Background:‎‏ ‏Low back pain is a common multifactorial disorder worldwide. Among patients ‎with back pain, chronic low back pain has the highest incidence rate. The lifetime prevalence of ‎low back pain is reported to be up to 84% and chronic low back pain is about 23%. Chronic low ‎back pain with adverse effects of treatments brings a lot of burden to patients. Although there ‎have been advances in the evaluation and treatment of this disorder in recent years, achieving ‎satisfactory effects of chronic low back pain treatment is still a challenge for researchers and ‎doctors. This study compares motor control training plus pain education and postural restoration ‎on pain, ‎fear of movement, and pain self-efficacy in patients with chronic non-specific low back ‎pain.‎
Methods: Ninety-nine participants with chronic non-specific LBP were recruited and randomly ‎divided into the selected 2 experimental groups and a control group (33 people in each group) ‎using available samples. The pain, fear of movement, and pain self-efficacy indicators were ‎evaluated using the visual analogue scale, the Tempa scale, and the original pain self-efficacy ‎questionnaire. In the following, two experimental groups trained for 8 weeks. However, the ‎Control group received no intervention and only participated in the pre-test and post-test. The ‎statistical method of composite covariance analysis was used to analyze the data.‎
Results: The findings showed that both training groups significantly affected pain, fear of ‎movement, and pain self-efficacy compared to the control group. (p≤0.005) However, motor ‎control training plus pain education ‎ had a more significant effect on fear of movement and pain ‎self-efficacy than postural restoration exercises.‎ (p≤0.005)‎‏ ‏
Conclusion: The results showed that both experimental groups led to a reduction in pain. On the ‎other hand, improving the fear of movement and pain self-efficacy can be of great help to people ‎suffering from non-specific chronic back pain. This is due to the effectiveness of motor control ‎training plus pain education. Therapeutics are advised to pay attention to these exercises in the ‎preparation of exercise programs.‎