Department of Physiotherapy, La Trobe University, Melbourne, Victoria, Australia.
J Rehabil Med. 2012 Sep;44(9):781-7. doi: 10.2340/16501977-1019.
Low recovery expectations have been identified as a strong and consistent predictor of poor outcome in non-chronic non-specific low back pain (NSLBP). The aim of this study was to explore how people determine their own recovery expectation during an episode of non-chronic NSLBP.
In-depth interviews were conducted with a purposive sample of people with non-chronic NSLBP and low recovery expectations. Interviews were audio--recorded and transcribed verbatim. Two researchers independently applied open coding, followed by axial coding to allow themes to emerge from the data using a constant comparison method.
The central theme of the person and 4 subthemes of pain, progress, performance, and treatment emerged from the data. The formation of recovery expectations was dependent on the person's unique apprasial of their pain, how the condition had progressed, the limitation of their performance of activities, and the impact of different aspects of treatment.
Recovery expectation is a person's appraisal of several factors to determine when they are likely to return to their usual activities during an episode of non-chronic NSLBP. Health professionals should explore the person's perception of these factors as part of a tailored intervention to prevent non-chronic NSLBP progressing to chronic NSLBP.
低恢复预期已被确定为非慢性非特异性下腰痛（NSLBP）不良结局的一个强有力且一致的预测因素。本研究旨在探讨人们在非慢性 NSLBP 发作期间如何确定自己的恢复预期。
对具有非慢性 NSLBP 和低恢复预期的人群进行了有针对性的深入访谈。访谈进行了录音，并逐字转录。两位研究人员分别应用开放式编码，然后进行轴向编码，使用恒比方法从数据中提取主题。
数据中出现了主题“人”和 4 个子主题“疼痛”、“进展”、“表现”和“治疗”。恢复预期的形成取决于个人对疼痛的独特评估、病情的进展、活动表现的限制以及治疗各个方面的影响。
恢复预期是个人对几种因素的评估，以确定他们在非慢性 NSLBP 发作期间何时可能恢复到正常活动。医疗保健专业人员应探讨个人对这些因素的看法，作为预防非慢性 NSLBP 进展为慢性 NSLBP 的个体化干预措施的一部分。
