{"id":5354,"date":"2023-03-25T15:17:20","date_gmt":"2023-03-25T15:17:20","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/lifestyle-medicine-behavioural-modification-and-self-care-for-managing-low-back-pain-it\/"},"modified":"2023-03-26T14:54:18","modified_gmt":"2023-03-26T14:54:18","slug":"lifestyle-medicine-behavioural-modification-and-self-care-for-managing-low-back-pain-it","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/it\/lifestyle-medicine-behavioural-modification-and-self-care-for-managing-low-back-pain-it\/","title":{"rendered":"Medicina dello stile di vita, modificazione del comportamento e cura di s\u00e9 per la gestione della lombalgia"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\"> <b>Redattrice principale <\/b>&#8211; <a href=\"\/User:Stacy_Schiurring\" title=\"User:Stacy Schiurring\">Stacy Schiurring<\/a> sulla base del corso di <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/members.physio-pedia.com\/course_tutor\/ziya-altug\/\">Ziya Altug<\/a><\/p>\n<p><b>Contributori principali<\/b> &#8211; <a href=\"\/User:Stacy_Schiurring\" class=\"mw-userlink\" title=\"User:Stacy Schiurring\"><bdi>Stacy Schiurring<\/bdi><\/a>, <a href=\"\/User:Kim_Jackson\" class=\"mw-userlink\" title=\"User:Kim Jackson\"><bdi>Kim Jackson<\/bdi><\/a>, <a href=\"\/User:Wanda_van_Niekerk\" class=\"mw-userlink\" title=\"User:Wanda van Niekerk\"><bdi>Wanda van Niekerk<\/bdi><\/a>, <a href=\"\/User:Lucinda_hampton\" class=\"mw-userlink\" title=\"User:Lucinda hampton\"><bdi>Lucinda hampton<\/bdi><\/a>, <a href=\"\/User:Jess_Bell\" class=\"mw-userlink\" title=\"User:Jess Bell\"><bdi>Jess Bell<\/bdi><\/a> e <a href=\"\/User:Aminat_Abolade\" class=\"mw-userlink\" title=\"User:Aminat Abolade\"><bdi>Aminat Abolade<\/bdi><\/a>   <\/p>\n<\/div>\n<div id=\"toc\" class=\"toc\" role=\"navigation\" aria-labelledby=\"mw-toc-heading\"><input type=\"checkbox\" role=\"button\" id=\"toctogglecheckbox\" class=\"toctogglecheckbox\" style=\"display:none\"><\/p>\n<div class=\"toctitle\" lang=\"en\" dir=\"ltr\">\n<h2 id=\"mw-toc-heading\">Contenuti<\/h2>\n<p><span class=\"toctogglespan\"><label class=\"toctogglelabel\" for=\"toctogglecheckbox\"><\/label><\/span><\/p>\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=\"#Behaviour_Modification\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">Modificazione del comportamento<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-3\"><a href=\"#Substance_Dependence_Disorder\"><span class=\"tocnumber\">2.1<\/span> <span class=\"toctext\">Disturbo da dipendenza da sostanze<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-4\"><a href=\"#Making_Changes_from_Addictive_Behaviours\"><span class=\"tocnumber\">2.2<\/span> <span class=\"toctext\">Cambiare i comportamenti di dipendenza<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-5\"><a href=\"#Social_Connectedness\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">Connessione sociale<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-6\"><a href=\"#Outdoor_Natural_Environments\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">Ambienti naturali all&#8217;aperto<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-7\"><a href=\"#Integrative_Lifestyle_Medicine_Treatment_Examples\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">Esempi di trattamento di medicina integrativa dello stile di vita<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-8\"><a href=\"#Self_Care_and_Self_Management\"><span class=\"tocnumber\">6<\/span> <span class=\"toctext\">Cura di s\u00e9 e gestione di s\u00e9<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-9\"><a href=\"#Resources\"><span class=\"tocnumber\">7<\/span> <span class=\"toctext\">Risorse<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-10\"><a href=\"#References\"><span class=\"tocnumber\">8<\/span> <span class=\"toctext\">Citazioni<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span class=\"mw-headline\" id=\"Introduction\">Introduzione<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Lifestyle_Medicine,_Behavioural_Modification_and_Self_Care_for_Managing_Low_Back_Pain&amp;veaction=edit&amp;section=1\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Introduction\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Lifestyle_Medicine,_Behavioural_Modification_and_Self_Care_for_Managing_Low_Back_Pain&amp;action=edit&amp;section=1\" title=\"Edit section: Introduction\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>La <a href=\"\/Low_Back_Pain\" title=\"Low Back Pain\">lombalgia<\/a> pu\u00f2 essere una diagnosi complessa e complicata da trattare. Quando ricerca le cause alla radice della lombalgia, il fisioterapista talvolta deve guardare oltre le cause fisiologiche e considerare come i comportamenti e i supporti sociali del cliente possano contribuire al suo dolore lombare. Spesso una fonte che contribuisce al dolore lombare di una persona \u00e8 una pressione esterna al di l\u00e0 delle sue esigenze di assistenza sanitaria diretta. Queste esigenze rafforzano l&#8217;uso di un approccio di valutazione <a href=\"\/Biopsychosocial_Model\" title=\"Modello biopsicosociale\">biopsicosociale<\/a> per il trattamento della lombalgia cronica. Le strategie preventive e l&#8217;educazione del cliente sono parti importanti dell&#8217;assistenza fisioterapica. Gli interventi terapeutici in grado di ridurre la cronicit\u00e0 del dolore lombare potrebbero doversi concentrare non solo sugli aspetti biopsicosociali legati all&#8217;assistenza sanitaria, ma anche su fattori pi\u00f9 ampi che riguardano l&#8217;aspetto sociale e lo stile di vita e che potrebbero perpetuare la disabilit\u00e0 di dolore lombare.