{"id":4861,"date":"2023-02-13T18:41:20","date_gmt":"2023-02-13T18:41:20","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/introduction-to-managing-chronic-low-back-pain-with-integrative-lifestyle-medicine-it\/"},"modified":"2024-08-05T08:59:41","modified_gmt":"2024-08-05T08:59:41","slug":"introduction-to-managing-chronic-low-back-pain-with-integrative-lifestyle-medicine-it","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/it\/introduction-to-managing-chronic-low-back-pain-with-integrative-lifestyle-medicine-it\/","title":{"rendered":"Introduzione alla gestione della lombalgia cronica con la medicina integrata dello stile di vita"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\"><b>Redattrice principale <\/b>&#8211; <a title=\"User:Stacy Schiurring\" href=\"\/User:Stacy_Schiurring\">Stacy Schiurring<\/a> sulla base del corso di <a class=\"external text\" href=\"https:\/\/members.physio-pedia.com\/course_tutor\/ziya-altug\/\" rel=\"nofollow\">Ziya Altug<\/a><br \/>\n<b>Contributori principali<\/b> &#8211; <a class=\"mw-userlink\" title=\"User:Stacy Schiurring\" href=\"\/User:Stacy_Schiurring\"><bdi>Stacy Schiurring<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Kim Jackson\" href=\"\/User:Kim_Jackson\"><bdi>Kim Jackson<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Tarina van der Stockt\" href=\"\/User:Tarina_van_der_Stockt\"><bdi>Tarina van der Stockt<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Rucha Gadgil\" href=\"\/User:Rucha_Gadgil\"><bdi>Rucha Gadgil<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Lucinda hampton\" href=\"\/User:Lucinda_hampton\"><bdi>Lucinda hampton<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Jess Bell\" href=\"\/User:Jess_Bell\"><bdi>Jess Bell<\/bdi><\/a> e <a class=\"mw-userlink\" title=\"User:Aminat Abolade\" href=\"\/User:Aminat_Abolade\"><bdi>Aminat Abolade<\/bdi><\/a><\/div>\n<div id=\"toc\" class=\"toc\" role=\"navigation\" aria-labelledby=\"mw-toc-heading\"><input id=\"toctogglecheckbox\" class=\"toctogglecheckbox\" style=\"display: none;\" role=\"button\" type=\"checkbox\"><\/p>\n<div class=\"toctitle\" dir=\"ltr\" lang=\"en\">\n<h2 id=\"mw-toc-heading\">Contenuti<\/h2>\n<\/div>\n<ul>\n<li class=\"toclevel-1 tocsection-1\"><a href=\"#Introduction\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">Introduzione<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-2\"><a href=\"#Chronic_LBP\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">Lombalgia cronica<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-3\"><a href=\"#Lifestyle_Medicine\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">Medicina dello stile di vita<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-4\"><a href=\"#Multimodal_Treatment_Approach\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">Approccio terapeutico multimodale<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-5\"><a href=\"#Clinician_Strategies_to_Complement_the_Lifestyle_Medicine_Approach\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">Strategie cliniche per integrare l&#8217;approccio alla medicina dello stile di vita<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-6\"><a href=\"#Conclusion\"><span class=\"tocnumber\">6<\/span> <span class=\"toctext\">Conclusione<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-7\"><a href=\"#Resources\"><span class=\"tocnumber\">7<\/span> <span class=\"toctext\">Risorse<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-8\"><a href=\"#References\"><span class=\"tocnumber\">8<\/span> <span class=\"toctext\">Citazioni<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span id=\"Introduction\" class=\"mw-headline\">Introduzione<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Introduction\" href=\"\/index.php?title=Introduction_to_Managing_Chronic_Low_Back_Pain_with_Integrative_Lifestyle_Medicine&amp;veaction=edit&amp;section=1\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Introduction\" href=\"\/index.php?title=Introduction_to_Managing_Chronic_Low_Back_Pain_with_Integrative_Lifestyle_Medicine&amp;action=edit&amp;section=1\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 452px;\"><a class=\"image\" href=\"\/File:Evidence_based_practice.png\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/8\/8a\/Evidence_based_practice.png\/450px-Evidence_based_practice.