Pain management · 2026
Changes in functional outcomes following activity management training in individuals with chronic low back pain: associations with cognitive functions, body awareness, and fatigue.
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Şahan Nilay, Türkmen Ceyhun, Arslan Tuğba, Sığırtmaç İlkem Ceren, Yazıcı Gülay Meltem
Аннотация
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.
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.