<sup id=\"cite_ref-:0_1-0\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/p>\n<h2><span class=\"mw-headline\" id=\"Behaviour_Modification\">Modificazione del comportamento<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Lifestyle_Medicine,_Behavioural_Modification_and_Self_Care_for_Managing_Low_Back_Pain&amp;veaction=edit&amp;section=2\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Behaviour Modification\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Lifestyle_Medicine,_Behavioural_Modification_and_Self_Care_for_Managing_Low_Back_Pain&amp;action=edit&amp;section=2\" title=\"Edit section: Behaviour Modification\">modifica fonte<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>La ricerca suggerisce che i fattori di rischio modificabili potrebbero svolgere un ruolo nello sviluppo della lombalgia.<sup id=\"cite_ref-2\" class=\"reference\"><a href=\"#cite_note-2\">(2)<\/a><\/sup> Uno studio pubblicato su Orthopedics nel 2016 ha identificato <a href=\"\/Smoking_Cessation_and_Brief_Intervention\" title=\"Smoking Cessation and Brief Intervention\">la dipendenza da nicotina<\/a>,  <a href=\"\/Obesity\" title=\"l'obesit\u00e0\">obesit\u00e0<\/a><sup id=\"cite_ref-3\" class=\"reference\"><a href=\"#cite_note-3\">(3)<\/a><\/sup>,  <a href=\"\/Depression\" title=\"Depressione\">i disturbi depressivi<\/a><sup id=\"cite_ref-4\" class=\"reference\"><a href=\"#cite_note-4\">(4)<\/a><\/sup>, e <a href=\"\/Alcoholism\" title=\"Alcoholism\">la dipendenza da alcol<\/a> come fattori di rischio statisticamente significativi per la diagnosi di lombalgia.<sup id=\"cite_ref-5\" class=\"reference\"><a href=\"#cite_note-5\">(5)<\/a><\/sup><\/p>\n<h3><span class=\"mw-headline\" id=\"Substance_Dependence_Disorder\">Disturbo da dipendenza da sostanze<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Lifestyle_Medicine,_Behavioural_Modification_and_Self_Care_for_Managing_Low_Back_Pain&amp;veaction=edit&amp;section=3\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Substance Dependence Disorder\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Lifestyle_Medicine,_Behavioural_Modification_and_Self_Care_for_Managing_Low_Back_Pain&amp;action=edit&amp;section=3\" title=\"Edit section: Substance Dependence Disorder\">fonte edit<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<blockquote><p><b>Disturbo da dipendenza da sostanze<\/b>: disturbo da dipendenza da uso compulsivo di sostanze stupefacenti. \u00c8 caratterizzato da un insieme di sintomi comportamentali e fisiologici che indicano un uso continuo della sostanza, nonostante i significativi problemi correlati.<sup id=\"cite_ref-6\" class=\"reference\"><a href=\"#cite_note-6\">(6)<\/a><\/sup><\/p><\/blockquote>\n<p><i>Le conseguenze dell&#8217;<a href=\"\/Substance_Use_Disorder\" title=\"Substance Use Disorder\">abuso di sostanze<\/a> includono<\/i><sup id=\"cite_ref-:1_7-0\" class=\"reference\"><a href=\"#cite_note-:1-7\">(7)<\/a><\/sup><i>:<\/i><\/p>\n<ol>\n<li><a href=\"\/Coronary_Artery_Disease_(CAD)\" title=\"Coronary Artery Disease (CAD)\">Patologie cardiache<\/a><\/li>\n<li><a href=\"\/Oncology\" title=\"Oncology\">Cancro<\/a><\/li>\n<li><a href=\"\/Stroke\" title=\"Ictus\">Ictus<\/a><\/li>\n<li><a href=\"\/Chronic_Obstructive_Pulmonary_Disease_Rehabilitation_Class\" title=\"Chronic Obstructive Pulmonary Disease Rehabilitation Class\">Malattia polmonare cronica ostruttiva<\/a><\/li>\n<li><a href=\"\/Liver_Disease\" title=\"Liver Disease\">Cirrosi<\/a><\/li>\n<li>Difficolt\u00e0 familiari, sociali, legali ed economiche<\/li>\n<\/ol>\n<p>Skillgate et al.<sup id=\"cite_ref-:6_8-0\" class=\"reference\"><a href=\"#cite_note-:6-8\">(8)<\/a><\/sup> hanno esaminato l&#8217;effetto di uno stile di vita sano sul <a href=\"\/Neck_Pain:_Clinical_Practice_Guidelines\" title=\"Neck Pain: Clinical Practice Guidelines\">dolore cervicale<\/a> e sul <a href=\"\/Chronic_Low_Back_Pain\" title=\"Chronic Low Back Pain\">lombare cronico<\/a> negli adulti. I fattori dello stile di vita sono stati distinti in comportamenti sani\/non sani e comprendono: la partecipazione a un&#8217;attivit\u00e0 fisica regolare di intensit\u00e0 moderata o elevata, il fumo quotidiano e la quantit\u00e0 di alcol assunta a settimana e il consumo di una dieta sana che comprende frutta e verdura. Lo studio ha rilevato che le persone che hanno partecipato a tre di quattro di queste scelte di vita sane hanno avuto una protezione dal dolore lombare negli uomini e dal dolore al collo nelle donne a un follow-up di 4 anni. Gli autori hanno concluso lo studio con una raccomandazione per la promozione di uno stile di vita sano e la necessit\u00e0 di ulteriori ricerche sugli effetti di componenti della dieta come pesce, cereali integrali, legumi, bevande zuccherate e sodio sulla fisiopatologia del dolore.