Individualized Biopsychosocial Assessment and Treatment of Back Pain

Event Date: May 7th, 2024

Gert Bronfort, DC, PhD, Research Professor, Integrative Health & Wellbeing Research Program Earl E. Bakken Center for Spirituality & Healing, University of Minnesota

Individualized Biopsychosocial Assessment and Treatment of Back Pain

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Event Details

Title: “Individualized Biopsychosocial Assessment and Treatment of Back Pain.”

Presenter: Gert Bronfort, DC, PhD

 

Research Professor, Integrative Health & Wellbeing Research Program Earl E. Bakken Center for Spirituality & Healing, University of Minnesota

Date: Tuesday, May 7th, 2024

Time: 8:00 am EST

Location: via Zoom

Cost: Free. CME credit available. Please email your name, degree title and institution if applicable to [email protected] during the event to claim credit.

Speaker Bio:

For more than 30 years, Dr. Gert Bronfort has been a leader in research investigating conservative and integrative care for disabling and costly musculoskeletal pain conditions. Long a proponent of interdisciplinary collaboration, Dr. Bronfort has formed numerous regional, national and international partnerships to conduct innovative, high impact patient-oriented research. He has more than 100 peer reviewed publications. He has lead numerous federally funded randomized clinical trials investigating manual therapies, exercise and self-care and has authored several high profile systematic reviews. Dr. Bronfort is a long-standing and active member of the Cochrane Collaboration’s Low Back Pain Editorial Group, as well as the Cervical Overview Group. He has served on several national and international committees including the Advisory Council for the National Center for Complementary and Alternative Medicine, the World Health Organization and the U.S. Health Resources and Services Administrations’ Advisory Committee on Interdisciplinary, Community-Based Linkages.

Presentation Description:

Presentation will focus on Dr. Bronfort’s previous, ongoing and planned randomized clinical trials on spine pain. He will review the current evidence for the effectiveness of pharmacological or non-pharmacological treatments of back pain, and discuss the models underlying our current clinical trials which inform the individualized approach to management and self-management of spine pain, including the dynamic biopsychosocial and behavioral change models, and the re-aim framework.

 

Publications:

Effectiveness of spinal manipulation and biopsychosocial self-management compared to medical care for low back pain: a randomized trial study protocol. Bronfort G, Delitto A, Schneider M, Heagerty PJ, Chou R, Connett J, Evans R, George S, Glick RM, Greco C, Hanson L, Keefe F, Leininger B, Licciardone J, McFarland C, Meier E, Schulz C, Turk D. BMC Musculoskelet Disord. 2023 May 25;24(1):415. Free PMC article.

Exercises for mechanical neck disorders. Gross A, Kay TM, Paquin JP, Blanchette S, Lalonde P, Christie T, Dupont G, Graham N, Burnie SJ, Gelley G, Goldsmith CH, Forget M, Hoving JL, Brønfort G, Santaguida PL; Cervical Overview Group. Cochrane Database Syst Rev. 2015 Jan 28;1(1):CD004250. doi: 10.1002/14651858.CD004250.pub5. PMID: 25629215 Free PMC article. Review.

Spinal manipulation and exercise for low back pain in adolescents: a randomized trial. Evans R, Haas M, Schulz C, Leininger B, Hanson L, Bronfort G. Pain. 2018 Jul;159(7):1297-1307. doi: 10.1097/j.pain.0000000000001211. PMID: 29596158 Free PMC article. Clinical Trial.

Manipulation and mobilisation for neck pain contrasted against an inactive control or another active treatment. Gross A, Langevin P, Burnie SJ, Bédard-Brochu MS, Empey B, Dugas E, Faber-Dobrescu M, Andres C, Graham N, Goldsmith CH, Brønfort G, Hoving JL, LeBlanc F. Cochrane Database Syst Rev. 2015 Sep 23;2015(9):CD004249. doi: 10.1002/14651858.CD004249.pub4. PMID: 26397370 Free PMC article. Review.

