Session number | 1 | 2 | 3 | 4 | 5 | 6 |
---|---|---|---|---|---|---|
Assessment | ||||||
āHistory taking including current problems and eliciting beliefs on LBP and activity | ||||||
āCollaborative goal setting with plan to start activity goal | ||||||
āExercises chosen collaboratively from options with level negotiated | ||||||
āExercises practised and progression discussed | ||||||
Understanding pain | ā | |||||
āGroup activity to demonstrate hurt does not equal harm | ||||||
āCurrent thinking on causes of long-term pain explained | ||||||
āDiscussion on groups experience of alternative treatments for LBP with reference to research evidence and need to self manage | ||||||
Benefits of exercise | ā | |||||
āDiscussion of physical impact of inactivity or altered activity and how changes impact on pain (disuse syndrome) | ||||||
āDiscussion on effects of activity/exercise | ||||||
āIntroduction to LBP model | ||||||
Pain fluctuations | ā | |||||
āOveractivity/underactivity cycle explained | ||||||
āUse of pacing | ||||||
āGroup problem solving for a specific task that tends to be āoverdoneā e.g. gardening | ||||||
Working out starting point for exercises or activities | ā | |||||
āHow to use baseline setting | ||||||
How to set goals | ā | |||||
āSMART system used to break down an example goal | ||||||
āFeedback from group on how progressing with goals from assessment | ||||||
āGroup problem-solving problems with goals | ||||||
Unhelpful thoughts and feelings | ā | |||||
āStyles of unhelpful thinking discussed, including catastrophising | ||||||
āLink with unhelpful behaviours | ||||||
āIdentifying unhelpful thoughts | ||||||
āGroup problem-solving for challenging unhelpful thoughts | ||||||
Restarting activities or hobbies | ā | |||||
āDiscussion on activities commonly avoided in LBP | ||||||
āFear avoidance cycle | ||||||
āGroup problem-solving out of cycle | ||||||
āDevelopment of specific goals relating to restarting activities | ||||||
When pain worries us | ā | |||||
āEffect of attention to pain explored through group activity | ||||||
āHypervigilance cycle used to link unhelpful thoughts and behaviours | ||||||
āGroup problem-solving out of cycle | ||||||
āDiscussion on the use of medication/distraction/alternating activities | ||||||
Coping with flare-ups | ā | |||||
āDiscussion on causes of flare-ups | ||||||
āPlan of what to do in and out of flare-ups | ||||||
āRevision of topics over previous sessions and questions |