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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 sense of control for each client during the treatment period. Note that lower scores mean higher sense of control. Significance of the regression F-values for each client are as follows (see also, Table 3): **p < .01, ***p < .001.
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f5-ijtmb-6-14: Regression models of sense of control for each client during the treatment period. Note that lower scores mean higher sense of control. Significance of the regression F-values for each client are as follows (see also, Table 3): **p < .01, ***p < .001.

Mentions: Day-to-day variability in emotional state and sense of control for Client 3 across the treatment period. In spite of high levels of daily variability, there is a general linear trajectory of improvement for both measures, as confirmed by the regression models for Client 3, shown in Figures 4 and 5.


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 sense of control for each client during the treatment period. Note that lower scores mean higher sense of control. Significance of the regression F-values for each client are as follows (see also, Table 3): **p < .01, ***p < .001.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

f5-ijtmb-6-14: Regression models of sense of control for each client during the treatment period. Note that lower scores mean higher sense of control. Significance of the regression F-values for each client are as follows (see also, Table 3): **p < .01, ***p < .001.
Mentions: Day-to-day variability in emotional state and sense of control for Client 3 across the treatment period. In spite of high levels of daily variability, there is a general linear trajectory of improvement for both measures, as confirmed by the regression models for Client 3, shown in Figures 4 and 5.

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