Related Experiment Video
Updated: Oct 16, 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
Changes in functional outcomes following activity management training in individuals with chronic low back pain:
Nilay Şahan1, Ceyhun Türkmen1, Tuğba Arslan2
1Department of Occupational Therapy, Faculty of Health Sciences, Çankırı Karatekin University, Çankırı, Türkiye.
Aims:
This study investigated changes in activity patterns, cognitive functions, and fatigue following activity management training in individuals with chronic low back pain (CLBP).
Patients And Methods:
Thirty-four individuals with CLBP completed a six-week training program covering ergonomics, pacing, energy conservation, and relaxation. Assessments included the Canadian Occupational Performance Measure (COPM), Body Awareness Questionnaire, Patterns of Activity Measure-Pain, Cognitive Failures Questionnaire (CFQ), Fatigue Severity Scale, Stroop Test, and selected Loewenstein Occupational Therapy Cognitive Assessment (LOTCA) subtests.
Results:
Significant improvements were observed in COPM performance and satisfaction (p < 0.001). Body awareness and adaptive activity regulation behaviors increased, while pain-related avoidance behaviors decreased (p < 0.05). Cognitive performance also improved, as indicated by lower CFQ scores and better performance on selected Stroop and LOTCA measures (p < 0.05). Fatigue severity did not change significantly (p > 0.05). Regression models were significant for activity performance (R2 = 0.366, p = 0.008) and satisfaction (R2 = 0.347, p = 0.013). Body awareness and visuomotor organization were associated with activity performance, while fatigue was associated with activity satisfaction (p < 0.05). .
Conclusions:
Activity management training may be considered a supportive approach for addressing activity-related difficulties in individuals with chronic low back pain.
Clinicaltrials.Gov Identifier:
www.clinicaltrials.gov identifier is NCT07061743.
