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Joint Bone Spine
Volume 78, n° 4
pages 364-367 (juillet 2011)
Doi : 10.1016/j.jbspin.2010.10.009
accepted : 2 September 2010
Is volition the missing link in the management of low back pain?

Jean-Paul Broonen a, Marc Marty b, Valérie Legout c, Christine Cedraschi d, Yves Henrotin e,

au nom de la Section Rachis de la SFR et de la Belgian Back Society

a Service d’orientation universitaire, université de Liège, Liège, Belgium 
b Service de rhumatologie, hôpital Henri-Mondor, Créteil, France 
c Laboratoires Grunenthal, Paris, France 
d Multidisciplinary Pain Center, Division of Clinical Pharmacology and Toxicology & Division of General Medical Rehabilitation, Geneva University Hospitals, Geneva, Switzerland 
e Bone and Cartilage Research Unit, département des sciences de la motricité, Institute of Pathology, Level +5, CHU Sart-Tilman, université de Liège, 4000 Liège, Belgium 

Corresponding author. Tel.: +3 243 662 516; fax: +3 243 664 734.

Patients with nonspecific chronic low back pain are typically prescribed a regimen of regular physical exercises to improve pain and function, increase workability, and prevent pain recurrence. However, adherence to home exercise programs is often partial at best. Patients often fail to translate their intention to exercise (motivation) into action (implementation). Volition is the mental activity by which intentions are implemented. In this review, we argue that volition may be crucial to the successful rehabilitation of patients with low back pain. Obstacles to the implementation of intentions are described, as well as factors that promote implementation, most notably the conscious formation of implementation intentions.

The full text of this article is available in PDF format.

Keywords : Low back pain, Pain, Exercise, Motivation, Volition

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