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/8\/8a\/Evidence_based_practice.png 1.5x\" alt=\"\" width=\"450\" height=\"196\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Pratica basata sulle evidenze<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>Quando si fa fisioterapia, ci sono molti modi corretti per trattare una condizione. La competenza clinica in questo campo deriva dal sapere quando utilizzare una tecnica piuttosto che un&#8217;altra in base alla valutazione del paziente che si ha di fronte. \u00c8 importante che ogni clinico utilizzi un giudizio supportato e <a title=\"Evidence Based Practice(EBP) in Physiotherapy\" href=\"\/Evidence_Based_Practice(EBP)_in_Physiotherapy\">basato sulle evidenze<\/a> quando seleziona gli interventi per un individuo. Quando si fa una revisione della letteratura, \u00e8 anche importante utilizzare la pi\u00f9 <a title=\"Hierarchy of evidence\" href=\"\/Hierarchy_of_evidence\">alta qualit\u00e0 di ricerca<\/a> disponibile. <sup id=\"cite_ref-:0_1-0\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/p>\n<p>Lo scopo di questo articolo \u00e8 quello di fornire un&#8217;introduzione al trattamento della <a title=\"Low Back Pain\" href=\"\/Low_Back_Pain\">lombalgia<\/a> (LBP) cronica utilizzando la medicina integrata dello stile di vita.<\/p>\n<h2><span id=\"Chronic_LBP\" class=\"mw-headline\">Lombalgia cronica<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Chronic LBP\" href=\"\/index.php?title=Introduction_to_Managing_Chronic_Low_Back_Pain_with_Integrative_Lifestyle_Medicine&amp;veaction=edit&amp;section=2\">modifica<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Chronic LBP\" href=\"\/index.php?title=Introduction_to_Managing_Chronic_Low_Back_Pain_with_Integrative_Lifestyle_Medicine&amp;action=edit&amp;section=2\">fonte di modifica<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p><b><a title=\"Chronic Pain and the Brain\" href=\"\/Chronic_Pain_and_the_Brain\">Il dolore cronico<\/a><\/b> \u00e8 definito come un dolore che si manifesta per la maggior parte dei giorni o tutti i giorni per un periodo continuo di almeno 3 mesi.<sup id=\"cite_ref-:1_2-0\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup> Secondo l&#8217;American College of Sports Medicine, la lombalgia &#8220;\u00e8 considerata un importante problema di salute pubblica, con una prevalenza nell&#8217;arco della vita che raggiunge l&#8217;84%&#8221;. <sup id=\"cite_ref-:0_1-1\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><sup id=\"cite_ref-3\" class=\"reference\"><a href=\"#cite_note-3\">(3)<\/a><\/sup> Secondo un articolo del 2019 pubblicato su The Journal of Pain, 10,6 milioni di persone, ovvero circa il 4,8% della popolazione adulta degli Stati Uniti, hanno sofferto di dolore cronico.<sup id=\"cite_ref-:1_2-1\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup><\/p>\n<p>In qualit\u00e0 di operatori sanitari, i fisioterapisti dovrebbero saperne di pi\u00f9 sulla gestione della lombalgia. Una revisione sistematica del 2019 indica i seguenti oneri e costi della lombalgia cronica:<sup id=\"cite_ref-4\" class=\"reference\"><a href=\"#cite_note-4\">(4)<\/a><\/sup><\/p>\n<ol>\n<li>Per gli individui: diminuzione della <a title=\"Quality of Life\" href=\"\/Quality_of_Life\">qualit\u00e0 della vita<\/a> e della capacit\u00e0 di partecipare alle <a title=\"Activities of Daily Living\" href=\"\/Activities_of_Daily_Living\">attivit\u00e0 della vita quotidiana<\/a> e del tempo libero.<\/li>\n<li>Per i datori di lavoro: aumento dell&#8217;assenteismo e diminuzione della produttivit\u00e0 lavorativa.<\/li>\n<li>Per la societ\u00e0: maggiori richieste a un sistema sanitario gi\u00e0 sovraccaricato.