{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T17:10:13Z","timestamp":1786122613190,"version":"build-2736575974"},"reference-count":81,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T00:00:00Z","timestamp":1782086400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T00:00:00Z","timestamp":1782086400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Physiotherapy Res Intl"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Purpose<\/jats:title>\n                    <jats:p>Low back pain (LBP) is a leading cause of disability, significantly affecting quality of life and imposing a substantial economic burden in India. Despite its high prevalence, utilisation of rehabilitation services remains low. In a country characterised by socio\u2010cultural diversity, it's important to understand how individuals perceive chronic low back pain (CLBP) and the role of physiotherapy interventions. This study aims to explore in\u2010depth the perceptions of CLBP and physiotherapy among individuals with CLBP in India.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>A qualitative approach was used, involving semi\u2010structured interviews with 20 participants who had CLBP. Interpretative Phenomenological Analysis was employed to explore the lived experiences and perceptions of physiotherapy among people with CLBP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participants with CLBP based their management decisions on cultural, social, and personal influences. The major theme, physiotherapy is not a priority for the management of CLBP in India, was driven by four interconnected sub\u2010themes: passive acceptance of pain, the influence of recommendations, perceived limitations of physiotherapy, and a focus on treatment for short\u2010term management of flare\u2010ups but not for long\u2010term management or prevention. These themes illustrate how patients rationalise their pain and navigate available treatments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Perceptions of physiotherapy among participants with CLBP in India were shaped by ingrained beliefs, social influences, and a preference for quick symptom relief over long\u2010term management. These perceptions may contribute to the delayed or limited use of physiotherapy for CLBP management among Indians.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pri.70255","type":"journal-article","created":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T17:40:32Z","timestamp":1782150032000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Perceptions of Chronic Low Back Pain and Physiotherapy in India: A Qualitative Study"],"prefix":"10.1002","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-0335-5693","authenticated-orcid":false,"given":"Mohini","family":"Shah","sequence":"first","affiliation":[{"name":"Discipline of Physiotherapy School of Allied Health Human Services &amp; Sport La Trobe University  Melbourne Victoria Australia"},{"name":"JSS College of Physiotherapy  Mysuru Karnataka India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0686-7436","authenticated-orcid":false,"given":"Casey","family":"Peiris","sequence":"additional","affiliation":[{"name":"Discipline of Physiotherapy School of Allied Health Human Services &amp; Sport La Trobe University  Melbourne Victoria Australia"},{"name":"Allied Health Department The Royal Melbourne Hospital  Parkville Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jon","family":"Ford","sequence":"additional","affiliation":[{"name":"Discipline of Physiotherapy School of Allied Health Human Services &amp; Sport La Trobe University  Melbourne Victoria Australia"},{"name":"Advance Healthcare  Boronia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kavitha","family":"Raja","sequence":"additional","affiliation":[{"name":"JSS College of Physiotherapy  Mysuru Karnataka India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Hahne","sequence":"additional","affiliation":[{"name":"Discipline of Physiotherapy School of Allied Health Human Services &amp; Sport La Trobe University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,22]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102021\u2010059736"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.29392\/001c.30747"},{"issue":"1","key":"e_1_2_12_4_1","first-page":"166","article-title":"Epidemiology of Low Back Pain in Indian Population: A Review","volume":"5","author":"Bindra S.","year":"2015","journal-title":"Indian Journal of Applied\u2010Basic Medical Sciences"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/14768320500230185"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1037\/0003\u2010066x.32.7.513"},{"issue":"2","key":"e_1_2_12_7_1","first-page":"162","article-title":"Physiotherapists\u2019 Perception of Patient Compliance to Home Exercises in Chronic Musculoskeletal Physiotherapy","volume":"3","author":"Buddhadev N. P.","year":"2012","journal-title":"National Journal of Integrated Research in Medicine"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.msksp.2021.102342"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.111271"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12939\u2010018\u20100738\u20108"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjpt.2021.07.001"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/pri.1927"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.4103\/0970\u20100218.143026"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/17482631.2020.1861719"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijptr.ijptr_16_23"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/s2665\u20109913(23)00098\u2010x"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10943\u2010019\u201000914\u20107"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/pri.458"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.math.2013.01.007"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm8091334"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.2522\/ptj.20100281"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/msc.1720"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.33393\/aop.2024.3217"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmpt.2024.02.007"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2021.0304"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jval.2025.03.002"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2023.11865"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877\u2010024\u201004780\u20101"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijar.ijar_64_23"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.322.7301.1511"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/msc.113"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010021\u201010664\u20105"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140\u20106736(18)30480\u2010x"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.a171"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj\u20102021\u2010067718"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.1093\/rap\/rkab074"},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.1097\/ajp.0000000000000100"},{"key":"e_1_2_12_38_1","volume-title":"Back Pain Education Washington","author":"IASP","year":"2023"},{"key":"e_1_2_12_39_1","unstructured":"ICMR PHFI IHME.Health of the Nation's States\u2014The India state\u2010level Disease Burden Initiative 2017.https:\/\/www.healthdata.org\/sites\/default\/files\/files\/policy_report\/2017\/India_Health_of_the_Nation%27s_States_Report_2017.pdf."