BACKGROUND: Chronic low back pain (CLBP) is one of the most common musculoskeletal problems worldwide. Even though regular exercise is recommended as the primary conservative approach in treating this condition, significant part of patients lead sedentary lifestyle. Motivation to exercise is one of the variables that effects the adherence of exercise-based treatments. This study aimed to characterize the motives for exercise, as posited by self-determination theory, in persons with CLBP, and to identify subgroups (clusters) of motivational profiles in combination with socioeconomic and clinical characteristics using k-means cluster analysis. METHODS: Data were collected between September 2022 and September 2023. A total of 103 adults with CLBP completed the paper-pencil Exercise Self-Regulation Questionnaire (SRQ-E) and provided self-reported measures on anthropometric and socio-economic characteristics. Inclusion criteria were age (≥ 18 years) and non-specific CLBP (lasting longer than 12 weeks). Exclusion criteria included specific lumbar spine pathology (e.g., fracture, cancer), worsening neurological symptoms, recent injection therapy (within 3 months), and current alcohol or drug misuse. RESULTS: Three distinct motivational clusters were identified among the 103 participants: two clusters were characterized by predominantly autonomous motivation (moderately motivated cluster: 31.1%; highly motivated cluster: 54.4%), while one cluster (controlled convinced cluster: 14.6%) showed a higher level of controlled motivation. Associations were observed between the controlled cluster and factors such as higher disability scores, longer duration of pain, greater number of completed physiotherapy sessions, and elevated BMI. Notably, the controlled motivation cluster was linked with poorer clinical outcomes. CONCLUSIONS: This study provides insights into the exercise motivation of patients with CLBP, revealing that while most patients were primarily autonomously motivated, a notable subgroup exhibited lower, controlled motivation. The presence of controlled motivation was associated with worse functioning, longer pain duration, and increased utilization of physiotherapy services. Although these findings suggest a link between motivational profiles and clinical outcomes, the cross-sectional design limits causal inferences. Further research is needed to explore these relationships longitudinally. TRIAL REGISTRATION: ClinicalTrials.Gov Identifier: NCT05512338 (22.8.2022, NCT05512338).

• Klíčová slova
• Chronic low back pain, Exercise motivation, Physiotherapy adherence, Self-determination theory,
• MeSH
• chronická bolest * psychologie   terapie   rehabilitace   MeSH
• cvičení psychologie   MeSH
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• lumbalgie * psychologie   terapie   rehabilitace   MeSH
• motivace * MeSH
• průzkumy a dotazníky MeSH
• senioři MeSH
• terapie cvičením * metody   MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH

Home-based exercises have been on the rise recently. This pilot study aimed to assess the adherence and effect of a home-based rehabilitation programme using telemonitoring in patients with chronic non-specific low back pain (CNLBP). Twenty-seven patients with CNLBP were enrolled in the study, each of whom underwent a neurological assessment, including patient-oriented measures and a functional assessment-a battery of tests that comprehensively evaluated trunk muscle function. The rehabilitation programme lasted 18 weeks and included daily home-based exercises. A mobile application or an exercise diary was used to monitor compliance. Adherence to the programme was excellent for both the diary and mobile application groups, with 82.3% in the diary group exercising at least once a day and 72.9% twice a day, and 94.8% in the mobile application group exercising at least once a day and 86.6% twice a day. Both patient-oriented and functional outcomes improved significantly; however, the relative changes of the parameters in these two groups did not correlate, which supports the idea that trunk muscle function does not directly relate to patient complaints and that CNLBP is a multifactorial issue. This model of rehabilitation programme should be used in clinical practice, as its adherence and effectiveness seem noticeable.

• Klíčová slova
• adherence, disability, home-based rehabilitation, low back pain, muscle strength, muscular endurance, pain, paraspinal muscles, telemonitoring,
• MeSH
• chronická bolest * MeSH
• lidé MeSH
• lumbalgie * rehabilitace   MeSH
• pilotní projekty MeSH
• techniky fyzikální terapie MeSH
• terapie cvičením MeSH
• trup MeSH
• výsledek terapie MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH

Dorsal pain caused by spine dysfunctions belongs to most frequent chronic illnesses. The muscles of the deep stabilising spine system work as a single functional unit where a dysfunction of only one muscle causes dysfunction of the whole system. Non-invasive, objective and statistically measurable evaluation of the condition of deep stabilising spine system has been made possible by the construction of muscular dynamometer. The aim of our work has been the assessment of deep stabilising spine system by diaphragm test and muscular dynamometer measurements. Based on an initial examination, a 6-week intervention programme was established including instructions on physiological body posture and correct basic body stabilisation for the given exercises and muscle strengthening. Consecutive measurements are then compared with the initial ones. It was presumed that a smaller number of the tested subjects would be able to correctly activate the deep stabilising spine system muscles before the intervention programme when compared to those after the intervention programme. A positive change of 87% has been found. It is clear that if a person actively approaches the programme, then positive adaptation changes on the deep stabilising spine system are seen only after 6 weeks. With the muscular dynamometer, activation of deep stabilising spine system can be objectively measured. Changes between the initial condition of a subject and the difference after some exercise or rehabilitation are especially noticeable. Also, the effect of given therapy or correct performance of the exercise can be followed and observed.

• Klíčová slova
• Muscular dynamometer, deep stabilising spine system, intervention programme, lower back pain, stabilisation, strengthening,
• MeSH
• bránice fyziologie   MeSH
• dítě MeSH
• lidé MeSH
• lumbalgie patofyziologie   rehabilitace   MeSH
• mladiství MeSH
• páteř patofyziologie   MeSH
• postura těla fyziologie   MeSH
• svalová síla - dynamometr * MeSH
• terapie cvičením přístrojové vybavení   metody   MeSH
• Check Tag
• dítě MeSH
• lidé MeSH
• mladiství MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH

OBJECTIVE: Despite the ever ongoing development in the examination procedures, it is still impossible to exactly diagnose a large percentage of patients with vertebral and back (low-back and neck) pains. This is due to an insufficiently clear connection between symptoms, pathological changes and results from the imaging techniques. Besides a morphological and neurological examination, a grave diagnostic attention should be given to a possible muscular dysfunction. A simple electromechanical device called muscle dynamometer (MD01) has been constructed for the purpose of enabling to effortlessly, objectively and precisely examine the muscle power-output in the lumbar spine area and reveal a possible, often found and therapeutically treated, dysfunction of the deep stabilizing spine system (DSSS). METHODS: The six-week-rehabilitation-course, aimed at correcting the body posture and strengthening the DSSS muscles, during which two groups of healthy adolescents (girls and boys, aged 12-16) have been obtained. RESULTS: The statistically significant change (p<0.001) between the values of input and output measurements of the condition of DSSS. CONCLUSIONS: The effectiveness of therapeutical training is confirmed and the objectification of the condition of the DSSS muscles by means of the muscle dynamometer (MD01) is verified.

• MeSH
• bederní obratle MeSH
• bolest krku patofyziologie   rehabilitace   MeSH
• dítě MeSH
• lidé MeSH
• lumbalgie patofyziologie   rehabilitace   MeSH
• mladiství MeSH
• palpace MeSH
• svalová síla - dynamometr * MeSH
• svalová síla * MeSH
• Check Tag
• dítě MeSH
• lidé MeSH
• mladiství MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH