These data suggest that the activity levels of patients with NSLBP are neither associated with , nor predictive of , disability or pain levels .
Although clinical guidelines advocate exercise and activity in the management of non-specific low back pain ( NSLBP ) , the link between levels of physical activity and outcomes is unclear .
This systematic review investigated the relationships between free living activity levels  after onset of low back pain ( LBP ) and measures of pain , and disability in patients with NSLBP .
TTM-based motivational counselling does not increase physical activity of low back pain patients in a primary care setting--A cluster-randomized controlled trial.
OBJECTIVE To investigate the effectiveness of a TTM-based motivational counselling approach by trained practice nurses to promote physical activity of low back pain patients in a German primary care setting . METHODS Data were collected in a cluster-r and omized controlled trial with three study arms via question naires and patient interviews at baseline and after 6 and 12 months . We analysed total physical activity and self-efficacy by using r and om effect models to allow for clustering . RESULTS A total of 1378 low back pain patients , many with acute symptoms , were included in the study . Nearly 40 % of all patients reported sufficient physical activity at baseline . While there were significant improvements in patients ' physical activity behaviour in all study arms , there was no evidence for an intervention effect . CONCLUSION The outcome may be explained by insufficient performance of the practice nurses , implementation barriers caused by the German health care system and the heterogenous sample . PRACTICE IMPLICATION S Given the objective to incorporate practice nurses into patient education , there is a need for a better basic training of the nurses and for a change towards an organizational structure that facilitates patient-nurse communication . Counselling for low back pain patients has to consider more specificated aims for different subgroups
These data suggest that the activity levels of patients with NSLBP are neither associated with , nor predictive of , disability or pain levels .
Although clinical guidelines advocate exercise and activity in the management of non-specific low back pain ( NSLBP ) , the link between levels of physical activity and outcomes is unclear .
This systematic review investigated the relationships between free living activity levels  after onset of low back pain ( LBP ) and measures of pain , and disability in patients with NSLBP .