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

To explore the effect of autonomy to choose exercise-therapy (ET) for nonspecific chronic low back pain (NSCLBP) on treatment adherence and clinical outcomes. Forty-six students were recruited from Ariel University. Every two gender-and-age-matched students were allocated to either self-selected exe...

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Bibliographic Details
Published in:Journal of American college health 2023-09, Vol.71 (7), p.2099-2105
Main Authors: Levi, Yhonatan, Gottlieb, Uri, Shavit, Ron, Springer, Shmuel
Format: Article
Language:English
Subjects:
Adherence
Autonomy
Back pain
Chronic back pain
Chronic Illness
Chronic low back pain
Clinical outcomes
College Students
Compliance (Psychology)
Exercise
Exercise therapy
Foreign Countries
Intervention
Pain
Pain management
Program Effectiveness
Therapy
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Summary:To explore the effect of autonomy to choose exercise-therapy (ET) for nonspecific chronic low back pain (NSCLBP) on treatment adherence and clinical outcomes. Forty-six students were recruited from Ariel University. 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. 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, p = 0.08, effect size d = 0.59). Meaningful NPRS improvement was demonstrated in 54.5% of SSE-group participants compared with 33.3% in the PDE-group. Autonomy may serve as a factor to enhance treatment adherence and clinical outcomes of ET for NSCLBP among students.
ISSN:0744-8481
1940-3208
DOI:10.1080/07448481.2021.1960845