<\/li>\n<\/ol>\n<p>Il video seguente fornisce delle informazioni sulla prevalenza della lombalgia in Nord America. Questo \u00e8 di supporto alla valutazione e al trattamento fisioterapico del dolore lombare e illustra la necessit\u00e0 di una gestione olistica della lombalgia cronica, che sar\u00e0 discussa in modo pi\u00f9 approfondito nella prossima sezione di questo articolo.<\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 648px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 640px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/ErmOTERAnQo?\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-5\" class=\"reference\"><a href=\"#cite_note-5\">(5)<\/a><\/sup><\/p>\n<h2><span id=\"Lifestyle_Medicine\" class=\"mw-headline\">Medicina dello stile di vita<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Lifestyle Medicine\" href=\"\/index.php?title=Introduction_to_Managing_Chronic_Low_Back_Pain_with_Integrative_Lifestyle_Medicine&amp;veaction=edit&amp;section=3\">modifica<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Lifestyle Medicine\" href=\"\/index.php?title=Introduction_to_Managing_Chronic_Low_Back_Pain_with_Integrative_Lifestyle_Medicine&amp;action=edit&amp;section=3\">fonte edit<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Un&#8217;indagine del 2012 del National Center of Complementary and Integrative Health ha rilevato che il 30% degli americani adulti utilizza approcci sanitari che hanno origini diverse dalla medicina convenzionale occidentale.<sup id=\"cite_ref-:2_6-0\" class=\"reference\"><a href=\"#cite_note-:2-6\">(6)<\/a><\/sup> Alla luce di queste informazioni, \u00e8 importante che un terapista completo disponga di diverse opzioni terapeutiche efficaci che tengano conto dei valori e delle convinzioni del paziente.<\/p>\n<p>La <b>salute integrata<\/b> cerca di unire i benefici della medicina convenzionale e di quella complementare in modo da fornire una cura dell&#8217;intera persona. Spesso combina la medicina occidentale convenzionale con cambiamenti dello stile di vita, riabilitazione fisica, psicoterapia e salute complementare.<sup id=\"cite_ref-:2_6-1\" class=\"reference\"><a href=\"#cite_note-:2-6\">(6)<\/a><\/sup><\/p>\n<blockquote><p><b>Che cos&#8217;\u00e8 la salute dell&#8217;intera persona?<\/b><br \/>\n&#8220;La salute della persona nella sua interezza si riferisce all&#8217;aiutare gli individui a migliorare e ripristinare la propria salute in molteplici aree interconnesse &#8211; biologica, comportamentale, sociale, ambientale &#8211; piuttosto che limitarsi a trattare le malattie. La ricerca sulla salute dell&#8217;intera persona comprende l&#8217;ampliamento della comprensione delle connessioni tra questi vari aspetti della salute, comprese le connessioni tra organi e sistemi corporei.&#8221;<sup id=\"cite_ref-:2_6-2\" class=\"reference\"><a href=\"#cite_note-:2-6\">(6)<\/a><\/sup><\/p><\/blockquote>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 502px;\"><a class=\"image\" href=\"\/File:Lifestyle_medicine.png\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/f\/f9\/Lifestyle_medicine.png\/500px-Lifestyle_medicine.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/f\/f9\/Lifestyle_medicine.png 1.5x\" alt=\"\" width=\"500\" height=\"220\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Medicina dello stile di vita<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>La <b><a title=\"Lifestyle Medicine for Health and Disease Management\" href=\"\/Lifestyle_Medicine_for_Health_and_Disease_Management\">medicina dello stile di vita<\/a><\/b> combina la moderna pratica medica occidentale con approcci terapeutici basati sullo stile di vita per prevenire e invertire le malattie croniche legate allo stile di vita. Esempi di pratiche di stile di vita sono: <sup id=\"cite_ref-:2_6-3\" class=\"reference\"><a href=\"#cite_note-:2-6\">(6)<\/a><\/sup><sup id=\"cite_ref-7\" class=\"reference\"><a href=\"#cite_note-7\">(7)<\/a><\/sup><\/p>\n<ul>\n<li><i>Nutrizione:<\/i> dieta a base di alimenti integrali e vegetali, integratori