The role of self-efficacy, pain catastrophizing, and fear of movement on chronic pain adjustment of rheumatoid arthritis patients

Background and objective: According to high prevalence of nonspecific chronic low back pain and its consequences on daily activities and lifestyle, it seems to be effective to treat and prevent injury by studying about new approaches and physical therapy. However, the most effective method for performing the exercise therapy has not been identified so far. The main purpose of this study was to compare the effects of stability training alone and combination with pain education on pain and function and proprioception in patients with non-specific chronic low back pain. Methods: current study method was semi experimental. Fourty five women with non-specific chronic low back pain were divided in to 3 groups, stability training with pain education (n=15), stability training without pain education (n=15) and control (n=15). The training groups completed training 3 times a week for 6 weeks; training lasted 45 min in each session. pain, disability and lumbopelvic proprioception respectively were measured by using visual analogue scale, the Oswestry questionnaire and universal goniometer. In order to analyze the within group differences, paired sample T-test was used and, to check the between group differences, one-way analysis of variance (ANOVA) test was applied in SPSS version 20 (α≤0.05). Results: Both training interventions was affective on pain, disability, and lumbopelvic proprioception. Also, there was significant between-group difference in two experimental groups on the dependent variables, while, differences in the control group was not significant. Conclusion: Findings revealed that both (stability training alone and combination with pain edication) groups has improvement in reducing pain, disability, and lumbopelvic propriception. Regarding the improvement of the measured variables in the two training groups, it is suggested that a combination of these exercises be used in the treatment of patients with non-specific chronic low back pain in future.