Biopsychosocial rehabilitation in the working population with chronic low back pain: a concept analysis

J Rehabil Med. 2024 Jan 16:56:jrm13454. doi: 10.2340/jrm.v56.13454.

Abstract

Objective: To identify the essential attributes of biopsychosocial rehabilitation for chronic low back pain in the working population.

Design: A concept analysis was conducted according to the 8-step method of Walker and Avant. This framework provides a clear concept and theoretical and operational definitions.

Methods: Five databases were searched, followed by a systematic screening. Subsequently, attributes, illustrative cases, antecedents, consequences and empirical referents were formulated.

Results: Of the 3793 studies identified, 42 unique references were included. Eleven attributes were identified: therapeutic exercise, psychological support, education, personalization, self-management, participation, follow-up, practice standard, goal-setting, social support, and dietary advice. Subsequently, illustrative cases were described. Antecedents, such as motivation, preparedness and a multidisciplinary team, were found, together with consequences such as decreased pain, less sick-leave and increased function and work status. Finally, examples of empirical referents were given.

Conclusion: This study identified the attributes that are necessary to develop biopsychosocial rehabilitation intervention programmes for chronic low back pain. The defined concept of biopsychosocial rehabilitation for chronic low back pain may serve as a solid base to further develop and apply interventions. Future research should focus on the objectification of biopsychosocial rehabilitation and conceptualization regarding how personalization is done.

MeSH terms

  • Chronic Pain*
  • Combined Modality Therapy
  • Exercise Therapy
  • Humans
  • Low Back Pain* / psychology
  • Sick Leave
  • Social Support

Grants and funding

Lisa Goudman is a postdoctoral research fellow funded by the Research Foundation Flanders (FWO), Belgium (project number 12ZF622N). Dries Ceulemans, Olivia Lavreysen and Jonas Callens are PhD students working on a project funded by the Research Foundation Flanders (FWO-TBM project number T000821N). Maarten Moens has received speaking fees from Medtronic, Nevro and Saluda Medical. The STIMULUS research group received independent research grants from Medtronic.