Darlow Ben, Perry Meredith, Dean Sarah, Mathieson Fiona, Baxter G David, Dowell Anthony
Department of Primary Health Care and General Practice, University of Otago, Wellington, New Zealand.
Center for Health, Activity, and Rehabilitation Research, School of Physiotherapy, University of Otago, Dunedin, New Zealand.
Arch Phys Med Rehabil. 2016 Feb;97(2):245-251.e7. doi: 10.1016/j.apmr.2015.09.020. Epub 2015 Oct 22.
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.
Qualitative inductive analysis of data collected via face-to-face semistructured interviews. Interviews were audio-recorded and transcribed verbatim.
Participants were purposively recruited from 1 region of New Zealand.
Persons with LBP (N=23), consisting of individuals with acute LBP (<6wk; n=12) and chronic LBP (>3mo; n=11).
Not applicable.
Themes that emerged from participant interview transcripts using analysis based on Interpretative Description.
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.
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.
分析腰痛（LBP）患者对运动和体育活动的态度与信念，并比较急性和慢性腰痛患者之间的这些信念。
通过面对面半结构化访谈收集的数据进行定性归纳分析。访谈进行录音并逐字转录。
从新西兰的1个地区有目的地招募参与者。
腰痛患者（N = 23），包括急性腰痛患者（<6周；n = 12）和慢性腰痛患者（>3个月；n = 11）。
不适用。
使用基于解释性描述的分析从参与者访谈记录中得出的主题。
急性和慢性腰痛患者使用相同的概念模型对体育活动和休息进行判断。对产生更多疼痛、组织损伤或功能障碍的担忧影响了大多数急性和慢性腰痛患者的体育活动判断。这些感知到的风险与感知到的益处相权衡，其中最重要的是心理或社会方面而非身体方面的益处。急性和慢性腰痛患者的判断取决于具体情况，并受疼痛的性质和持续时间、体育活动的类型、活动的重要性以及参与者以前的经验影响。以前未经历过背痛的急性疼痛患者通常表现出更多的不确定性，而慢性腰痛患者似乎已经形成了决定体育活动决策的认知规则。
探索影响体育活动和休息决策的感知风险、益处和背景因素，可能有助于临床医生理解急性和慢性腰痛患者的行为。临床医生通过提供对风险的明智评估和对潜在益处范围的解释，可能最好地支持患者参与体育活动。
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