Article

Our objective was to explore, describe and understand volition of
chronic low back pain (LBP) patients, highlighting barriers and facilitators to
practicing regular physical activity in order to develop a questionnaire
assessing those volitional competencies. METHODS:
A content analysis of
semi-structured interviews with 30 chronic LBP patients was performed.
Participants were asked about their pain, motivation, physical abilities,
barriers and facilitators to regular exercises and finally strategies implemented
to achieve the exercise program. RESULTS: Patients often reported that they were
motivated and that exercises had no negative effects on LBP. Many patients
recognized having difficulties performing all their exercises regularly. The main
barriers were: lack of time, fatigue, lack of visible results, pain and other
daily priorities. The main facilitators were: group exercise, help from the
therapist, strategic planning, favorable environment, pleasure associated with
exercises, fear of pain recurrence and pain itself. CONCLUSION: Content analysis
showed that sharing stories allowed patients to express their experience of LBP
in their own words. It provides a solid ground to develop a questionnaire
assessing volitional competencies in chronic LBP patients in order to identify
patients who will not realize their exercises and help them be (more) active and
avoid chronicity.
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Langue : ANGLAIS