Discussion
pain, disability, NLBP
The aim of this research was to determine the effects of a BSP-based intervention for the treatment of patients with NLBP in an adult population. The results of the study suggest that the effects are positive, including pain reduction, improvement of disability, improvement in the physical components of quality of life, and reduction in kinesiophobia.Participants in the study demonstrated minimal clinically important differences in pain intensity [Although the clinically important difference in pain intensity is minimal, it is worth noting that other interventions [Previous studies have provided evidence for the positive effects of the BSP intervention on the overall quality of life [A previous study examining the effects of BSP on kinesiophobia also reported positive outcomes [Based on the results obtained in this study, it appears that BSP may be beneficial in the treatment of NLBP. This aligns with the findings of a review of Clinical Practice Guidelines, which emphasizes the importance of exercise therapy and health education for favorable outcomes in individuals with NLBP [However, there are several limitations to consider in this study. First, due to the study design, neither the participants nor the evaluators were blinded, which may introduce bias in the results. Additionally, certain physiological factors such as menopause and occupational factors like the type of work or number of hours were not taken into account in the data analysis, potentially influencing the outcomes. It is important to note that our study did not include a post-intervention follow-up, limiting the assessment of long-term effects. Lastly, the limited number of participants hindered the stratification of results by age and gender.For future research, it would be valuable to incorporate post-intervention follow-ups to evaluate the sustainability of the effects over time. Additionally, larger sample sizes would enable stratified analysis to explore potential age and gender differences in response to the intervention. These improvements would contribute to a more comprehensive understanding of the effectiveness of BSP in treating NLBP.