<sup id=\"cite_ref-:6_8-1\" class=\"reference\"><a href=\"#cite_note-:6-8\">(8)<\/a><\/sup>  <\/p>\n<p>Una meta-analisi di studi del 2010<sup id=\"cite_ref-:7_9-0\" class=\"reference\"><a href=\"#cite_note-:7-9\">(9)<\/a><\/sup> pubblicata su The American Journal of Medicine ha rilevato che il fumo potrebbe aumentare il rischio di lombalgia e che l&#8217;associazione \u00e8 pi\u00f9 forte per il dolore lombare cronico o invalidante. La cessazione del fumo potrebbe ridurre il rischio di richiedere assistenza per la lombalgia cronica. Si raccomandano ulteriori ricerche tra la prevenzione del fumo o l&#8217;educazione alla cessazione del fumo e la riduzione dell&#8217;incidenza o della gravit\u00e0 della lombalgia.<sup id=\"cite_ref-:7_9-1\" class=\"reference\"><a href=\"#cite_note-:7-9\">(9)<\/a><\/sup>  <\/p>\n<p>Una revisione sistematica <sup id=\"cite_ref-:8_10-0\" class=\"reference\"><a href=\"#cite_note-:8-10\">(10)<\/a><\/sup> pubblicata su Manual Therapy nel 2013 ha individuato che il consumo di alcol \u00e8 probabilmente associato al dolore lombare complesso e cronico nelle persone con dipendenza da consumo di alcol. Sebbene siano necessarie ulteriori ricerche, queste informazioni possono essere utilizzate dai fisioterapisti come parte dell&#8217;educazione dei pazienti di questa popolazione.<sup id=\"cite_ref-:8_10-1\" class=\"reference\"><a href=\"#cite_note-:8-10\">(10)<\/a><\/sup><\/p>\n<h3><span class=\"mw-headline\" id=\"Making_Changes_from_Addictive_Behaviours\">Cambiare i comportamenti di dipendenza<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Lifestyle_Medicine,_Behavioural_Modification_and_Self_Care_for_Managing_Low_Back_Pain&amp;veaction=edit&amp;section=4\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Making Changes from Addictive Behaviours\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Lifestyle_Medicine,_Behavioural_Modification_and_Self_Care_for_Managing_Low_Back_Pain&amp;action=edit&amp;section=4\" title=\"Edit section: Making Changes from Addictive Behaviours\">modifica fonte<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<blockquote><p>Un&#8217;<b>abitudine<\/b> \u00e8 un processo sovra-appreso (overlearned) che genera risposte automatiche a segnali contestuali ed \u00e8 rafforzato dalla ripetizione.<sup id=\"cite_ref-11\" class=\"reference\"><a href=\"#cite_note-11\">(11)<\/a><\/sup><\/p><\/blockquote>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width:502px;\"><a href=\"\/File:Transtheoretical_Model_of_Change_.jpg\" class=\"image\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/8\/82\/Transtheoretical_Model_of_Change_.jpg\/500px-Transtheoretical_Model_of_Change_.jpg\" decoding=\"async\" width=\"500\" height=\"281\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/8\/82\/Transtheoretical_Model_of_Change_.jpg\/750px-Transtheoretical_Model_of_Change_.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/8\/82\/Transtheoretical_Model_of_Change_.jpg\/1000px-Transtheoretical_Model_of_Change_.jpg 2x\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Transtheoretical_Model_of_Change_.jpg\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<p>Modello transteorico del cambiamento<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p><i>Strategie generali per cambiare il comportamento di dipendenza:<\/i><\/p>\n<ol>\n<li>Rinviare ad una consulenza individuale o di gruppo<\/li>\n<li>Esaminare i farmaci (con e senza prescrizione) utilzzati dal paziente, contattare il medico di riferimento per qualsiasi dubbio<\/li>\n<li>Fornire contatti e risorse dell&#8217;organizzazione<\/li>\n<li>Utilizzare il <a href=\"\/Health_Promotion_Theories_and_Models\" title=\"Health Promotion Theories and Models\">modello transteorico del cambiamento<\/a> per determinare la disponibilit\u00e0 al cambiamento di una persona<\/li>\n<li>Utilizzare il <a href=\"\/Introduction_to_Managing_Chronic_Low_Back_Pain_with_Integrative_Lifestyle_Medicine\" title=\"Introduzione alla gestione della lombalgia cronica con la medicina integrata dello stile di vita\">colloquio motivazionale<\/a> come parte della consulenza e dei trattamenti incentrati sul paziente.