alimentari, probiotici<\/li>\n<li><i>Fisico:<\/i> <a title=\"Attivit\u00e0 fisica\" href=\"\/Physical_Activity\">attivit\u00e0 fisica<\/a> regolare, <a title=\"Agopuntura\" href=\"\/Acupuncture\">agopuntura<\/a>, <a title=\"Massaggio\" href=\"\/Massage\">massaggi<\/a>, <a title=\"Il sonno: regolazione e valutazione\" href=\"\/Sleep:_Regulation_and_Assessment\">sonno<\/a> adeguato<\/li>\n<li><i>Psicologia:<\/i> <a title=\"Meditazione\" href=\"\/Meditation\">meditazione<\/a>, ipnosi, musicoterapia, <a title=\"Tecniche di rilassamento\" href=\"\/Relaxation_Techniques\">tecniche di rilassamento<\/a><\/li>\n<li><i>Combinazione di quanto sopra:<\/i> <a title=\"Yoga\" href=\"\/Yoga\">yoga<\/a>, <a title=\"Tai Chi and the Older Person\" href=\"\/Tai_Chi_and_the_Older_Person\">tai chi<\/a>, <a title=\"Dance Therapy\" href=\"\/Dance_Therapy\">danzaterapia<\/a>, arteterapia.<\/li>\n<\/ul>\n<p>La medicina dello stile di vita incoraggia i clinici e i pazienti a lavorare insieme per scoprire le cause alla radice delle condizioni mediche in modo tale che, trattando la causa principale di un disturbo, si possono ottenere miglioramenti a lungo termine.<sup id=\"cite_ref-:0_1-2\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/p>\n<h2><span id=\"Multimodal_Treatment_Approach\" class=\"mw-headline\">Approccio di trattamento multimodale<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Multimodal Treatment Approach\" href=\"\/index.php?title=Introduction_to_Managing_Chronic_Low_Back_Pain_with_Integrative_Lifestyle_Medicine&amp;veaction=edit&amp;section=4\">modifica<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Multimodal Treatment Approach\" href=\"\/index.php?title=Introduction_to_Managing_Chronic_Low_Back_Pain_with_Integrative_Lifestyle_Medicine&amp;action=edit&amp;section=4\">fonte edit<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Il <a title=\"Biopsychosocial Model\" href=\"\/Biopsychosocial_Model\">modello biopsicosociale<\/a> del dolore riconosce e prende in considerazione che il dolore \u00e8 influenzato da molteplici fattori: biologici\/fisiologici, psicologici, comportamentali e socio-economici\/ambientali\/culturali. Questo modello viene spesso utilizzato con il dolore cronico e pu\u00f2 aiutare a orientare la valutazione e i trattamenti fisioterapici per includere approcci multimodali per trattare l&#8217;intera persona.<sup id=\"cite_ref-:0_1-3\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/p>\n<table class=\"wikitable\">\n<caption> <\/caption>\n<tbody>\n<tr>\n<th colspan=\"2\">OPZIONI DA CONSIDERARE PER PRIME PER LA LOMBALGIA<\/th>\n<\/tr>\n<tr>\n<td>Se il mal di schiena dura meno di 12 settimane, considerate le seguenti opzioni:<\/td>\n<td>Se il mal di schiena dura pi\u00f9 di 12 settimane, considerate le seguenti opzioni:<\/td>\n<\/tr>\n<tr>\n<td>\n<ul>\n<li>Agopuntura<\/li>\n<li>Massaggio<\/li>\n<li>Calore superficiale<\/li>\n<li>Manipolazione spinale<\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li>Agopuntura<\/li>\n<li>Terapia cognitivo-comportamentale<\/li>\n<li>Biofeedback elettromiografico<\/li>\n<li>Programma di esercizi<\/li>\n<li>Terapia laser a basso livello<\/li>\n<li>Riduzione dello stress basata sulla mindfulness<\/li>\n<li>Esercizi di controllo motorio<\/li>\n<li>Riabilitazione multidisciplinare<\/li>\n<li>Rilassamento progressivo<\/li>\n<li>Manipolazione spinale<\/li>\n<li>Tai chi<\/li>\n<li>Yoga<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Questa tabella, adattata dal Journal of the American Medical Association (JAMA) nel luglio 2021, elenca le opzioni di trattamento per il dolore lombare acuto rispetto a quello cronico e illustra le molteplici opzioni di trattamento disponibili per entrambi i complessi tipi di dolore.