Spinal manipulative therapy and exercise for older adults with chronic low back pain: a randomized clinical trial. Schulz C, Evans R, Maiers M, Schulz K, Leininger B, Bronfort G. Chiropr Man Therap. 2019 May 15;27:21. doi: 10.1186/s12998-019-0243-1. eCollection 2019. PMID: 31114673 Free PMC article. Clinical Trial.

Multidisciplinary integrative care versus chiropractic care for low back pain: a randomized clinical trial. Bronfort G, Maiers M, Schulz C, Leininger B, Westrom K, Angstman G, Evans R. Chiropr Man Therap. 2022 Mar 1;30(1):10. doi: 10.1186/s12998-022-00419-3. PMID: 35232482 Free PMC article. Clinical Trial.

Traction for low-back pain with or without sciatica. Wegner I, Widyahening IS, van Tulder MW, Blomberg SE, de Vet HC, Brønfort G, Bouter LM, van der Heijden GJ. Cochrane Database Syst Rev. 2013 Aug 19;2013(8):CD003010. doi: 10.1002/14651858.CD003010.pub5. PMID: 23959683 Free PMC article. Review.

Spinal manipulation or mobilization for radiculopathy: a systematic review. Leininger B, Bronfort G, Evans R, Reiter T. Phys Med Rehabil Clin N Am. 2011 Feb;22(1):105-25. doi: 10.1016/j.pmr.2010.11.002. Epub 2010 Dec 30. PMID: 21292148 Review.

Reliability and measurement error of 3-dimensional regional lumbar motion measures: a systematic review. Mieritz RM, Bronfort G, Kawchuk G, Breen A, Hartvigsen J. J Manipulative Physiol Ther. 2012 Oct;35(8):645-56. doi: 10.1016/j.jmpt.2012.09.011. PMID: 23158469 Review.

Non-invasive physical treatments for chronic/recurrent headache. Bronfort G, Nilsson N, Haas M, Evans R, Goldsmith CH, Assendelft WJ, Bouter LM. Cochrane Database Syst Rev. 2004;(3):CD001878. doi: 10.1002/14651858.CD001878.pub2. PMID: 15266458 Updated. Review.

Manual examination of the spine: a systematic critical literature review of reproducibility. Stochkendahl MJ, Christensen HW, Hartvigsen J, Vach W, Haas M, Hestbaek L, Adams A, Bronfort G. J Manipulative Physiol Ther. 2006 Jul-Aug;29(6):475-85, 485.e1-10. doi: 10.1016/j.jmpt.2006.06.011. PMID: 16904495 Review.

Manual therapy with or without physical medicine modalities for neck pain: a systematic review. D’Sylva J, Miller J, Gross A, Burnie SJ, Goldsmith CH, Graham N, Haines T, Brønfort G, Hoving JL; Cervical Overview Group. Man Ther. 2010 Oct;15(5):415-33. doi: 10.1016/j.math.2010.04.003. Epub 2010 Jun 9. PMID: 20538501 Review.

Evidence-informed management of chronic low back pain with spinal manipulation and mobilization. Bronfort G, Haas M, Evans R, Kawchuk G, Dagenais S. Spine J. 2008 Jan-Feb;8(1):213-25. doi: 10.1016/j.spinee.2007.10.023. PMID: 18164469 Review.

Short- or Long-Term Treatment of Spinal Disability in Older Adults With Manipulation and Exercise. Maiers M, Hartvigsen J, Evans R, Westrom K, Wang Q, Schulz C, Leininger B, Bronfort G. Arthritis Care Res (Hoboken). 2019 Nov;71(11):1516-1524. doi: 10.1002/acr.23798. PMID: 30354023 Free PMC article. Clinical Trial.

