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The functional restoration approach for chronic spinal disability
Authors:Regina K. Kinney  Robert J. Gatchel  Peter B. Polatin  Tom G. Mayer
Affiliation:(1) Department of Psychiatry, University of Texas Southwestern Medical Center at Dallas, P.O. Box 45168, 75245 Dallas, Texas;(2) Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center at Dallas, P.O. Box 45168, 75245 Dallas, Texas;(3) Division of psychology, University of Texas Southwestern Medical Center at Dallas, 5323 Harry Hines, 75235-9044 Dallas, Texas
Abstract:
The functional restoration approach to treating chronic spinal disability consists of a medically directed, interdisciplinary team approach to physical reconditioning and a cognitive-behavioral ldquocrisis interventionrdquo procedure for dealing with related psychosocial problems. One- and two-year follow-up studies have demonstrated the clinical efficacy of this approach. The present article describes this approach and summarizes the research documenting its success in treating patients with chronic spinal disability. This article also highlights the pitfalls in misunderstanding and misrepresenting the components of the functional restoration approach when evaluating treatment efficacy.
Keywords:functional restoration  chronic spinal disability
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