<\/p>\n<p><b>Fattori di stile di vita<\/b><\/p>\n<p>\u00c8 stato riscontrato che i seguenti fattori dello stile di vita contribuiscono alla lombalgia cronica:<\/p>\n<ol>\n<li><a title=\"Obesit\u00e0\" href=\"\/Obesity\">Obesit\u00e0<\/a> <sup id=\"cite_ref-8\" class=\"reference\"><a href=\"#cite_note-8\">(8)<\/a><\/sup><sup id=\"cite_ref-9\" class=\"reference\"><a href=\"#cite_note-9\">(9)<\/a><\/sup><\/li>\n<li>Disturbo post-traumatico da stress e <a title=\"Depressione\" href=\"\/Depression\">depressione<\/a> <sup id=\"cite_ref-10\" class=\"reference\"><a href=\"#cite_note-10\">(10)<\/a><\/sup><\/li>\n<li><a title=\"Smoking Cessation and Brief Intervention\" href=\"\/Smoking_Cessation_and_Brief_Intervention\">Fumo<\/a> <sup id=\"cite_ref-11\" class=\"reference\"><a href=\"#cite_note-11\">(11)<\/a><\/sup><\/li>\n<li>Consumo di alcol (in persone con <a title=\"Alcoholism\" href=\"\/Alcoholism\">dipendenza da consumo di alcol<\/a>) <sup id=\"cite_ref-12\" class=\"reference\"><a href=\"#cite_note-12\">(12)<\/a><\/sup><\/li>\n<li>Stile di vita sedentario <sup id=\"cite_ref-13\" class=\"reference\"><a href=\"#cite_note-13\">(13)<\/a><\/sup><\/li>\n<li>Esposizione al sollevamento di carichi pesanti <sup id=\"cite_ref-14\" class=\"reference\"><a href=\"#cite_note-14\">(14)<\/a><\/sup><\/li>\n<\/ol>\n<h2><span id=\"Clinician_Strategies_to_Complement_the_Lifestyle_Medicine_Approach\" class=\"mw-headline\">Strategie cliniche per integrare l&#8217;approccio alla medicina dello stile di vita<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Clinician Strategies to Complement the Lifestyle Medicine Approach\" href=\"\/index.php?title=Introduction_to_Managing_Chronic_Low_Back_Pain_with_Integrative_Lifestyle_Medicine&amp;veaction=edit&amp;section=5\">modifica<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Clinician Strategies to Complement the Lifestyle Medicine Approach\" href=\"\/index.php?title=Introduction_to_Managing_Chronic_Low_Back_Pain_with_Integrative_Lifestyle_Medicine&amp;action=edit&amp;section=5\">fonte edit<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<ol>\n<li><i>Costruire un&#8217;alleanza terapeutica<\/i> con i nostri pazienti: ad esempio usare la voce per dare conforto e scegliere parole positive e incoraggianti. <sup id=\"cite_ref-15\" class=\"reference\"><a href=\"#cite_note-15\">(15)<\/a><\/sup><sup id=\"cite_ref-16\" class=\"reference\"><a href=\"#cite_note-16\">(16)<\/a><\/sup><\/li>\n<li><i>Includere i pazienti nel processo decisionale<\/i> dei propri trattamenti <sup id=\"cite_ref-17\" class=\"reference\"><a href=\"#cite_note-17\">(17)<\/a><\/sup><\/li>\n<li><i>Migliorare le collaborazioni interprofessionali<\/i> con medici, terapisti occupazionali, dietologi e professionisti dello yoga <sup id=\"cite_ref-18\" class=\"reference\"><a href=\"#cite_note-18\">(18)<\/a><\/sup><\/li>\n<li><i>Utilizzare le tecniche di colloquio motivazionale<\/i> <sup id=\"cite_ref-19\" class=\"reference\"><a href=\"#cite_note-19\">(19)<\/a><\/sup>\n<ol>\n<li>Porre domande a risposta aperta<\/li>\n<li>Riconoscere e lodare le buone intenzioni e gli sforzi compiuti<\/li>\n<li>Utilizzare l&#8217;ascolto riflessivo<\/li>\n<li>Riassumere la situazione della persona<\/li>\n<li>Informare e dare consigli alla persona<\/li>\n<\/ol>\n<\/li>\n<li><i>Ottimizzare il design della clinica<\/i>: ad esempio, portare la natura nell&#8217;edificio con viste attraverso finestre che forniscono luce naturale, piante vive, uso di colori rilassanti come il verde, musica di sottofondo calma, arte tranquilla e mobili confortevoli nelle aree di attesa. <sup id=\"cite_ref-20\" class=\"reference\"><a href=\"#cite_note-20\">(20)<\/a><\/sup><sup id=\"cite_ref-21\" class=\"reference\"><a href=\"#cite_note-21\">(21)<\/a><\/sup><\/li>\n<\/ol>\n<p>Questo video fornisce un esempio di come semplici indicazioni verbali e visive possano guidare una persona attraverso un esercizio di respirazione diaframmatica profonda. Si prega di notare come l&#8217;oratore usi una voce calma e uniforme e di come i colori siano delicati e tenui, il che contribuisce a creare il tono di questa richiesta di rilassamento. Un video come questo potrebbe essere una parte eccellente di un programma di esercizi a casa.<\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 648px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 640px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/1Dv-ldGLnIY?