Efficacy of spinal manipulation and mobilization for low back pain and neck pain: a systematic review and best evidence synthesis. Bronfort G, Haas M, Evans RL, Bouter LM. Spine J. 2004 May-Jun;4(3):335-56. doi: 10.1016/j.spinee.2003.06.002. PMID: 15125860 Review.

Dose-response and efficacy of spinal manipulation for care of cervicogenic headache: a dual-center randomized controlled trial. Haas M, Bronfort G, Evans R, Schulz C, Vavrek D, Takaki L, Hanson L, Leininger B, Neradilek MB. Spine J. 2018 Oct;18(10):1741-1754. doi: 10.1016/j.spinee.2018.02.019. Epub 2018 Feb 23. PMID: 29481979 Free PMC article. Clinical Trial.

Spinal manipulative therapy and exercise for seniors with chronic neck pain. Maiers M, Bronfort G, Evans R, Hartvigsen J, Svendsen K, Bracha Y, Schulz C, Schulz K, Grimm R. Spine J. 2014 Sep 1;14(9):1879-89. doi: 10.1016/j.spinee.2013.10.035. Epub 2013 Nov 10. PMID: 24225010 Clinical Trial.

The efficacy of spinal manipulation, amitriptyline and the combination of both therapies for the prophylaxis of migraine headache. Nelson CF, Bronfort G, Evans R, Boline P, Goldsmith C, Anderson AV. J Manipulative Physiol Ther. 1998 Oct;21(8):511-9. PMID: 9798179 Clinical Trial.

Supervised exercise, spinal manipulation, and home exercise for chronic low back pain: a randomized clinical trial. Bronfort G, Maiers MJ, Evans RL, Schulz CA, Bracha Y, Svendsen KH, Grimm RH Jr, Owens EF Jr, Garvey TA, Transfeldt EE. Spine J. 2011 Jul;11(7):585-98. doi: 10.1016/j.spinee.2011.01.036. Epub 2011 May 31. PMID: 21622028 Clinical Trial.

Integrative care for the management of low back pain: use of a clinical care pathway. Maiers MJ, Westrom KK, Legendre CG, Bronfort G. BMC Health Serv Res. 2010 Oct 29;10:298. doi: 10.1186/1472-6963-10-298. PMID: 21034483 Free PMC article. Clinical Trial.

Accelerometer-Determined Physical Activity and Clinical Low Back Pain Measures in Adolescents With Chronic or Subacute Recurrent Low Back Pain. Leininger B, Schulz C, Gao Z, Bronfort G, Evans R, Pope Z, Zeng N, Haas M. J Orthop Sports Phys Ther. 2017 Oct;47(10):769-774. doi: 10.2519/jospt.2017.7345. Epub 2017 Sep 12. PMID: 28898136 Free PMC article. Clinical Trial.

Spinal manipulation, medication, or home exercise with advice for acute and subacute neck pain: a randomized trial. Bronfort G, Evans R, Anderson AV, Svendsen KH, Bracha Y, Grimm RH. Ann Intern Med. 2012 Jan 3;156(1 Pt 1):1-10. doi: 10.7326/0003-4819-156-1-201201030-00002. PMID: 22213489 Free article. Clinical Trial.

Cost-effectiveness of spinal manipulative therapy, supervised exercise, and home exercise for older adults with chronic neck pain. Leininger B, McDonough C, Evans R, Tosteson T, Tosteson AN, Bronfort G. Spine J. 2016 Nov;16(11):1292-1304. doi: 10.1016/j.spinee.2016.06.014. Epub 2016 Jun 23. PMID: 27345747 Free PMC article. Clinical Trial.

Spinal manipulation and home exercise with advice for subacute and chronic back-related leg pain: a trial with adaptive allocation. Bronfort G, Hondras MA, Schulz CA, Evans RL, Long CR, Grimm R. Ann Intern Med. 2014 Sep 16;161(6):381-91. doi: 10.7326/M14-0006. PMID: 25222385 Clinical Trial.

