A matter of choice: Should students self-select exercise for their nonspecific chronic low back pain? A controlled study.

J Am Coll Health

Faculty of Health Sciences, Department of Physical Therapy, The Neuromuscular & Human Performance Laboratory, Ariel University, Ariel, Israel.

Published: October 2023

AI Article Synopsis

  • The study aimed to investigate how choosing their own exercise-therapy (ET) impacts treatment adherence and outcomes for students with nonspecific chronic low back pain (NSCLBP).
  • Thirty-four students were split into a self-selected exercise group (SSE) and a pre-determined exercise group (PDE) for a four-week program, during which they logged their training and underwent assessments for disability and pain levels.
  • Results showed improvements in disability and pain for both groups, with the SSE group demonstrating a trend toward better adherence and greater improvements in pain outcomes compared to the PDE group, suggesting that autonomy in exercise choice may enhance treatment success.

Article Abstract

Objectives: To explore the effect of autonomy to choose exercise-therapy (ET) for nonspecific chronic low back pain (NSCLBP) on treatment adherence and clinical outcomes.

Participants: Forty-six students were recruited from Ariel University.

Methods: Every two gender-and-age-matched students were allocated to either self-selected exercise group (SSE) or pre-determined exercise group (PDE). Subjects completed 4-weeks exercise and filled a training-log. Oswestry disability-index (ODI) and numerical pain-rating scores (NPRS) were measured, as well as exercise quality-performance.

Results: ODI and NPRS improved in both groups, with no between-group differences. Exercise quality-performance was also similar between groups. A trend for better exercise-adherence was found in the SSE-group (75.3% vs 65.0% adherence,  = 0.08, effect size  = 0.59). Meaningful NPRS improvement was demonstrated in 54.5% of SSE-group participants compared with 33.3% in the PDE-group.

Conclusions: Autonomy may serve as a factor to enhance treatment adherence and clinical outcomes of ET for NSCLBP among students.

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Source
http://dx.doi.org/10.1080/07448481.2021.1960845DOI Listing

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