Boutevillain Laura, Dupeyron Arnaud, Rouch Caroline, Richard Emilie, Coudeyre Emmanuel
Service de Médecine Physique et de Réadaptation, Centre Hospitalier Universitaire, Clermont-Ferrand, France.
INRA, Université Clermont Auvergne, Clermont-Ferrand, France.
PLoS One. 2017 Jul 25;12(7):e0179826. doi: 10.1371/journal.pone.0179826. eCollection 2017.
For medical teams, one of the main objectives of rehabilitation for people with chronic low back pain is adherence to physical activity (PA).
The objective of this study was to identify PA barriers and facilitators in this population.
This qualitative study included 4 discussion groups and 16 semi-structured interviews conducted among people with non-specific chronic low back pain who were involved in a specific rehabilitation program or seen in primary care settings.
Three main themes were identified: physical factors, psychological factors and socio-environmental factors. The main barrier to PA practice is pain. Psychological barriers were associated with the difficulty in integrating PA in the person's daily life. Environmental barriers were dominated by lack of time. Facilitators identified associated the supervised nature of the physical activity (supervision by professionals) and group practice, which improved people's adherence.
The results of this study will allow teams to target relevant educational objectives for these people and develop dedicated self-management programs.
对于医疗团队而言，慢性腰痛患者康复的主要目标之一是坚持体育活动（PA）。
本研究的目的是确定该人群体育活动的障碍和促进因素。
这项定性研究包括对参与特定康复计划或在初级保健机构就诊的非特异性慢性腰痛患者进行4个讨论组和16次半结构化访谈。
确定了三个主要主题：身体因素、心理因素和社会环境因素。体育活动实践的主要障碍是疼痛。心理障碍与将体育活动融入个人日常生活的困难有关。环境障碍主要是时间不足。确定的促进因素与体育活动的监督性质（专业人员监督）和团体实践有关，这提高了人们的依从性。
本研究结果将使医疗团队能够针对这些人群制定相关教育目标，并制定专门的自我管理计划。
