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Updated: Jun 12, 2026

Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation
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Published on: December 13, 2024

Self-management and chronic low back pain: a qualitative study.

Marie Crowe1, Lisa Whitehead, Mary Jo Gagan

  • 1Centre for Postgraduate Nursing, University of Otago, Christchurch, New Zealand. marie.crowe@otago.ac.nz

Journal of Advanced Nursing
|May 25, 2010
PubMed
Summary

People with chronic low back pain use self-management strategies like medication and exercise. Healthcare professionals, mainly physiotherapists, guide these self-care approaches for pain relief and management.

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Area of Science:

  • Rehabilitation Medicine
  • Pain Management
  • Health Psychology

Background:

  • Chronic low back pain (CLBP) presents complex challenges in treatment and management.
  • CLBP leads to significant physical disability, psychosocial disruption, and increased healthcare utilization.
  • Self-management strategies are widely recommended as the optimal treatment approach for CLBP.

Purpose of the Study:

  • To investigate the self-management strategies employed by individuals with CLBP.
  • To understand healthcare professionals' perceptions of their role in facilitating patient self-management.

Main Methods:

  • Qualitative analysis of semi-structured interviews with 64 individuals with CLBP and 22 nominated healthcare professionals.
  • Interviews conducted in 2008, focusing on self-management strategies and professional roles.
  • Content analysis used for data interpretation.

Main Results:

  • Common self-management strategies for CLBP include medication, exercise, and heat application.
  • Physiotherapists primarily recommended exercises, especially for core strength.
  • General practitioners focused on pain medication, sickness certificates, and specialist referrals.

Conclusions:

  • Individuals with CLBP actively develop self-management strategies for symptom relief and exacerbation prevention.
  • Effective self-management integrates personal experiences with professional guidance.
  • A collaborative approach between patients and healthcare providers enhances self-management for CLBP.