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Influencing Factors on the Stages of Change of Exercise in Patients with Low Back Pain

요통 환자의 운동행위 변화단계에 미치는 영향 요인

  • Received : 2014.09.26
  • Accepted : 2014.12.08
  • Published : 2014.12.31

Abstract

Purpose: The objective of this study was to analyze the factors affecting the stages of exercise behaviors changes of low back pain patients. Methods: The participants in this study were 220 low back pain patients who have been treated by therapeutic exercise or had the exercise treatment under the doctor's advice. The tools used for this study were the stages of exercise behavior change, intrinsic motivation questionnaires, and physical activity social support scale (PASS). Results: The group that did exercise (preparation stage, maintenance stage, action stage) was 75.9% but the group that did not exercise (precontemplation stage, contemplation stage) was 24.1%. Social supports from family members and friends and motivation affected the exercise behaviors changes. And 34.6% of the exercise behavior change can be explained by the social support (family, friend) and motivation. Conclusion: There were two recommendations for maintaining the exercise behaviors of low back pain patients based on theoretical background. First, we recommended more exercise programs which reinforce social supports from family and friend for constant exercise behaviors of low back pain patients. Second, more exercise programs for the low back pain patients who have similar health goals or problems were needed for motivating them to join the exercise programs.

Keywords

References

  1. Buckworth, J., Lee, R. E., Regan, G., Schneider, L. K., & Diclemente, C. C.(2007). Decomposing intrinsic and extrinsic motivation for exercise: Application to stages of motivational readiness. Psychology of Sport and Exercise, 8(4), 441-461. http://dx.doi.org/10.1016/j.psychsport.2006.06.007
  2. Choi, H. B.(2008). Influence of intrinsic motivation on exercise adherence and exercise addiction among the leisure sport participants. Unpublished master's thesis, Sejong University, Seoul.
  3. Daley, M. J., & Spinks, W. L.(2000). Exercise mobility and aging. Sports Medicine, 29(1), 1-12. https://doi.org/10.2165/00007256-200029010-00001
  4. Deyo, R. A., Watsh, N. E., Martin, D. C., Schoenfeld, L. S., & Ramamurthy, S.(1990). A controlled trial of transcutaneous electrical nerve stimulation(TENS) and exercise for chronic low back pain. New England Journal of Medicine, 322, 1627-1634. http://dx.doi.org/10.1056/nejm199006073222303
  5. Eyler, A. A., Brownson, R. C., Donatelle, R. J., King, A. C., Brown, D., & Sallis, J. F.(1999). Physical activity social support and middle-and older-aged minority women: Results from a US survey. Social Science & Medicine, 49, 781-789. http://dx.doi.org/10.1016/S0277-9536(99)00137-9
  6. Huh, J. Y., & Choi, H. H.(2008). Effects of perceived value and participant motivation on swimming adherence. The Korea Journal of Sports Science, 17(1), 235-246.
  7. Jeon, E. Y.(2013). Effects of the hand acupressure and lumbar strengthening exercise on women with lower back pain. Journal of East-West Nursing Research, 19(2), 63-70. http://dx.doi.org/10.14370/jewnr.2013.19.2.63
  8. Kim, D. H.(2008). Stages of change in exercise behavior and related factors in male office workers. Nursing Science, 20(2), 14-25.
  9. Kim, J. J.(2014). Effects of participation motivation on excercise adherence of golf participants. Continuing Education Leadership Study, 1(1), 61-73.
  10. Kim, M. L., & Song, K. Y.(2009). Changes of the level of physical self-efficacy, depression and stress of middle-aged men according to the stage of exercise change. The Korea Contents Society, 9(9), 393-402. https://doi.org/10.5392/JKCA.2009.9.9.393
  11. Kim, M. S.(2014). The role of self-efficacy, social support, and neighborhood environment in exercise behavior of middleaged women. Unpublished master's thesis, Ajou University, Suwon.