},{"key":"e_1_2_12_40_1","doi-asserted-by":"publisher","DOI":"10.1111\/1756\u2010185x.14001"},{"key":"e_1_2_12_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2665-9913(25)00064-5"},{"key":"e_1_2_12_42_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.h444"},{"key":"e_1_2_12_43_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.semarthrit.2015.05.002"},{"key":"e_1_2_12_44_1","doi-asserted-by":"publisher","DOI":"10.1111\/spc3.12328"},{"key":"e_1_2_12_45_1","doi-asserted-by":"publisher","DOI":"10.1111\/papr.13226"},{"key":"e_1_2_12_46_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.msksp.2025.103410"},{"key":"e_1_2_12_47_1","doi-asserted-by":"publisher","DOI":"10.2147\/jpr.s306280"},{"key":"e_1_2_12_48_1","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.2022.04.210432"},{"key":"e_1_2_12_49_1","article-title":"The Relationship Between Spiritual Wellbeing, Pain Catastrophizing, and Pain Perception: An Exploration of Pain Perception in Individuals With Chronic Pain","author":"Luedtke D.","year":"2025","journal-title":"Journal of Health Psychology"},{"key":"e_1_2_12_50_1","doi-asserted-by":"publisher","DOI":"10.56450\/jefi.2024.v2i03.007"},{"key":"e_1_2_12_51_1","first-page":"9","article-title":"Indian Physiotherapists\u2019 Perceptions of Factors That Influence the Adherence of Indian Patients to Physiotherapy Treatment Recommendations","volume":"1","author":"Marwaha K.","year":"2010","journal-title":"International Journal of Physiotherapy and Rehabilitation"},{"key":"e_1_2_12_52_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11916\u2010006\u20100018\u2010y"},{"key":"e_1_2_12_53_1","doi-asserted-by":"publisher","DOI":"10.3390\/tomography8050180"},{"key":"e_1_2_12_54_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.62192"},{"key":"e_1_2_12_55_1","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000002705"},{"key":"e_1_2_12_56_1","unstructured":"National Institute for Health and Care Excellence.2020.Low Back Pain and Sciatica in over 16s: Assessment and Management (NICE Guideline NG59)."},{"key":"e_1_2_12_57_1","doi-asserted-by":"publisher","DOI":"10.7326\/m16\u20102367"},{"key":"e_1_2_12_58_1","doi-asserted-by":"publisher","DOI":"10.25259\/nmji_821_2021"},{"key":"e_1_2_12_59_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjpt.2022.100442"},{"key":"e_1_2_12_60_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.physio.2017.03.007"},{"key":"e_1_2_12_61_1","doi-asserted-by":"publisher","DOI":"10.1097\/xeb.0000000000000284"},{"key":"e_1_2_12_62_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.cd014691.pub2"},{"key":"e_1_2_12_63_1","doi-asserted-by":"publisher","DOI":"10.1080\/20479700.2019.1665882"},{"key":"e_1_2_12_64_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijpc.ijpc_141_18"},{"key":"e_1_2_12_65_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.msksp.2023.102838"},{"key":"e_1_2_12_66_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102018\u2010026874"},{"key":"e_1_2_12_67_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102017\u2010020108"},{"key":"e_1_2_12_68_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12962\u2010024\u201000552\u20101"},{"key":"e_1_2_12_69_1","doi-asserted-by":"publisher","DOI":"10.1080\/14768320600941756"},{"key":"e_1_2_12_70_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijpn.ijpn_35_23"},{"key":"e_1_2_12_71_1","volume-title":"Number of Primary Healthcare Centres in India from 2011 to 2021 2024","author":"Statista"},{"key":"e_1_2_12_72_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732318765712"},{"key":"e_1_2_12_73_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00586\u2010017\u20105099\u20102"},{"key":"e_1_2_12_74_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2023.07.004"},{"key":"e_1_2_12_75_1","doi-asserted-by":"publisher","DOI":"10.1111\/papr.12735"},{"key":"e_1_2_12_76_1","doi-asserted-by":"publisher","DOI":"10.4324\/9781003228073"},{"key":"e_1_2_12_77_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40122\u2010021\u201000249\u2010w"},{"key":"e_1_2_12_78_1","doi-asserted-by":"publisher","DOI":"10.1177\/1745691617704397"},{"key":"e_1_2_12_79_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140\u20106736(20)30925\u20109"},{"key":"e_1_2_12_80_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00586\u2010022\u201007133\u2010x"},{"key":"e_1_2_12_81_1","volume-title":"WHO Guideline for Non\u2010surgical Management of Chronic Primary Low Back Pain in Adults in Primary and Community Care Settings","author":"World Health Organization","year":"2023"},{"key":"e_1_2_12_82_1","unstructured":"World Physiotherapy.2025.Indian Association of Physiotherapists\u2010World Physiotherapy.https:\/\/world.physio\/membership\/india."}],"container-title":["Physiotherapy Research International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pri.70255","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/pri.70255","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pri.70255","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T11:31:17Z","timestamp":1786102277000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pri.70255"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,22]]},"references-count":81,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1002\/pri.70255"],"URL":"https:\/\/doi.org\/10.1002\/pri.70255","archive":["Portico"],"relation":{},"ISSN":["1358-2267","1471-2865"],"issn-type":[{"value":"1358-2267","type":"print"},{"value":"1471-2865","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,22]]},"assertion":[{"value":"2025-10-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-03","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-22","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70255"}}