Mind Body Intervention for Chronic Lower Back Pain

Mind Body Intervention for Chronic Lower Back Pain: A Pilot Study

This pilot study will evaluate the feasibility of having a non-behavioral health provider deliver a combination of manual therapy (MT) and cognitive behavioral therapy for pain (CBT-p). In addition, we will evaluate differences in outcomes in patients undergoing the combined intervention of CBT-p and MT and those undergoing MT alone.

Given that this is a pilot study we will use simple descriptive statistics for patient characteristics, including age, sex, BMI and baseline scores on outcome measures. In addition we will assess the inter-rater reliability of the scoring of the delivery of the CBT-p by the two trained practitioners utilizing kappa statistics. We will perform data analyses using SPSS.

Inclusion Criteria:

• 18 to 69 years of age with CLBP who are
• "high risk" for poor prognosis based on SBST
• currently undergoing chiropractic care.

Exclusion Criteria:

• Contraindications to either MT or CBT-p.
• Patients who are currently undergoing CBT-p
• who have been treated for substance abuse in the past year.