\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-22\" class=\"reference\"><a href=\"#cite_note-22\">(22)<\/a><\/sup><\/p>\n<h2><span id=\"Conclusion\" class=\"mw-headline\">Conclusione<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Conclusion\" href=\"\/index.php?title=Introduction_to_Managing_Chronic_Low_Back_Pain_with_Integrative_Lifestyle_Medicine&amp;veaction=edit&amp;section=6\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Conclusion\" href=\"\/index.php?title=Introduction_to_Managing_Chronic_Low_Back_Pain_with_Integrative_Lifestyle_Medicine&amp;action=edit&amp;section=6\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>\u00c8 importante che i fisioterapisti abbiano un approccio completo al trattamento della lombalgia cronica, data la sua elevata prevalenza e l&#8217;effetto sulla qualit\u00e0 di vita del paziente. La medicina integrata dello stile di vita cerca di trattare l&#8217;intera persona e di fornire una qualit\u00e0 di cura pi\u00f9 olistica rispetto alla sola medicina occidentale tradizionale. Questo stile di medicina richiede che il professionista clinico coinvolga il paziente nella propria cura ed esplori tutti gli aspetti della propria vita quotidiana per identificare la causa principale del dolore cronico e incoraggia il fisioterapista a rivolgersi ad altre discipline per fornire un trattamento completo al paziente.<\/p>\n<h2><span id=\"Resources\" class=\"mw-headline\">Risorse<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Resources\" href=\"\/index.php?title=Introduction_to_Managing_Chronic_Low_Back_Pain_with_Integrative_Lifestyle_Medicine&amp;veaction=edit&amp;section=7\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Resources\" href=\"\/index.php?title=Introduction_to_Managing_Chronic_Low_Back_Pain_with_Integrative_Lifestyle_Medicine&amp;action=edit&amp;section=7\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Vi invitiamo a leggere un <a class=\"external text\" href=\"https:\/\/journals.sagepub.com\/doi\/10.1177\/1559827620971547\" target=\"_blank\" rel=\"nofollow noopener\">articolo<\/a> pubblicato di recente dal Dr. Ziya Altug su una rivista su questo argomento.<sup id=\"cite_ref-23\" class=\"reference\"><a href=\"#cite_note-23\">(23)<\/a><\/sup><\/p>\n<p>Ascoltate la <a class=\"external text\" href=\"https:\/\/www.youtube.com\/watch?v=HniejvYdUh0\" rel=\"nofollow\">registrazione<\/a> del dottor Andrew Weil e del dottor Deepak Chopra che discutono dell&#8217;arte e della scienza del respiro.<sup id=\"cite_ref-24\" class=\"reference\"><a href=\"#cite_note-24\">(24)<\/a><\/sup><\/p>\n<p><b>Siti web delle organizzazioni:<\/b><\/p>\n<ul>\n<li><a class=\"external text\" href=\"http:\/\/www.imconsortium.org\" rel=\"nofollow\">Academic Consortium for Integrative Medicine &amp; Health<\/a><\/li>\n<li><a class=\"external text\" href=\"https:\/\/www.aihm.org\" rel=\"nofollow\">Academy of Integrative Health &amp; Medicine<\/a><\/li>\n<li><a class=\"external text\" href=\"https:\/\/www.lifestylemedicine.org\" rel=\"nofollow\">American College of Lifestyle Medicine<\/a><\/li>\n<\/ul>\n<ul>\n<li><a class=\"external text\" href=\"https:\/\/nccih.nih.gov\" rel=\"nofollow\">National Center for Complementary and Integrative Health<\/a><\/li>\n<\/ul>\n<p><b>Pagine di Physiopedia correlate:<\/b><\/p>\n<ul>\n<li><a title=\"Integrative Medicine for Health and Disease Management\" href=\"\/Integrative_Medicine_for_Health_and_Disease_Management\">Integrative Medicine for Health and Pain Management<\/a><\/li>\n<li><a title=\"Lifestyle Medicine for Health and Disease Management\" href=\"\/Lifestyle_Medicine_for_Health_and_Disease_Management\">Lifestyle Medicine for Health and Disease Management<\/a><\/li>\n<\/ul>\n<h2><span id=\"References\" class=\"mw-headline\">Citazioni<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: References\" href=\"\/index.php?title=Introduction_to_Managing_Chronic_Low_Back_Pain_with_Integrative_Lifestyle_Medicine&amp;veaction=edit&amp;section=8\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: References\" href=\"\/index.php?title=Introduction_to_Managing_Chronic_Low_Back_Pain_with_Integrative_Lifestyle_Medicine&amp;action=edit&amp;section=8\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"mw-references-wrap mw-references-columns\">\n<ol class=\"references\">\n<li id=\"cite_note-:0-1\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:0_1-0\">1.0<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-1\">1.1<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-2\">1.2<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-3\">1.3<\/a><\/sup><\/span> <span class=\"reference-text\">Altug Z, Introduction to Integrative Lifestyle Medicine. Plus. November 2021.<\/span><\/li>\n<li id=\"cite_note-:1-2\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:1_2-0\">2.0<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-1\">2.1<\/a><\/sup><\/span> <span class=\"reference-text\">Pitcher, M.H., Von Korff, M., Bushnell, M.C. and Porter, L., 2019. <a class=\"external text\" href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S1526590018303584\" rel=\"nofollow\">Prevalence and profile of high-impact chronic pain in the United States.<\/a> The Journal of Pain, 20(2), pp.146-160.<\/span><\/li>\n<li id=\"cite_note-3\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-3\">\u2191<\/a><\/span> <span class=\"reference-text\">American College of Sports Medicine. ACSM\u2019s Guidelines for Exercise Testing and Prescription, 11th ed. Philadelphia, PA: Wolters Kluwer; 2022: 172.<\/span><\/li>\n<li id=\"cite_note-4\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-4\">\u2191<\/a><\/span> <span class=\"reference-text\">Buruck G, Tomaschek A, Wendsche J, Ochsmann E, D\u00f6rfel D. <a class=\"external text\" href=\"https:\/\/link.springer.com\/article\/10.1186\/s12891-019-2826-3\" rel=\"nofollow\">Psychosocial areas of worklife and chronic low back pain: a systematic review and meta-analysis.<\/a> BMC Musculoskelet Disord. 2019;20(1):480.<\/span><\/li>\n<li id=\"cite_note-5\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-5\">\u2191<\/a><\/span> <span class=\"reference-text\">TEDx Talks. Low Back Pain: Myths vs. Facts | Sid Anandkumar. 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A systematic review of observational studies.<\/a> Man Ther. 2013;18(3):183-190. <\/span><\/li>\n<li id=\"cite_note-13\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-13\">\u2191<\/a><\/span> <span class=\"reference-text\">Heneweer H, Vanhees L, Picavet HS. <a class=\"external text\" href=\"https:\/\/www.researchgate.net\/profile\/Hans-Heneweer\/publication\/24010457_Physical_activity_and_low_back_pain_A_U-shaped_relation\/links\/5b9f5e4045851574f7d19006\/Physical-activity-and-low-back-pain-A-U-shaped-relation.pdf\" rel=\"nofollow\">Physical activity and low back pain: a U-shaped relation?<\/a>. Pain. 2009;143(1-2):21-25. <\/span><\/li>\n<li id=\"cite_note-14\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-14\">\u2191<\/a><\/span> <span class=\"reference-text\">Coenen P, Gouttebarge V, van der Burght AS, et al. <a class=\"external text\" href=\"https:\/\/citeseerx.ist.psu.edu\/viewdoc\/download?doi=10.1.1.922.1062&amp;rep=rep1&amp;type=pdf\" rel=\"nofollow\">The effect of lifting during work on low back pain: a health impact assessment based on a meta-analysis.<\/a> Occup Environ Med. 2014;71(12):871-877.<\/span><\/li>\n<li id=\"cite_note-15\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-15\">\u2191<\/a><\/span> <span class=\"reference-text\">Alodaibi F, Beneciuk J, Holmes R, Kareha S, Hayes D, Fritz J. <a class=\"external text\" href=\"https:\/\/academic.oup.com\/ptj\/article-abstract\/101\/4\/pzab026\/6123370\" rel=\"nofollow\">The relationship of the therapeutic alliance to patient characteristics and functional outcome during an episode of physical therapy care for patients with low back pain: an observational study.