Natoli Andrew R, Jones Matthew D, Walker Emily D, Gibbs Mitchell T
Faculty of Medicine & Health, School of Health Sciences, UNSW Sydney, Sydney, Australia.
Centre for Pain IMPACT, Neuroscience Research Australia, Sydney, Australia.
Disabil Rehabil. 2025 Jun;47(11):2760-2769. doi: 10.1080/09638288.2024.2400592. Epub 2024 Sep 12.
Traditionally, a specific "core" exercise focus has been favoured for chronic low back pain (CLBP) which contrasts holistic exercise approaches. This study aims to explore the perceptions of exercise in people with CLBP and whether exercise itself can convey implicit messages regarding its use in CLBP management in the absence of a clinical narrative.
Participants were asked about their CLBP history, views of exercise for CLBP, and current exercise behaviours through online semi-structured interviews. Then, participants watched the interviewer perform the deadlift, Jefferson curl, and bird dog and were asked if they thought each individual exercise was beneficial for CLBP, and why. Data were analysed using reflexive thematic analysis through a critical realism and social constructivism lens.
All participants ( = 16) viewed all exercises as beneficial for health and pain relief, but perceived efficacy varied. "Core" exercises were deemed crucial for CLBP relief, while spinal flexion and external load were often perceived as potentially injurious. Distrust towards healthcare practitioners also influenced exercise perceptions.
People with CLBP perceive different exercises to either relieve pain or improve health. Healthcare practitioners can influence these perceptions, highlighting the need for consideration of exercise perceptions in clinical contexts.
传统上，针对慢性下腰痛（CLBP）倾向于采用特定的“核心”锻炼方式，这与整体锻炼方法形成对比。本研究旨在探讨CLBP患者对锻炼的看法，以及在没有临床叙述的情况下，锻炼本身是否能传达有关其在CLBP管理中应用的隐含信息。
通过在线半结构化访谈，询问参与者的CLBP病史、对CLBP锻炼的看法以及当前的锻炼行为。然后，让参与者观看访谈者进行硬拉、杰斐逊卷腹和鸟狗式动作，并询问他们是否认为每个单独的动作对CLBP有益以及原因。通过批判实在论和社会建构主义视角，使用反思性主题分析法对数据进行分析。
所有参与者（n = 16）都认为所有锻炼对健康和缓解疼痛有益，但感知到的效果各不相同。“核心”锻炼被认为对缓解CLBP至关重要，而脊柱前屈和外部负荷通常被认为可能有害。对医疗从业者的不信任也影响了对锻炼的看法。
CLBP患者认为不同的锻炼方式要么能缓解疼痛，要么能改善健康。医疗从业者可以影响这些看法，这凸显了在临床环境中考虑锻炼看法的必要性。
