Adnan Iftikhar.
Chronic low back pain; how coping strategies affects the rehabilitation outcomes.
Professional Med J Jan ;15(3):298-304.

Chronic back pain and its rehabilitation is a complex process and it is derived by numerous factors, which have been explained above. Rehabilitation of chronic low back pain, emphasis should be on both biomedical and psychosocial outcomes. Evidences suggest that passive coping strategies such as catastrophizing and fear avoidance do have negative effect on rehabilitation of chronic low back pain, whilst positive coping style such as confrontation and distraction techniques have positive effect on rehabilitation outcomes. Bio-psychosocial approach to chronic back pain should be incorporated which covers both medical and psychosocial aspects, which is effective in reducing disability than former biomedical model . And physiotherapist is key person in promoting positive coping style in order to improve both health and psychosocial related quality of life. This is a review article.

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