Parti-cipants | Understanding of pain | Forming expectation | The perception of care | Re-evaluation of body awareness and management (technique preference) |
---|---|---|---|---|
01 | Self-manipulation and movement help; experience with injuries and rehabilitation in the past; biomedical background to pain | Communication adapted to individuals background and knowledge, treatment short and effective on pain, Physio will help | Well- detailed explanation Professional behaviour; Well-organised and smooth procedure | Frequency of pain reduced after thrust-technique (pressure release) Additional rotational spine movement is required for effect (thrust-technique) |
04 | Rich experience of hands-on treatment; perceives two types of pain (central localized, vs diffuse) Agrees on psychological component to pain; life-long process of realignment | Proper explanation to techniques and origin of CLBP; Influencing the “sense of wrongness” in the back | In general, too short and unspecific to be effective; Singular treatment approach is not sufficient, | A slight shift in pain occurred during thrust-technique; however, acquired active coping-strategies are more helpful (no preference) |
06 | Pleasant experience with physiotherapy (mainly exercises) Asymmetry and alignment issue Stress-induced pain | No high expectation on solving underlying pain drivers | Enjoyable interaction with Physiotherapist Apprehensive to thrust technique; pleasant experience with non-thrust technique | Most change in pain immediately after treatment and during activities; similar to exercise from previous physiotherapist (non-thrust technique) |
08 | Self-manipulation and strength training help; Weak and “out-of-place” spine drives the pain; | Scientific approach expected; influencing “stiffness and knots” Detailed explanation of procedure | Comfortable communication and touch; perception of professional manner and sufficient explanation; nice stretch with both techniques | Explanation impacts outcome; Unspecific feeling of change through technique Something has moved back into place (thrust-technique) |