Psychosocial Mechanisms of Cognitive-Behavioral-Based Physical Therapy Outcomes After Spine Surgery: Preliminary Findings From Mediation Analyses.

Coronado RA, Ehde DM, Pennings JS, Vanston SW, Koyama T, Phillips SE, Mathis SL, McGirt MJ, Spengler DM, Aaronson OS, Cheng JS, Devin CJ, Wegener ST, Archer KR. Psychosocial Mechanisms of Cognitive-Behavioral-Based Physical Therapy Outcomes After Spine Surgery: Preliminary Findings From Mediation Analyses. Physical therapy. 2020 Dec 28;100(100). 1793-1804. PMID: 32556249 [PubMed] PMCID: PMC7530577

Abstract

Changing Behavior through Physical Therapy (CBPT), a cognitive-behavioral-based program, has been shown to improve outcomes after lumbar spine surgery in patients with a high psychosocial risk profile; however, little is known about potential mechanisms associated with CBPT treatment effects. The purpose of this study was to explore potential mediators underlying CBPT efficacy after spine surgery.