Participants will also receive gait training and ongoing advice about returning to usual work and leisure activities.
A review identified most of the barriers that limit the return to usual activities, including work, in the presence of persistent low back pain[ 40].
Current guidelines for managing LBP in primary care were discussed, including appropriate reassurance and explanation of back pain symptoms, advice about analgesia, the maintenance of, or return to, usual activities (including work) and patients who present a clinical or management concern (e.g. those with signs of potential serious pathology or red flags or significant radicular symptoms).
Current guidelines for managing LBP in primary care will be discussed, including appropriate reassurance and advice about analgesia, the maintenance of, or return to, usual activities (including work) and patients who present a clinical or management concern (e.g. those with signs of potential serious pathology or red flags).
Patients give highest priority to positive mental health (optimism, vigour and self-confidence) followed by feeling normal, a return to usual levels of functioning at work or at home, feeling in emotional control, participating in and enjoying relationships with family and friends and, finally, the absence of depressive symptoms [ 9].
The study of the relationship between a longer absence from work and a weaker probability of return to usual activities has shown reproducible results.
However, information can be a double-edged sword since contradictory or poor quality information can work against the patient's wellbeing and slow down the return to usual activities[ 31].
Advice and support in returning to usual activities, sleep and work will be provided, when indicated, for example, support in developing and implementing a return to work plan.
There is a high level of evidence supporting the influence of certain clinical, psychosocial and work-related factors in the probability of returning to usual activities[ 2].