<\/li>\n<\/ol>\n<p><i>Strategie per smettere di fumare:<\/i><\/p>\n<ol>\n<li>Ipnosi<sup id=\"cite_ref-12\" class=\"reference\"><a href=\"#cite_note-12\">(12)<\/a><\/sup><\/li>\n<li><a href=\"\/Yoga\" title=\"Yoga\">Yoga<\/a><sup id=\"cite_ref-13\" class=\"reference\"><a href=\"#cite_note-13\">(13)<\/a><\/sup><\/li>\n<li>Strategie di psicologia positiva e <a href=\"\/Mobile_Apps\" title=\"Mobile Apps\">utilizzo di app per smartphone<\/a><sup id=\"cite_ref-14\" class=\"reference\"><a href=\"#cite_note-14\">(14)<\/a><\/sup><\/li>\n<\/ol>\n<p><i>Concetti pratici di psicologia positiva per la promozione di uno stile di vita sano<\/i>: <\/p>\n<ol>\n<li>Esprimere gratitudine per le cose positive della propria vita<\/li>\n<li>Assaporare i successi e le conquiste<\/li>\n<li>Impegnarsi in atti di gentilezza<\/li>\n<li>Mostrare clemenza<\/li>\n<li>Partecipare ad attivit\u00e0 significative come il volontariato o il mentoring<\/li>\n<\/ol>\n<p><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><\/p>\n<h2><span class=\"mw-headline\" id=\"Social_Connectedness\">Connessione sociale<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Lifestyle_Medicine,_Behavioural_Modification_and_Self_Care_for_Managing_Low_Back_Pain&amp;veaction=edit&amp;section=5\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Social Connectedness\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Lifestyle_Medicine,_Behavioural_Modification_and_Self_Care_for_Managing_Low_Back_Pain&amp;action=edit&amp;section=5\" title=\"Edit section: Social Connectedness\">modifica fonte<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<blockquote><p><b>Connessione sociale:<\/b> una valutazione soggettiva positiva della misura in cui una persona ha relazioni significative, strette e costruttive con altri individui, gruppi o societ\u00e0.<sup id=\"cite_ref-:2_17-0\" class=\"reference\"><a href=\"#cite_note-:2-17\">(17)<\/a><\/sup><\/p><\/blockquote>\n<p>Gli esseri umani sono creature sociali. La ricerca ha dimostrato che, in mancanza di legami sociali, le persone potrebbero subire una riduzione della salute e del benessere generale. Questo potrebbe includere una scarsa soddisfazione della vita, depressione, bassa autostima, diminuzione della speranza, un effetto negativo generale e difficolt\u00e0 a completare le <a href=\"\/Activities_of_Daily_Living\" title=\"Activities of Daily Living\">attivit\u00e0 della vita quotidiana<\/a>.<sup id=\"cite_ref-:2_17-1\" class=\"reference\"><a href=\"#cite_note-:2-17\">(17)<\/a><\/sup><\/p>\n<p>Un articolo<sup id=\"cite_ref-:0_1-1\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup> pubblicato sul Journal of Physiotherapy nel 2018 ha identificato quattro aree di bisogno che influenzano la capacit\u00e0 delle persone con lombalgia di rispettare una corretta gestione del proprio dolore. Le quattro aree erano le pressioni dovute al lavoro, le pressioni finanziarie, le pressioni sociali e le difficolt\u00e0 nelle AVQ. Per quanto riguarda in particolare le pressioni sociali, lo studio ha rilevato che le persone con lombalgia sentivano una forte pressione sociale a mantenere l&#8217;occupazione. La lombalgia \u00e8 risultata essere una minaccia per l&#8217;indipendenza sociale. Le persone con lombalgia hanno riferito di essersi allontanate dai loro gruppi sociali a causa del dolore. Questo dimostra l&#8217;importanza dei legami sociali e il ruolo delle relazioni sociali nell&#8217;ottimizzazione del benessere.<sup id=\"cite_ref-:0_1-2\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/p>\n<p>Una revisione sistematica e una meta-analisi pubblicate nel 2019<sup id=\"cite_ref-:9_18-0\" class=\"reference\"><a href=\"#cite_note-:9-18\">(18)<\/a><\/sup> ha valutato i fattori che influenzano il dolore lombare cronico sul posto di lavoro. I ricercatori hanno trovato evidenze significative del fatto che i fattori psicosociali del lavoro, come l&#8217;elevato carico di lavoro sui dipendenti con basso controllo sul lavoro e con basso supporto sociale, possono aumentare il rischio di sviluppare la lombalgia cronica. La revisione ha anche rilevato che un forte supporto sociale da parte dei colleghi di lavoro e dei supervisori pu\u00f2 prevenire o ridurre il rischio di sviluppare una lombalgia cronica.<sup id=\"cite_ref-:9_18-1\" class=\"reference\"><a href=\"#cite_note-:9-18\">(18)<\/a><\/sup><\/p>\n<p>Ascoltate questa <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.nejm.org\/action\/showMediaPlayer?doi=10.1056%2FNEJMdo005800&amp;aid=10.1056%2FNEJMp1917060&amp;area=\">intervista di 10 minuti<\/a> al dottor Martin Roland per saperne di pi\u00f9 sull&#8217;uso degli interventi a orientamento sociale nel Regno Unito.