Abstract:
Background: Low back pain (LBP) is one of the most common health issues
worldwide, leading to significant disability, emotional distress, and economic burden.
While much research has focused on the clinical aspects of LBP, there is limited
exploration of how individuals perceive their prognosis, which plays a critical role in
their recovery process. Objectives: The purpose of the study is to explore the
perceptions of prognosis of individuals with LBP; how they define prognosis; their
perception of how prognosis impacts the course of their recovery. Methodology: An
exploratory qualitative approach was adopted. Ten participants diagnosed with LBP
were selected through purposive sampling. Data were collected through semi-structured
interviews and analysed using thematic analysis to identify recurring themes in
participants' narratives. Results: The study revealed that participants' perceptions of
prognosis were influenced by their personal experiences with pain and their functional
limitations. A positive prognosis was linked to pain relief and the return to daily
functional activities, while a negative prognosis was associated with persistent pain and
limited mobility. Furthermore, participants emphasized the importance of clear
communication with healthcare providers, as it shaped their expectations and recovery
journey. Discussion: The findings suggest that prognosis, as understood by patients,
plays a significant role in their approach to rehabilitation and recovery. Patients who
perceived their prognosis in a positive light were more likely to engage in therapy and
adopt proactive coping strategies. Conversely, those with negative prognostic
perceptions showed reluctance to engage in physical activities and rehabilitation. The
study highlights the need for personalized, clear communication between healthcare
providers and patients to enhance recovery outcomes.
Keywords: Low back pain, prognosis, patient perception, beliefs.
Word count: 11,943
Description:
This dissertation is submitted in partial fulfillment of the requirements for the Degree of Bachelor of Science in Physiotherapy, Bangladesh Health Professions Institute, Faculty of Medicine, the University of Dhaka, Bangladesh.
