EFFECTS OF COGNITIVE BEHAVIORAL THERAPY (CBT) AND MEDITATION IN CHRONIC LOW BACK PAIN

Authors

1. Manali Bora
   Intern
2. Ranade Parag S
   Professor and Head of Department, Neuro-Physiotherapy, Smt. Kashibai Navale College of Physiotherapy, Pune, Maharashtra, India

Abstract

Abstract –   
 Context : Chronic low back pain (CLBP) is a highly prevalent and often disabling condition among adults. Meditation  is a practice which uses a technique like mindfulness, or focusing their mind on a particular thought, activity - to train awareness, achieve a mentally clear and emotionally calm state. Cognitive – behavioral therapy (CBT) is a form of psychotherapy that has been documented to be effective in treating depression, chronic pain and other mental disorders. 
 Aim:   To compare the effects of both, CBT and Meditation on pain management in CLBP. 
 Method : 27 patients with CLBP between the age group of 36-50 yrs were selected. They were divided into 3 groups. A 4 week intervention of conventional physiotherapeutic exercises, Meditation and CBT was given. Oswestry Low Back Pain Disability Questionnaire and Numerical Pain Rating Scale were used as outcome measures. 
 Results : Our study shows significant results pre and post all interventions, but no significant difference can be seen when the three interventions are compared to each other (with p<0.05) 
 Conclusion : On the basis of the result obtained, we can say that all three interventions have a positive effect in pain reduction in CLBP.Statistically, no intervention has a better effect over others. But clinically meditation group performed better.

Keywords

Key words: Cognitive, Behavioral, Meditation, Chronic, Low, Back

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