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. 2016 May 18;4(2):28.
doi: 10.3390/healthcare4020028.

Person-Centered, Physical Activity for Patients with Low Back Pain: Piloting Service Delivery

Saul Bloxham  1 , Phil Barter  2 , Slafka Scragg  3 , Charles Peers  4 , Ben Jane  5 , Joe Layden  6
Affiliations

Person-Centered, Physical Activity for Patients with Low Back Pain: Piloting Service Delivery

Saul Bloxham et al. Healthcare (Basel). .

Abstract

Low back pain (LBP) is one of the most common and costly conditions in industrialized countries. Exercise therapy has been used to treat LBP, although typically using only one mode of exercise. This paper describes the method and initial findings of a person-centered, group physical activity programme which featured as part of a multidisciplinary approach to treating LBP. Six participants (aged 50.7 ± 17 years) completed a six-week physical activity programme lasting two hours per week. A multicomponent approach to physical activity was adopted which included aerobic fitness, core activation, muscular strength and endurance, Nordic Walking, flexibility and exercise gaming. In addition, participants were required to use diary sheets to record physical activity completed at home. Results revealed significant (p < 0.05) improvements in back strength (23%), aerobic fitness (23%), negative wellbeing (32%) and disability (16%). Person's Correlation Coefficient analysis revealed significant (p < 0.05) relationships between improvement in perceived pain and aerobic fitness (r = 0.93). It was concluded that a person-centered, multicomponent approach to physical activity may be optimal for supporting patients who self-manage LBP.

Keywords: disability; low back pain; physical activity; physical fitness; self-management; well-being.

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Figures

Figure 1
Figure 1
Mean Adapted Faces Pain Scale ratings from day one to day thirty five.
Figure 2
Figure 2
Daily mean step count of the group.
See this image and copyright information in PMC

References

    1. National Health Service (NHS) Backcare Awareness Week. [(accessed on 16 October 2014)]. Available online: http://www.nhscareers.nhs.uk/features/2012/october/
    1. Ricci J.A., Stewart W.F., Chee E., Leotta C., Foley K., Hochberg M.C. Back pain exacerbations and lost productive time costs in United States workers. Spine. 2006;26:3052–3060. doi: 10.1097/01.brs.0000249521.61813.aa. - DOI - PubMed
    1. Van Tulder M., Malmivaara A., Esmail R., Koes B. Exercise therapy for low back pain: A systematic review within the framework of the cochrane collaboration back review group. Spine. 2000;21:2784–2796. doi: 10.1097/00007632-200011010-00011. - DOI - PubMed
    1. Chan C.W., Mok N.W., Yeung E.W. Aerobic exercise training in addition to conventional physiotherapy for chronic low back pain: A randomized controlled trial. Arch. Phys. Med. Rehabil. 2011;10:1681–1685. doi: 10.1016/j.apmr.2011.05.003. - DOI - PubMed
    1. Ebadi S., Ansari N.N., Naghdi S., Fallah E., Barzi D.M., Jalaei S. A study of therapeutic ultrasound and exercise treatment for muscle fatigue in patients with chronic non specific low back pain: A preliminary report. J. Back Musculoskelet. Rehabil. 2013;2:221–226. - PubMed

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