Contexts, behavioural mechanisms and outcomes to optimise therapeutic exercise prescription for persistent low back pain: a realist review

Review written by Dr Sarah Haag info

Key Points

  1. Chronic low back pain is a complex issue that is challenging to treat.
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BACKGROUND & OBJECTIVE

Therapeutic exercises are often recommended as an intervention for low back pain (LBP), yet researchers have struggled to identify a superior choice in exercise interventions.

This realist review aimed to discover how therapeutic exercise prescription creates change in outcomes of adherence, engagement and clinical outcomes for patients with persistent LBP. The authors also aimed to identify key behavioral mechanisms of exercise prescription and the contexts where exercise prescriptions are optimized.

Therapeutic exercises are often recommended as an intervention for low back pain, yet researchers have struggled to identify a superior choice in exercise interventions.
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Identifying trust, motivation, and confidence as key mediators in improving outcomes is an exciting step forward for treating people with chronic low back pain.

METHODS

  • For this article, the authors used a realist review. A realist review is completed in five stages, including articulating key theories, searching for relevant evidence, appraising quality of evidence, extracting the data, and synthesizing the evidence.
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