Article

OBJECTIVE: To analyze attitudes and beliefs about movement and physical activity
in people with low back pain (LBP) and compare these beliefs between people with
acute and chronic LBP.
DESIGN: Qualitative inductive analysis of data collected
via face-to-face semistructured interviews. Interviews were audio-recorded and
transcribed verbatim. SETTING: Participants were purposively recruited from 1
region of New Zealand. PARTICIPANTS: Persons with LBP (N=23), consisting of
individuals with acute LBP (<6wk; n=12) and chronic LBP (>3mo; n=11).
INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURE: Themes that emerged from
participant interview transcripts using analysis based on Interpretative
Description. RESULTS: Participants with acute and chronic LBP made judgments
about physical activity and rest using the same conceptual model. Concerns about
creating more pain, tissue damage, or impairment influenced the physical activity
judgments of most participants with acute and chronic LBP. These perceived risks
were balanced against the perceived benefits, the most important of which were
psychological or social rather than physical. Judgments made by those with acute
and chronic LBP were context dependent and influenced by the nature and duration
of pain, the type of physical activity, the importance of the activity, and the
participant's previous experience. Participants with acute pain who had not
experienced back pain previously often expressed more uncertainty, whereas those
with chronic LBP appeared to have developed cognitive rules that determined
physical activity decisions. CONCLUSIONS: Exploring the perceived risks,
benefits, and contextual factors that influence decisions about physical activity
and rest may help clinicians to understand the behavior of patients with acute
and chronic LBP. Clinicians may best support their patients to engage in physical
activity by providing an informed assessment of risks and an explanation about
the range of potential benefits.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS