“I could 100% see myself getting hurt if I did it wrong”: a qualitative exploration of exercise perceptions in people with chronic low back pain

Review written by Ben Cormack info

Key Points

  1. Exercises are not neutral; they can have inherent meaning such as danger.
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BACKGROUND & OBJECTIVE

A common, guideline concordant treatment for chronic low back pain (CLBP) is exercise. Different types of exercises have been explored using quantitative methods to determine efficacy (1) but less so from a qualitative perspective that seeks to understand patient perceptions of specific exercises.

This paper looked to explore how people perceive different types of exercise; specific (‘core centred’/traditional) or general exercises, and their components (e.g. loaded/unloaded, spinal flexion/extension, etc.) influence beliefs and the extent that these exercises may portray an implicit message to people with CLBP.

The aim of the study was to understand the relationship between exercise perceptions, beliefs, and pain experiences in order to better inform patient-centred interventions for CLBP.

A common, guideline concordant treatment for chronic low back pain is exercise.
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Making sure we help people understand why they are doing something and how It can help is an important step in the process.

METHODS

This study recruited people aged 18 years or older with self-reported low back pain (at the lumbosacral region) for over three months. They employed critical realism, an ontology suggesting there is an objective truth to reality we can explore. They

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