Behavioral Scientific Studies on Physical Therapy in Low Back Pain Patients

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  • 腰痛症患者に対する理学療法の行動科学的研究

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The purpose of this study was to examine the relationship between compliance behaviors of patients with low back pain in the low back pain school and their psycho-social profile or behavioral characters. The subjects were 52 patients in the low back pain school. Using six psycho-social behavior scales, i.e. ‘fragile sensation of diseases in general’, ‘preference of health behavior to living one’, ‘positive countermeasure’, ‘emotional support network’, ‘health norm’ and ‘pain sensitivity’, we examined these subjects for behavioral characters and also. using ‘compliance behavior’ scales, for compliance to the instructive contents indicated by the low back pain school. The multiple regression analysis was performed with these six psycho-social behavior scales as objective and explanatory variables, respectively. As a result, behavioral characters of patients with low back pain proved to have a strong influence on the practice of their compliance behaviors (R2 = 0.82, p < 0.001). Calculation of standard partial regression coefficient revealed ‘preference of health behavior’ (β = 0.346, p < 0.01), ‘emotional support’ (β = 0.306, p < 0.01) and ‘health norm’ (β = 0.225, p < 0.001) to have positive influences on the practice of their compliance behaviors as objective variable and ‘pain sensitivity’ (β = 0.247, p < 0.001) to have negative influence thereon. The above results suggested that effective low back pain school education required having a good understanding not only about the physical profile of patients with low back pain, but also about their behavioral characters in psycho-social aspect.

Journal

  • Physical Therapy Japan

    Physical Therapy Japan 20 (5), 317-324, 1993-09-01

    Japanese Society of Physical Therapy

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