<sup id=\"cite_ref-:3_19-0\" class=\"reference\"><a href=\"#cite_note-:3-19\">(19)<\/a><\/sup><\/p>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width:402px;\"><a href=\"\/File:Conventional_Exercises.png\" class=\"image\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/2\/25\/Conventional_Exercises.png\/400px-Conventional_Exercises.png\" decoding=\"async\" width=\"400\" height=\"141\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/2\/25\/Conventional_Exercises.png 1.5x\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Conventional_Exercises.png\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<p>Esercizi convenzionali<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p><i>Suggerimenti per diventare pi\u00f9 connessi socialmente<\/i>:<\/p>\n<ol>\n<li>Impegnarsi in esercizi di gruppo convenzionali<\/li>\n<li>Impegnarsi in <a href=\"\/Lifestyle_Medicine,_Exercise_and_Nutrition_for_Managing_Chronic_Low_Back_Pain\" title=\"Medicina dello stile di vita, esercizio fisico e alimentazione per la gestione della lombalgia cronica\">esercizi mente-corpo\/integrativi<\/a><\/li>\n<li>Iscriversi a una palestra o a un centro fitness<\/li>\n<li>Partecipare ad attivit\u00e0 comunitarie basate sull&#8217;arte<\/li>\n<li>Fare volontariato<\/li>\n<li>Creare o unirsi a un gruppo di persone che fa esercizio in pausa pranzo<\/li>\n<li>Passeggiare in un centro commerciale\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width:402px;\"><a href=\"\/File:Integrative_Exercises.png\" class=\"image\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/0\/08\/Integrative_Exercises.png\/400px-Integrative_Exercises.png\" decoding=\"async\" width=\"400\" height=\"235\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/0\/08\/Integrative_Exercises.png 1.5x\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Integrative_Exercises.png\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<p>Esercizi integrativi<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/li>\n<li>Creare o partecipare a un orto comunitario<\/li>\n<li>Seguire corsi per imparare un nuovo hobby o una nuova attivit\u00e0<\/li>\n<li>Unirsi a gruppi di auto-aiuto<\/li>\n<li>Iscriversi alle piattaforme di social media<\/li>\n<li>Assistere a eventi sportivi o spettacoli artistici locali<\/li>\n<li>Connettersi con la famiglia e gli amici di persona o tramite Zoom<\/li>\n<li>Giocare con gli animali domestici<\/li>\n<\/ol>\n<p><sup id=\"cite_ref-:1_7-1\" class=\"reference\"><a href=\"#cite_note-:1-7\">(7)<\/a><\/sup><sup id=\"cite_ref-:3_19-1\" class=\"reference\"><a href=\"#cite_note-:3-19\">(19)<\/a><\/sup><\/p>\n<h2><span class=\"mw-headline\" id=\"Outdoor_Natural_Environments\">Ambienti naturali all&#8217;aperto<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Lifestyle_Medicine,_Behavioural_Modification_and_Self_Care_for_Managing_Low_Back_Pain&amp;veaction=edit&amp;section=6\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Outdoor Natural Environments\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Lifestyle_Medicine,_Behavioural_Modification_and_Self_Care_for_Managing_Low_Back_Pain&amp;action=edit&amp;section=6\" title=\"Edit section: Outdoor Natural Environments\">fonte edit<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>L&#8217;attivit\u00e0 fisica o l&#8217;esercizio fisico eseguito in ambienti naturali all&#8217;aperto si chiama &#8220;green exercise&#8221; (esercizio verde). Le evidenze attuali sul green exercise mostrano benefici in tre aree: regolazione della risposta immunologica e fisiologica allo stress, stato psicologico e partecipazione a comportamenti che promuovono la salute.<sup id=\"cite_ref-:4_20-0\" class=\"reference\"><a href=\"#cite_note-:4-20\">(20)<\/a><\/sup><\/p>\n<p>Una revisione sistematica del 2011<sup id=\"cite_ref-:10_21-0\" class=\"reference\"><a href=\"#cite_note-:10-21\">(21)<\/a><\/sup> suggerisce che fare esercizio in ambienti naturali all&#8217;aperto produce una sensazione di maggiore energia, con una riduzione della tensione, della rabbia e della depressione riferiti dal paziente rispetto all&#8217;esecuzione degli stessi esercizi in ambienti chiusi. I partecipanti hanno riferito inoltre che l&#8217;esercizio all&#8217;aperto ha aumentato l&#8217;intenzione di ripetere le sessioni di esercizio.<sup id=\"cite_ref-:10_21-1\" class=\"reference\"><a href=\"#cite_note-:10-21\">(21)<\/a><\/sup><\/p>\n<p>Uno studio randomizzato controllato di Huber et al. del 2019<sup id=\"cite_ref-:4_20-1\" class=\"reference\"><a href=\"#cite_note-:4-20\">(20)<\/a><\/sup> ha esaminato l&#8217;effetto del green exercise sulla lombalgia cronica. I ricercatori hanno scoperto che una combinazione quotidiana di escursioni moderate in montagna e bagni termali per sei giorni ha mostrato miglioramenti significativi nel dolore, nella qualit\u00e0 della vita correlata alla salute e nel benessere mentale.<sup id=\"cite_ref-:4_20-2\" class=\"reference\"><a href=\"#cite_note-:4-20\">(20)<\/a><\/sup><\/p>\n<p>Uno studio del 2014<sup id=\"cite_ref-:11_22-0\" class=\"reference\"><a href=\"#cite_note-:11-22\">(22)<\/a><\/sup> ha esaminato l&#8217;effetto della terapia della luce (light therapy), prodotta da una scatola luminosa (light box), sulla lombalgia cronica. Questo intervento terapeutico si \u00e8 rivelato utile nel trattamento della depressione, come il disturbo disaffettivo stagionale. \u00c8 stato dimostrato che il dolore e la depressione hanno simili percorsi fisiopatologici e regioni cerebrali interessate. Lo studio ha rilevato che la terapia della luce \u00e8 in grado sia di migliorare i sintomi depressivi che di ridurre l&#8217;intensit\u00e0 soggettiva del dolore lombare, anche a piccole dosi.<sup id=\"cite_ref-:11_22-1\" class=\"reference\"><a href=\"#cite_note-:11-22\">(22)<\/a><\/sup> Questi risultati potrebbero essere riprodotti utilizzando una lightbox quando le stagioni o il tempo impediscono l&#8217;esercizio all&#8217;aperto. Quando ci si allena o si svolgono altre attivit\u00e0 all&#8217;aperto, la luce del mattino offre i maggiori benefici. Per ulteriori informazioni su questo argomento, si prega di leggere <a href=\"\/Sunlight,_Outdoor_Light,_and_Light_Therapy_in_Disease_Management\" title=\"Sunlight, Outdoor Light, and Light Therapy in Disease Management\">Luce solare, luce esterna e terapia della luce nella gestione delle malattie<\/a>.<\/p>\n<h2><span class=\"mw-headline\" id=\"Integrative_Lifestyle_Medicine_Treatment_Examples\">Esempi di trattamenti di medicina integrativa dello stile di vita<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Lifestyle_Medicine,_Behavioural_Modification_and_Self_Care_for_Managing_Low_Back_Pain&amp;veaction=edit&amp;section=7\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Integrative Lifestyle Medicine Treatment Examples\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Lifestyle_Medicine,_Behavioural_Modification_and_Self_Care_for_Managing_Low_Back_Pain&amp;action=edit&amp;section=7\" title=\"Edit section: Integrative Lifestyle Medicine Treatment Examples\">modifica fonte<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>La <b>poesia terapia<\/b> \u00e8 un intervento terapeutico aggiuntivo spesso utilizzato nei programmi per tossicodipendenza e alcolismo. Vi invitiamo a vedere questo TED talk sulla poesia terapia utilizzata con i detenuti.<\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 508px;\">\n<div class=\"embedvideo autoResize\" style=\"\">\n<div class=\"embedvideowrap\" style=\"width: 500px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/hwAIXkwncr0?\" width=\"500\" height=\"281\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-23\" class=\"reference\"><a href=\"#cite_note-23\">(23)<\/a><\/sup><\/p>\n<p>L&#8217;<b>arteterapia<\/b> \u00e8 un&#8217;altra terapia integrativa che pu\u00f2 essere utilizzata per la gestione dell&#8217;umore e dell&#8217;ansia. Vi preghiamo di guardare questo video di 9 minuti, un esempio di una sessione di arteterapia.<\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 508px;\">\n<div class=\"embedvideo autoResize\" style=\"\">\n<div class=\"embedvideowrap\" style=\"width: 500px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/9vTCWqgtMXU?\" width=\"500\" height=\"281\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-24\" class=\"reference\"><a href=\"#cite_note-24\">(24)<\/a><\/sup><\/p>\n<p>La <b>musicoterapia<\/b> \u00e8 un trattamento complementare che pu\u00f2 essere utile nella gestione del dolore cronico e dei comportamenti indesiderati ad esso associati. Vi preghiamo di guardare questo video che illustra i fondamenti della musicoterapia.<\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 508px;\">\n<div class=\"embedvideo autoResize\" style=\"\">\n<div class=\"embedvideowrap\" style=\"width: 500px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/kZeyGfCd1u0?\" width=\"500\" height=\"281\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-25\" class=\"reference\"><a href=\"#cite_note-25\">(25)<\/a><\/sup><\/p>\n<h2><span class=\"mw-headline\" id=\"Self_Care_and_Self_Management\">Cura di s\u00e9 e gestione di s\u00e9<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Lifestyle_Medicine,_Behavioural_Modification_and_Self_Care_for_Managing_Low_Back_Pain&amp;veaction=edit&amp;section=8\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Self Care and Self Management\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Lifestyle_Medicine,_Behavioural_Modification_and_Self_Care_for_Managing_Low_Back_Pain&amp;action=edit&amp;section=8\" title=\"Edit section: Self Care and Self Management\">modifica fonte<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>La cura di s\u00e9 da parte di un paziente pu\u00f2 essere utile per ottenere outcome di successo con un approccio multidisciplinare al trattamento del dolore.<sup id=\"cite_ref-:5_26-0\" class=\"reference\"><a href=\"#cite_note-:5-26\">(26)<\/a><\/sup> Uno studio pubblicato su Musculoskeletal Disorders nel 2018 ha rilevato che la maggior parte dei pazienti riteneva che la cura di s\u00e9 fosse efficace per il dolore muscolo-scheletrico, mentre gli operatori sanitari sostengono la cura di s\u00e9 da parte dei pazienti come un valore aggiunto alla gestione clinica qualificata, agendo come un placebo.