<\/a> Phys Ther. 2021;101(4):pzab026. <\/span><\/li>\n<li id=\"cite_note-16\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-16\">\u2191<\/a><\/span> <span class=\"reference-text\">Unsgaard-T\u00f8ndel M, S\u00f8derstr\u00f8m S. <a class=\"external text\" href=\"https:\/\/academic.oup.com\/ptj\/article\/101\/11\/pzab187\/6330887\" rel=\"nofollow\">Therapeutic alliance: patients&#8217; expectations before and experiences after physical therapy for low back pain-a qualitative study with six months follow-up<\/a> (published online ahead of print, 2021 Aug 2). Phys Ther. 2021;pzab187. <\/span><\/li>\n<li id=\"cite_note-17\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-17\">\u2191<\/a><\/span> <span class=\"reference-text\">Coronado-V\u00e1zquez V, Canet-Fajas C, Delgado-Marroqu\u00edn MT, Magall\u00f3n-Botaya R, Romero-Mart\u00edn M, G\u00f3mez-Salgado J. <a class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7593011\/\" rel=\"nofollow\">Interventions to facilitate shared decision-making using decision aids with patients in Primary Health Care: A systematic review.<\/a> Medicine (Baltimore). 2020;99(32):e21389.<\/span><\/li>\n<li id=\"cite_note-18\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-18\">\u2191<\/a><\/span> <span class=\"reference-text\">Perreault K, Dionne CE, Rossignol M, Morin D. 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Available from: <a class=\"external free\" href=\"https:\/\/www.youtube.com\/watch?v=1Dv-ldGLnIY\" rel=\"nofollow\">https:\/\/www.youtube.com\/watch?v=1Dv-ldGLnIY<\/a> (last accessed 02\/12\/20021)<\/span><\/li>\n<li id=\"cite_note-23\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-23\">\u2191<\/a><\/span> <span class=\"reference-text\">Altug, Z., 2021. <a class=\"external text\" href=\"https:\/\/journals.sagepub.com\/doi\/10.1177\/1559827620971547\" rel=\"nofollow\">Lifestyle Medicine for Chronic Lower Back Pain: An Evidence-Based Approach.<\/a> <i>American Journal of Lifestyle Medicine<\/i>, <i>15<\/i>(4), pp.425-433.<\/span><\/li>\n<li id=\"cite_note-24\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-24\">\u2191<\/a><\/span> <span class=\"reference-text\">Youtube. The Art and Science of Breath with Dr. Andrew Weil. Available from: <a class=\"external free\" href=\"https:\/\/www.youtube.com\/watch?v=HniejvYdUh0\" rel=\"nofollow\">https:\/\/www.youtube.com\/watch?v=HniejvYdUh0<\/a> (last accessed 02\/12\/2021)<\/span><\/li>\n<\/ol>\n<\/div>\n<p><!-- NewPP limit report Cached time: 20230201203837 Cache expiry: 0 Dynamic content: true Complications: () CPU time usage: 0.095 seconds Real time usage: 0.103 seconds Preprocessor visited node count: 342\/1000000 Post\u2010expand include size: 161\/2097152 bytes Template argument size: 0\/2097152 bytes Highest expansion depth: 3\/40 Expensive parser function count: 0\/100 Unstrip recursion depth: 0\/20 Unstrip post\u2010expand size: 15267\/5000000 bytes --><br \/>\n<!-- Transclusion expansion time report (%,ms,calls,template) 100.00% 18.540 1 Special:Contributors\/Introduction_to_Managing_Chronic_Low_Back_Pain_with_Integrative_Lifestyle_Medicine 100.00% 18.540 1 -total --><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Redattrice principale &#8211; Stacy Schiurring sulla base del corso di Ziya Altug Contributori principali &#8211; Stacy Schiurring, Kim Jackson, Tarina van der Stockt, Rucha Gadgil, Lucinda hampton, Jess Bell e Aminat Abolade Contenuti 1 Introduzione 2 Lombalgia cronica 3 Medicina dello stile di vita 4 Approccio terapeutico multimodale 5 Strategie cliniche per integrare l&#8217;approccio alla [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-4861","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages\/4861","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/comments?post=4861"}],"version-history":[{"count":3,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages\/4861\/revisions"}],"predecessor-version":[{"id":10417,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages\/4861\/revisions\/10417"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/media?parent=4861"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}