pre- and posttreatment assessments covered demographics, disability, and pain. Clients also completed daily bedtime assessments of pain, fatigue, emotional state, and sense of control during the entire treatment period.

Results: All clients reported reductions in pain and/or disability in post- compared to pretreatment. In spite of a high level of day-to-day variability in the daily assessments, there were significant reductions in pain and fatigue, and significant increases in positive emotional state and sense of control across the treatment period. In reaching this end, however, some clients had slow and steady improvements, some improved more rapidly, while others got worse before they got better.

Conclusions: The natural course of healing-with its inevitable fluctuations in symptoms-is part of a process leading to successful treatment outcomes. Rosen Method Bodywork may be especially helpful in developing and accepting both sensory and emotional body awareness changes that facilitate overall improvement.

No MeSH data available.


Related in: MedlinePlus