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Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation
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Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation

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Illness perceptions; exploring mediators and/or moderators in disabling persistent low back pain. Multiple baseline

E J Edwin de Raaij1,2, H Harriet Wittink3, J F Francois Maissan3

  • 1Research Group Lifestyle and Health, University of Applied Sciences Utrecht, Heidelberglaan 7, 3584, CS, Utrecht, The Netherlands. edwin.deraaij@hu.nl.

BMC Musculoskeletal Disorders
|February 12, 2022
PubMed
Summary

Illness Perceptions (IPs) influence physiotherapy for persistent low back pain. Personal control IPs moderate outcomes, showing significant improvements in pain and function.

Keywords:
Illness perceptionsLow back painMediationModerationPhysiotherapySCED-study

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Area of Science:

  • Physiotherapy
  • Psychology
  • Pain Management

Background:

  • Illness Perceptions (IPs) are crucial in managing persistent low back pain.
  • The specific impact of IPs on physiotherapy outcomes remains unclear.

Purpose of the Study:

  • To investigate the mediating and moderating effects of Illness Perceptions on physiotherapy outcomes for persistent low back pain.

Main Methods:

  • A multiple single-case experimental design (A-B-A' phases) with 3-month follow-up.
  • Intervention involved matched care physiotherapy.
  • Primary outcomes included pain intensity, physical functioning, and daily life interference, analyzed via linear mixed models.

Main Results:

  • Illness Perceptions (Consequences, Personal control, Identity, Concern, Emotional response) mediated all primary outcomes.
  • Personal control IPs moderated outcomes, correlating with clinically relevant improvements at 3-month follow-up.

Conclusions:

  • Certain Illness Perceptions mediate or moderate physiotherapy treatment outcomes for persistent low back pain.
  • Assessing 'Personal control' at baseline may predict physiotherapy success and warrants further investigation.