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Table 2 RÜCKGEWINN target areas

From: A bio-psycho-social exercise program (RÜCKGEWINN) for chronic low back pain in rehabilitation aftercare - Study protocol for a randomised controlled trial

target area I: attitude and behavior

I.a

Modulation of pain- or disease-related subjective theories and the corresponding behavior

I.b

Development of active coping strategies for back pain

I.c

Reduction of psychological pressure with relaxation techniques

I.d

Reduction of fear-avoidance behavior

I.e

Active stabilization of back muscles and reduction of work-load in burdening movements and positions

target area II: guidance to health enhancing physical activity

II.a

Positive change of the attitude to physical activity

II.b

Development of motion skills for independent executed health enhancing physical activity

II.c

Development of control skills for independent executed health enhancing physical activity

II.d

Development of decision-making skills for independent executed health enhancing physical activity

II.e

Development of skills to improve trait and state well being through physical activity and thus reduction of psychological burdens (distress, anxity) and depression

target area III: improvement of health related physical fitness

III.a

Improvement of muscle strength and endurance of back and trunk muscles to prevent states of deconditioning dependent on on inactivity

III.b

Improvement of motor coordination of back and trunk muscles to increase spine stabilization

III.c

Improvement of whole body physical fitness (endurance, flexibility) in sense of enhancement of general physical health resources

III.d

Introduction to several types of physical activity

III.e

Development of a personal network for maintaining physical activity e.g. in fitness facilities