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BioMed Research International
Volume 2017, Article ID 6925079, 9 pages
Research Article

Barriers to Physical Activity in Low Back Pain Patients following Rehabilitation: A Secondary Analysis of a Randomized Controlled Trial

1Institute of Health Promotion and Clinical Movement Science, German Sport University Cologne, Am Sportpark Muengersdorf 6, 50933 Cologne, Germany
2IST-Hochschule University of Applied Sciences, Erkrather Str. 220 a-c, 40233 Duesseldorf, Germany
3Department of Epidemiology and International Public Health, Bielefeld School of Public Health (BiSPH), Bielefeld University, Bielefeld, Germany
4FH Münster-University of Applied Sciences, Münster School of Health, Münster, Germany
5Institute of Medical Informatics, Biometry and Epidemiology, University Hospital Essen, 45147 Essen, Germany
6StatBeCe, Centre for Statistics, Bielefeld University, Bielefeld, Germany

Correspondence should be addressed to Andrea Schaller; ed.nleok-shsd@rellahcs.a

Received 16 May 2017; Revised 6 September 2017; Accepted 13 September 2017; Published 25 October 2017

Academic Editor: Emmanuel G. Ciolac

Copyright © 2017 Andrea Schaller et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background. Promoting health-enhancing physical activity following rehabilitation is a well-known challenge. This study analysed the barriers to leisure time activity among low back pain patients. Methods. A subset of 192 low back pain patients who participated in a randomized controlled trial promoting physical activity was analysed. Physical activity, barriers, and sociodemographic and indication-related variables were assessed by a questionnaire. Differences in barriers between active and inactive participants were tested by Pearson’s chi squared test. A logistic regression model was fitted to identify influencing factors on physical activity at six months following rehabilitation. Results. Inactive and active participants differed significantly in nine of the 19 barriers assessed. The adjusted regression model showed associations of level of education (OR = 5.366 [1.563; 18.425]; value = 0.008) and fear of pain (OR = 0.612 [0.421; 0.889]; value = 0.010) with physical activity. The barriers included in the model failed to show any statistically significant association after adjustment for sociodemographic factors. Conclusions. Low back pain patients especially with a low level of education and fear of pain seem to need tailored support in overcoming barriers to physical activity. This study is registered at German Clinical Trials Register (DRKS00004878).