{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T04:07:20Z","timestamp":1781064440010,"version":"3.54.1"},"reference-count":36,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:p>Physical activity (PA) is recommended as a primary treatment to reduce pain and improve function in chronic low back pain (cLBP). However, adherence to PA guidelines and the limitation of sedentary behavior (SB) remain challenging for cLBP patients. While some studies focus on PA promotion, past results are mixed, and the role of SB has not been thoroughly investigated. This observational study aims to assess changes in PA and SB levels among cLBP patients participating in a rehabilitation program (RP) and explore related changes in both explicit and implicit motivational factors. Patients wore an accelerometer for 1 week before the RP (T1) and 3 months afterward (T4) to measure PA and SB. At the start (T2) and at the end (T4) of the RP, we measured motivation, including implicit attitudes, toward these two behaviors. Between T1 and T4 (<jats:italic toggle=\"yes\">n<\/jats:italic>\u2005=\u200533), the results show a significant decrease in SB. Between T2 and T3 (<jats:italic toggle=\"yes\">n<\/jats:italic>\u2005=\u200562), all motivational variables were significantly more in favor of an active lifestyle, but implicit attitudes did not significantly change. This study shows that an RP can transform behavior determinants and reduce SB but is less efficient to increase PA levels. It also emphasizes the need to work with patients to enhance adherence and objectively measure behaviors in the future.<\/jats:p>","DOI":"10.1097\/mrr.0000000000000667","type":"journal-article","created":{"date-parts":[[2025,4,10]],"date-time":"2025-04-10T09:00:18Z","timestamp":1744275618000},"page":"106-112","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Changes in physical activity, sedentary behaviors, and associated motivation after multidisciplinary rehabilitation program for chronic low back pain patients"],"prefix":"10.1097","volume":"48","author":[{"given":"Matthieu","family":"Haas","sequence":"first","affiliation":[{"name":"EuroMov Digital Health in Motion, University of Montpellier, IMT Mines Ales, Montpellier, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Boich\u00e9","sequence":"additional","affiliation":[{"name":"EuroMov Digital Health in Motion, University of Montpellier, IMT Mines Ales, Montpellier, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabelle","family":"Tavares-Figuereido","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Readaptation, CHU de Montpellier, CHU Lapeyronie, Montpellier, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne-Lise","family":"Courbis","sequence":"additional","affiliation":[{"name":"EuroMov Digital Health in Motion, University of Montpellier, IMT Mines Ales, Al\u00e8s, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arnaud","family":"Dupeyron","sequence":"additional","affiliation":[{"name":"EuroMov Digital Health in Motion, University of Montpellier, IMT Mines Ales, Montpellier, France"},{"name":"Department of Physical Medicine and Readaptation, CHU de N\u00eemes, Universit\u00e9 de Montpellier, N\u00eemes, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,4,9]]},"reference":[{"key":"R1-20250506","doi-asserted-by":"crossref","first-page":"2356","DOI":"10.1016\/S0140-6736(18)30480-X","article-title":"What low back pain is and why we need to pay attention.","volume":"391","author":"Hartvigsen","year":"2018","journal-title":"Lancet"},{"key":"R2-20250506","doi-asserted-by":"crossref","first-page":"2028","DOI":"10.1002\/art.34347","article-title":"A systematic review of the global prevalence of low back pain.","volume":"64","author":"Hoy","year":"2012","journal-title":"Arthritis Rheum"},{"key":"R3-20250506","doi-asserted-by":"crossref","first-page":"1545","DOI":"10.1016\/S0140-6736(16)31678-6","article-title":"Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990\u20132015: a systematic analysis for the Global Burden of Disease Study 2015.","volume":"388","author":"Vos","year":"2016","journal-title":"Lancet"},{"key":"R4-20250506","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1186\/1471-2474-15-50","article-title":"A systematic review and meta-synthesis of the impact of low back pain on people\u2019s lives.","volume":"15","author":"Froud","year":"2014","journal-title":"BMC Musculoskelet Disord"},{"key":"R5-20250506","doi-asserted-by":"crossref","first-page":"514","DOI":"10.7326\/M16-2367","article-title":"Noninvasive treatments for acute, subacute, and chronic low back pain: a clinical practice guideline from the American College of Physicians.","volume":"166","author":"Qaseem","year":"2017","journal-title":"Ann Intern Med"},{"key":"R6-20250506","doi-asserted-by":"crossref","first-page":"492","DOI":"10.7326\/0003-4819-147-7-200710020-00007","article-title":"Nonpharmacologic therapies for acute and chronic low back pain: a review of the evidence for an American Pain Society\/American College of Physicians clinical practice guideline.","volume":"147","author":"Chou","year":"2007","journal-title":"Ann Intern Med"},{"key":"R7-20250506","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1016\/j.pain.2010.11.034","article-title":"Relationship between physical activity and disability in low back pain: a systematic review and meta-analysis.","volume":"152","author":"Lin","year":"2011","journal-title":"Pain"},{"key":"R8-20250506","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1016\/j.physio.2011.04.350","article-title":"Do patients with chronic low back pain have an altered level and\/or pattern of physical activity compared to healthy individuals? 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