Participants believed that there were distinctions between general activity , real/fitness exercise , and medical exercise .
People participating in exercise classes and group work may be more comfortable when matched for abilities and experience .
When an intervention interferes with everyday life and appears to be ineffective or too difficult to implement , people make a reasoned decision to discontinue .
DISCUSSION People are likely to prefer and participate in exercise or training programs and activities that are design ed with consideration of their preferences , circumstances , fitness levels , and exercise experiences
OBJECTIVES The global burden of low back pain is the highest ranked condition contributing to years of living with disability .
Exercise is moderately effective , and adherence to exercise may improve if participants are engaged .
Identification of elements that enhance engagement would enable clinicians to prescribe appropriate interventions .
The review objective was to identify and synthesize qualitative empirical studies that have explored beliefs about exercise therapy of people with nonspecific chronic low back pain .
Patient perceptions of physical therapy within a trial for back pain treatments (UK BEAM) [ISRCTN32683578].
OBJECTIVES To explore the views of participants in a r and omized controlled trial of physical treatments for low back pain  about the treatment packages they received in the trial . METHODS Within a r and omized controlled trial that found small to moderate benefits from adding a manipulation package or an exercise programme to general practice care , we elicited participants ' views on the treatment using an open question in participant question naires . These data were analysed using an adapted framework approach . RESULTS We received a total of 1259 comments from 1334 participants . Participants r and omized to usual general practice care reported dissatisfaction with receiving only ' usual care ' , which consisted of providing analgesic medication without providing an explanation for their pain . Those r and omized to a manipulation package felt the intervention was appropriate to their needs and commonly reported striking benefits . Participants assigned to the exercise programme developed a sense of self-reliance in managing back pain , although some failed to be sufficiently motivated to continue their exercise regimen outside the classes . CONCLUSIONS This qualitative analysis has found much clearer differences between the groups than the main quantitative analysis . This suggests that some of the added value from being allocated to additional physical treatment for low back pain is not being captured by existing methods of measurement . Improved methods of assessment that consider a wider range of domains may be needed when interpreting the added value of such treatments to individual patients
Participants believed that there were distinctions between general activity , real/fitness exercise , and medical exercise .
People participating in exercise classes and group work may be more comfortable when matched for abilities and experience .
When an intervention interferes with everyday life and appears to be ineffective or too difficult to implement , people make a reasoned decision to discontinue .
DISCUSSION People are likely to prefer and participate in exercise or training programs and activities that are design ed with consideration of their preferences , circumstances , fitness levels , and exercise experiences
OBJECTIVES The global burden of low back pain is the highest ranked condition contributing to years of living with disability .
Exercise is moderately effective , and adherence to exercise may improve if participants are engaged .
Identification of elements that enhance engagement would enable clinicians to prescribe appropriate interventions .
The review objective was to identify and synthesize qualitative empirical studies that have explored beliefs about exercise therapy of people with nonspecific chronic low back pain .