Changes in functional outcomes following activity management training in individuals with chronic low back pain: associations with cognitive functions, body awareness, and fatigue
Pain Management, 2026 (ESCI, Scopus)
- Yayın Türü: Makale / Tam Makale
- Basım Tarihi: 2026
- Doi Numarası: 10.1080/17581869.2026.2748301
- Dergi Adı: Pain Management
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, CINAHL, EMBASE, MEDLINE, Health Research Premium Collection (ProQuest)
- Anahtar Kelimeler: activity pacing, Chronic low back pain, cognition, fatigue, functional performance
- Ankara Yıldırım Beyazıt Üniversitesi Adresli: Evet
Özet
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.