<sup id=\"cite_ref-:5_26-1\" class=\"reference\"><a href=\"#cite_note-:5-26\">(26)<\/a><\/sup><\/p>\n<p>Una revisione sistematica del 2019<sup id=\"cite_ref-:12_27-0\" class=\"reference\"><a href=\"#cite_note-:12-27\">(27)<\/a><\/sup> pubblicata su Physiotherapy Theory and Practice ha rilevato che i fisioterapisti sono ben allineati per favorire l&#8217;autogestione delle cure nei pazienti con condizioni croniche. Il riconoscimento dell&#8217;autonomia e dell&#8217;umanit\u00e0 del paziente \u00e8 fondamentale per sostenere approcci di autogestione di successo.<sup id=\"cite_ref-:12_27-1\" class=\"reference\"><a href=\"#cite_note-:12-27\">(27)<\/a><\/sup><\/p>\n<p><i>Strategie di autogestione:<\/i><\/p>\n<ol>\n<li>Regolazione dell&#8217;attivit\u00e0<\/li>\n<li>Capacit\u00e0 di coping<\/li>\n<li>Capacit\u00e0 di impostazione ergonomica<\/li>\n<li>Programmazione degli esercizi<\/li>\n<li>Gestione delle riacutizzazioni<\/li>\n<li>Comportamenti di vita sani<\/li>\n<li>Linee guida per la protezione delle articolazioni<\/li>\n<li>Screening e rinvio per l&#8217;aspetto nutrizionale<\/li>\n<li>Gestione del dolore<\/li>\n<li>Capacit\u00e0 di problem solving<\/li>\n<li>Attivit\u00e0 di rilassamento<\/li>\n<li>Capacit\u00e0 di utilizzo delle risorse<\/li>\n<li>Capacit\u00e0 di auto-monitoraggio<\/li>\n<li>Capacit\u00e0 di auto-adattamento<\/li>\n<li>Igiene del sonno<\/li>\n<li>Gestione dello stress<\/li>\n<li>Gestione del tempo<\/li>\n<\/ol>\n<p><sup id=\"cite_ref-28\" class=\"reference\"><a href=\"#cite_note-28\">(28)<\/a><\/sup><sup id=\"cite_ref-29\" class=\"reference\"><a href=\"#cite_note-29\">(29)<\/a><\/sup><\/p>\n<h2><span class=\"mw-headline\" id=\"Resources\">Risorse<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Lifestyle_Medicine,_Behavioural_Modification_and_Self_Care_for_Managing_Low_Back_Pain&amp;veaction=edit&amp;section=9\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Resources\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Lifestyle_Medicine,_Behavioural_Modification_and_Self_Care_for_Managing_Low_Back_Pain&amp;action=edit&amp;section=9\" title=\"Edit section: Resources\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p><b>Test e misure<\/b> (utilizzabili gratuitamente):<\/p>\n<ul>\n<li><a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/iprc.iu.edu\/sbirtapp\/mi\/ruler.php\">Readiness Ruler<\/a>: una scala analogica visiva per valutare la volont\u00e0 di una persona a cambiare comportamento.<sup id=\"cite_ref-30\" class=\"reference\"><a href=\"#cite_note-30\">(30)<\/a><\/sup><\/li>\n<li><a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/casaa.unm.edu\/inst\/socratesv8.pdf\">The Stages of Change Readiness and Treatment Eagerness Scale<\/a> (SOCRATES): \u00e8 stata progettata per valutare la disponibilit\u00e0 al cambiamento nelle persone con dipendenza da alcol.<sup id=\"cite_ref-31\" class=\"reference\"><a href=\"#cite_note-31\">(31)<\/a><\/sup><\/li>\n<li><a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.aafp.org\/dam\/AAFP\/documents\/patient_care\/everyone_project\/hops19-physician-form-sdoh.pdf\">Social Needs Screening Tool<\/a>: un semplice questionario per determinare i bisogni sociali, dall&#8217;alloggio all&#8217;assistenza all&#8217;infanzia, alla sicurezza personale.<sup id=\"cite_ref-32\" class=\"reference\"><a href=\"#cite_note-32\">(32)<\/a><\/sup><\/li>\n<li><a rel=\"nofollow\" class=\"external text\" href=\"http:\/\/depts.washington.edu\/uwcssc\/sites\/default\/files\/\/Social%20Connectedness%20Scale-Revised.pdf\">The Social Connectedness Scale<\/a> (aggiornata): un&#8217;autovalutazione di come una persona si sente e crea connessioni durante le situazioni sociali.<sup id=\"cite_ref-33\" class=\"reference\"><a href=\"#cite_note-33\">(33)<\/a><\/sup><\/li>\n<li><a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/fetzer.org\/sites\/default\/fileshttps:\/\/www.physio-pedia.com\/images\/stories\/pdf\/selfmeasures\/Self_Measures_for_Loneliness_and_Interpersonal_Problems_UCLA_LONELINESS_REVISED.pdf\">UCLA Loneliness Scale<\/a> (aggiornata): un&#8217;autovalutazione dei sentimenti soggettivi di solitudine e di isolamento sociale di una persona.<sup id=\"cite_ref-34\" class=\"reference\"><a href=\"#cite_note-34\">(34)<\/a><\/sup><\/li>\n<li><a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/deploymentpsych.org\/system\/files\/member_resource\/MEQ.pdf\">Morningness-Eveningness Questionnaire<\/a> (MEQ): un&#8217;autovalutazione che aiuta a individuare il ritmo circadiano di una persona.<sup id=\"cite_ref-35\" class=\"reference\"><a href=\"#cite_note-35\">(35)<\/a><\/sup><\/li>\n<li><a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/med-fom-ubcsad.sites.olt.ubc.ca\/files\/2013\/11\/SPAQ-SAD.pdf\">Seasonal Pattern Assessment Questionnaire<\/a> (SPAQ): un&#8217;autovalutazione di come cambia il comportamento nelle diverse stagioni.<sup id=\"cite_ref-36\" class=\"reference\"><a href=\"#cite_note-36\">(36)<\/a><\/sup> <sup id=\"cite_ref-37\" class=\"reference\"><a href=\"#cite_note-37\">(37)<\/a><\/sup><sup id=\"cite_ref-38\" class=\"reference\"><a href=\"#cite_note-38\">(38)<\/a><\/sup><\/li>\n<\/ul>\n<p><b>Siti web delle organizzazioni utili:<\/b><\/p>\n<ul>\n<li><a rel=\"nofollow\" class=\"external text\" href=\"http:\/\/www.aa.org\">Alcoholics Anonymous<\/a><\/li>\n<li><a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.asam.org\">American Society of Addiction Medicine<\/a><\/li>\n<li><a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.nccih.nih.gov\/health\/providers\/digest\/complementary-health-approaches-for-smoking-cessation-science?nav=govdcd\">National Center for Complementary and Integrative Health<\/a><\/li>\n<li><a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.niaaa.nih.gov\">National Institute on Alcohol Abuse and Alcoholism<\/a><\/li>\n<li><a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/nida.nih.gov\">National Institute on Drug Abuse<\/a><\/li>\n<li><a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/smokefree.gov\">Smokefree<\/a><\/li>\n<li><a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.sprc.org\/comprehensive-approach\/social-connectedness\">Suicide Prevention Resource Center<\/a><\/li>\n<li><a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.natureandforesttherapy.earth\/about\/the-science\">Association of Nature and Forest Therapy<\/a><\/li>\n<li>World Health Organization \u2013 <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.euro.who.int\/__data\/assets\/pdf_file\/0005\/321971\/Urban-green-spaces-and-health-review-evidence.pdf\">Urban Green Spaces and Health<\/a><\/li>\n<li><a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.chronobiology.ch\">Centre for Chronobiology<\/a><\/li>\n<li><a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/cet.org\">Center for Environmental Therapeutics<\/a><\/li>\n<li>Icahn School of Medicine at Mount Sinai &#8211; <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/icahn.mssm.edu\/research\/light-health\">Mount Sinai Light and Health Research Center<\/a><\/li>\n<li>National Institute of Mental Health &#8211; <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.nimh.nih.gov\/health\/publications\/seasonal-affective-disorder\">Seasonal Affective Disorder<\/a><\/li>\n<\/ul>\n<ul>\n<li><a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/sltbr.org\">Society for Light Treatment and Biological Rhythms<\/a><\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"References\">Citazioni<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Lifestyle_Medicine,_Behavioural_Modification_and_Self_Care_for_Managing_Low_Back_Pain&amp;veaction=edit&amp;section=10\" class=\"mw-editsection-visualeditor\" title=\"Edit section: References\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Lifestyle_Medicine,_Behavioural_Modification_and_Self_Care_for_Managing_Low_Back_Pain&amp;action=edit&amp;section=10\" title=\"Edit section: References\">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><\/span> <span class=\"reference-text\">Chou L, Cicuttini FM, Urquhart DM, Anthony SN, Sullivan K, Seneviwickrama M, Briggs AM, Wluka AE. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S1836955318300183\">People with low back pain perceive needs for non-biomedical services in workplace, financial, social and household domains: a systematic review.<\/a> Journal of physiotherapy. 2018 Apr 1;64(2):74-83.<\/span><\/li>\n<li id=\"cite_note-2\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-2\">\u2191<\/a><\/span> <span 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Seasonal Pattern Assessment Questionnaire (SPAQ) Bethesda, Md, USA: National Institute of Mental Health; 1984<\/span><\/li>\n<\/ol>\n<\/div>\n<p><!-- NewPP limit report Cached time: 20230313154411 Cache expiry: 0 Dynamic content: true Complications: () CPU time usage: 0.138 seconds Real time usage: 0.154 seconds Preprocessor visited node count: 542\/1000000 Post\u2010expand include size: 192\/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: 24798\/5000000 bytes --><br \/>\n<!-- Transclusion expansion time report (%,ms,calls,template) 100.00% 19.467 1 Special:Contributors\/Lifestyle_Medicine,_Behavioural_Modification_and_Self_Care_for_Managing_Low_Back_Pain 100.00% 19.467 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, Wanda van Niekerk, Lucinda hampton, Jess Bell e Aminat Abolade Contenuti 1 Introduzione 2 Modificazione del comportamento 2.1 Disturbo da dipendenza da sostanze 2.2 Cambiare i comportamenti di dipendenza 3 Connessione sociale 4 Ambienti naturali all&#8217;aperto [&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-5354","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages\/5354","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=5354"}],"version-history":[{"count":4,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages\/5354\/revisions"}],"predecessor-version":[{"id":5365,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages\/5354\/revisions\/5365"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/media?parent=5354"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}