Lumbar motion changes in chronic low back pain patients: a secondary analysis of data from a randomized clinical trial. Mieritz RM, Hartvigsen J, Boyle E, Jakobsen MD, Aagaard P, Bronfort G. Spine J. 2014 Nov 1;14(11):2618-27. doi: 10.1016/j.spinee.2014.02.038. Epub 2014 Mar 7. PMID: 24607844 Clinical Trial.

Spinal manipulation vs. amitriptyline for the treatment of chronic tension-type headaches: a randomized clinical trial. Boline PD, Kassak K, Bronfort G, Nelson C, Anderson AV. J Manipulative Physiol Ther. 1995 Mar-Apr;18(3):148-54. PMID: 7790794 Clinical Trial.

A randomized clinical trial of exercise and spinal manipulation for patients with chronic neck pain. Bronfort G, Evans R, Nelson B, Aker PD, Goldsmith CH, Vernon H. Spine (Phila Pa 1976). 2001 Apr 1;26(7):788-97; discussion 798-9. doi: 10.1097/00007632-200104010-00020. PMID: 11295901 Clinical Trial.

Exploring patient satisfaction: a secondary analysis of a randomized clinical trial of spinal manipulation, home exercise, and medication for acute and subacute neck pain. Leininger BD, Evans R, Bronfort G. J Manipulative Physiol Ther. 2014 Oct;37(8):593-601. doi: 10.1016/j.jmpt.2014.08.005. Epub 2014 Sep 8. PMID: 25199824 Free PMC article. Clinical Trial.

Supervised exercise with and without spinal manipulation performs similarly and better than home exercise for chronic neck pain: a randomized controlled trial. Evans R, Bronfort G, Schulz C, Maiers M, Bracha Y, Svendsen K, Grimm R, Garvey T, Transfeldt E. Spine (Phila Pa 1976). 2012 May 15;37(11):903-14. doi: 10.1097/BRS.0b013e31823b3bdf. PMID: 22024905 Clinical Trial.

Individualized chiropractic and integrative care for low back pain: the design of a randomized clinical trial using a mixed-methods approach. Westrom KK, Maiers MJ, Evans RL, Bronfort G. Trials. 2010 Mar 8;11:24. doi: 10.1186/1745-6215-11-24. PMID: 20210996 Free PMC article. Clinical Trial.

What do patients think? Results of a mixed methods pilot study assessing sciatica patients’ interpretations of satisfaction and improvement. Evans RL, Maiers MJ, Bronfort G. J Manipulative Physiol Ther. 2003 Oct;26(8):502-9. doi: 10.1016/S0161-4754(03)00107-6. PMID: 14569216 Clinical Trial.

Trunk exercise combined with spinal manipulative or NSAID therapy for chronic low back pain: a randomized, observer-blinded clinical trial. Bronfort G, Goldsmith CH, Nelson CF, Boline PD, Anderson AV. J Manipulative Physiol Ther. 1996 Nov-Dec;19(9):570-82. PMID: 8976475 Clinical Trial.

Two-year follow-up of a randomized clinical trial of spinal manipulation and two types of exercise for patients with chronic neck pain. Evans R, Bronfort G, Nelson B, Goldsmith CH. Spine (Phila Pa 1976). 2002 Nov 1;27(21):2383-9. doi: 10.1097/00007632-200211010-00013. PMID: 12438988 Clinical Trial.

Chronic asthma and chiropractic spinal manipulation: a randomized clinical trial. Nielsen NH, Bronfort G, Bendix T, Madsen F, Weeke B. Clin Exp Allergy. 1995 Jan;25(1):80-8. doi: 10.1111/j.1365-2222.1995.tb01006.x. PMID: 7728627 Clinical Trial.

Responsiveness of general health status in chronic low back pain: a comparison of the COOP charts and the SF-36. Bronfort G, Bouter LM. Pain. 1999 Nov;83(2):201-9. doi: 10.1016/s0304-3959(99)00103-7. PMID: 10534591 Clinical Trial.

 

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