  12. Kim, S. O., & Lim, N, Y.(2009). The rehabilitation motive and social support perceived by spinal cord injury patients. Journal of Muscle Joint Health, 16(1), 66-79.
  13. Lee, H. S.(2011). Relation among intrinsic and extrinsic motivation, self efficacy, social support, continuous participating intention. The Korean Journal of Physical Education, 50(5), 309-323.
  14. Lee, J. G.(1997). A study on construction of exercise prediction model for the low back pain patients. Unpublished master's thesis, Yonsei University, Seoul.
  15. Lee, J. S., So, Y. S., Kim, M. J., Moon, S. J., Jang, S. D., & Kim, Y. J.(2011). Effect of the lumbar stabilization exercise on scoliosis, local muscle area, VAS and muscle function in female university students. Exercise Science, 20(1), 61-70. https://doi.org/10.15857/ksep.2011.20.1.61
  16. Lee, J. Y., Park, S. A., Kim, B. I., Yang, K. H., Ryu, J. S., Jeong, Y. S., et al.(2004). Epidemiology and health promotion. Seoul: Soomoonsa.
  17. Lee, K. E., & Choi, E. S.(1999). The depression in middle-aged women in Kwangwondo. Korean Journal of Women Health Nurse, 5(3), 96-108.
  18. Lee, M. O.(2013). Structural equation modeling on exercise adherence in middle-aged who engage regular exercise. Unpublished doctoral dissertation, Seoul National University, Seoul.
  19. Lee, S. C., & Lee, D. T.(2007). Effects of exercise therapy on lower back pain patients. The Official Journal of the Korean Association of Certified Exercise Professionals, 9(2), 69-78.
  20. Marcus, B. H., Rossi, J. S., Selby, V. C., Niaura, R. S., & Abrams, D. B.(1992). The stage of processes of exercise adoption and maintenance in a worksite sample. Health Psychology, 11 (6), 386-395. http://dx.doi.org/10.1037/0278-6133.11.6.386
  21. McAuley, E., Duncan, T., & Tammen, V. V.(1989). Psychometric properties of the intrinsic motivation inventory in a competitive sport setting: A confirmatory factor analysis. Research Quarterly for Exercise and Sport, 60(1), 48-58. http://dx.doi.org/10.1111/j.1365-2648.2007.04528.x
  22. Ministry of Health & Welfare.(2005). 2000 National health and nutrition examination survey results released. Retrieved August 31, 2014, from http://stat.mw.go.kr/front/statData/publicationView.jsp?menuId=47&bbsSeq=13&nttSeq=242&searchKey=&searchWord=&nPage=13&topSelect=
  23. Mun, C. I., & Rhim, Y. T.(2007). Psychological and physiological variables appreciation for adherence of exercise. Journal of Coaching Development, 9(4), 57-69.
  24. Mun, C. I., Yoo, J. I., & Jang, J. Y.(2011). The comparison of physical self-concept, exercise motivation, exercise emotion experience according to exercise behavior stage In swimming participants. Korea Society For Wellness, 6(2), 225-238.
  25. Nam, I. S.(2009). The effect of participation motivation and decision balance on sport commitment and exercise adherence intention of adult swimming participators. Journal of Leisure and Recreation Studies, 33(4), 113-125.
  26. Ryan, R. M., & Deci, E. L.(2000). Self-determination theory and the facilitation of intrinsic motivation, social development and well-being. American Psychologist, 55(1), 68-78. http://dx.doi.org/10.1037110003-066X.55.1.68 https://doi.org/10.1037/0003-066X.55.1.68
  27. Seo, G, S., & Lee, D. B.(2006). Factors effecting to the stage of change for exercise on the workers. Journal of Korean Society for Health Education and Promotion, 23(1), 63-75.
  28. Seol, S. K.(2007). The effects of combined exercise and creatine intake to pain intensity, pain unpleasantness and muscular power in low back pain patients. Unpublished master's thesis, DongShin University, Seoul.
  29. Shin, K. L., Sohn, Y. M.(2011). The effect of process of change and decision balance to exercise behaviors of adolescents. Korean Journal of Youth Studies, 18(9), 73-99.
  30. Statistics Korea.(2012). 2011 Herbal medicine use and health care consumption survey. Retrieved August 31, 2014, from http://kosis.kr/statHtml/statHtml.do?orgId=117&tblId=DT_11787_N015&vw_cd=&list_id=&scrId=&seqNo=&lang_mode=Ko&obj_var_id=&itm_ id=&conn_path=K1&path=

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