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Updated: Aug 10, 2026
Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation
Published on: December 13, 2024
Preventing chronic back pain: evaluation of a theory-based cognitive-behavioural training programme for patients with
Wiebke Göhner1, Wolfgang Schlicht
1University of Freiburg, Department of Sport and Sport Sciences, Schwarzwaldstr. 175, 79117 Freiburg, Germany. wiebke.goehner@sport.uni-freiburg.de
Objective:
For long-term treatment effects, patients with subacute back pain need to adhere to treatment recommendations beyond the prescribed exercise treatment. Adherence rates are as low as 30%, so we developed a cognitive-behavioural training programme to enhance patients' self-efficacy, maximise severity perceptions and reduce barrier perceptions.
Method:
A 2 x 4 (group x time) repeated measurement design was applied. Forty-seven patients with non-specific, subacute back pain were randomly assigned to a training group (exercise treatment plus cognitive-behavioural training programme) or a control group (exercise treatment only).
Results:
Repeated measures ANOVA revealed significant main and interaction effects; the training group reported enhanced self-efficacy and severity perceptions, reduced barrier perceptions, and self-reported that they exercised more often than the control group over time. However, no group differences regarding pain intensity emerged.
Conclusion:
Our findings demonstrate that a short and inexpensive cognitive-behavioural training programme is an effective tool to enable back pain patients to follow treatment recommendations on a regular basis.
Practice Implications:
The short and simple intervention can easily be conducted by personnel, other than psychologists, i.e., physiotherapists.
