Styrketräning som behandling för patienter med långvarig ländryggssmärta : En kvalitativ intervjustudie av fysioterapeuters erfarenheter

Sammanfattning: Background: Chronic low back pain (CLBP) is common in primary care worldwide. A patient-centered biopsychosocial approach has been shown to be effective for treatment of CLBP. Research has shown that strength training can reduce pain, increase function, increased self-confidence as well as counteract fear of movement. Purpose: To investigate physiotherapists' experiences of using strength training for individuals with CLBP.Method: A qualitative interview study with descriptive design was conducted. A purposive convenience sample was applied, resulting in six physiotherapists being interviewed. The collected material was analyzed by a manifest inductive content analysis. Result: The analysis resulted in five categories as well as 15 subcategories. The categories were "Patients need to be motivated to perform strength training", "Strength training needs to be individualized", "Pain and fear is an obstacle to strength training", "Strength training has beneficial effects" and "Strength training often combined with other treatment".  Conclusion: The conclusion was made that treating CLBP using strength training was complex. The physiotherapists' experiences emphasized the difficulties, benefits, and drawbacks of using strength training for CLBP, as well as emphasizing the benefits of using individualized training together with behavioral medicine and a holistic approach.