Between the lines: a discursive analysis of the non-specific low back pain literature.
Background: The term nonspecific low back pain (NSLBP) is often ambiguously defined and inconsistently used in scientific literature. Yet, there is limited discussion and reflection on the meaning of the term and how different meanings influence research and clinical practice. Aim: The aim of this s...
| Publicado en: | Physiotherapy Theory & Practice Vol. 41; no. 8; pp. 1647 - 1663 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Aug2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=187097466&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 187097466 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09593985 BCJ jtl: Physiotherapy Theory & Practice issn: 09593985 maglogo: Y pubinfo: dt: Aug2025 vid: 41 iid: 8 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 187097466 182116895 187097466 187097466 10.1080/09593985.2024.2446530 187097466 ppf: 1647 ppct: 16 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Between the lines: a discursive analysis of the non-specific low back pain literature. aug: au: Hebron, Clair Ekornsaeter, Morten Mescouto, Karime affil: School of Sport and Health Sciences, University of Brighton, Brighton, UK sug: subj: Low Back Pain Etiology Discourse Analysis Medical Literature Research, Physical Therapy Physical Therapy Practice Human Conceptual Framework Snowball Sample Reflection Low Back Pain Prevention and Control Low Back Pain Physiopathology Nervous System Diseases Complications Social Factors Holistic Care Models, Biopsychosocial Politics ab: Background: The term nonspecific low back pain (NSLBP) is often ambiguously defined and inconsistently used in scientific literature. Yet, there is limited discussion and reflection on the meaning of the term and how different meanings influence research and clinical practice. Aim: The aim of this study was to critically analyze the meaning of NSLBP in scientific literature and its consequent influence on research and clinical practice. Methodology and methods Conducting a Foucauldian discourse analysis, we analyzed 24 articles that explicitly discussed the term's meaning. Relevant articles were retrieved through a systematic literature search of six databases, supplemented by snowballing and expert recommendations. Findings: Our analysis identified five distinct discourses analyzing NSLBP: "Biomedical," "Neurocentric," "Rational-Multifactorial," "Complex-Multifactorial," and "NSLBP Otherwise." Conclusion: Each identified discourse was underpinned by unique assumptions that both enable and constrain certain ways of thinking about, researching, and managing NSLBP. Most discourses were individual-centric, guiding a search for causes and solutions within the individual. An exception was the "NSLBP Otherwise Discourse," which enables a more society-centric perspective and encourages alternative views on NSLBP. Given the significant impact of NSLBP and the paucity of substantial breakthroughs in understanding and management, critical reflection on current discourses and their influence on clinical and research practices seem timely. Moreover, considering the present uncertainty surrounding NSLBP, embracing multiplicity could pave the way for a more expansive research agenda. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Unknown language: English refInfo: holdings: @attributes: islocal: N |
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