Reliability and validity of two multidimensional self-reported physical activity questionnaires in people with chronic low back pain

Carvalho, Flávia A.; Morelhão, Priscila K.; Maher, Christopher G.; Smeets, Rob; Oliveira, Crystian B.; Júnior, Ismael F. Freitas; Pinto, Rafael Zambelli

doi:10.1016/j.msksp.2016.12.014

Cited by 27 publications

(27 citation statements)

References 30 publications

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“…A total of 160 participants (80 patients per group) will be required to detect a 20% between-group difference in physical activity levels (mean difference between groups of 59.2 counts per min, a standard deviation of 111.6 counts per min) with a power of 0.80, alpha of 0.05 accounting for a 15% loss to follow-up. The counts per min parameters used in the sample size calculation are from a previous study conducted with a similar population [ 22 ]. The total of 160 participants is enough to detect a between-group difference of 1 point (standard deviation (SD) = 1.84) in the numerical pain rating scale and of 4 points (SD = 4.9) in the Roland Morris Disability Questionnaire (RMDQ) with a power of 80%, an alpha of 0.05 and 15% dropout as reported in a previous trial with this population [ 23 ].…”

Section: Methodsmentioning

confidence: 99%

The efficacy of a multimodal physical activity intervention with supervised exercises, health coaching and an activity monitor on physical activity levels of patients with chronic, nonspecific low back pain (Physical Activity for Back Pain (PAyBACK) trial): study protocol for a randomised controlled trial

Oliveira

Franco

Maher

et al. 2018

Trials

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BackgroundPhysical activity plays an important role in the management of chronic low back pain (LBP). Engaging in an active lifestyle is associated with a better prognosis. Nevertheless, there is evidence to suggest that patients with chronic LBP are less likely to meet recommended physical activity levels. Furthermore, while exercise therapy has been endorsed by recent clinical practice guidelines, evidence from systematic reviews suggests that its effect on pain and disability are at best moderate and not sustained over time. A limitation of current exercises programmes for chronic LBP is that these programmes are not designed to change patients’ behaviour toward an active lifestyle. Therefore, we will investigate the short- and long-term efficacy of a multimodal intervention, consisting of supervised exercises, health coaching and use of an activity monitor (i.e. Fitbit Flex) compared to supervised exercises plus sham coaching and a sham activity monitor on physical activity levels, pain intensity and disability, in patients with chronic, nonspecific LBP.MethodsThis study will be a two-group, single-blind, randomised controlled trial. One hundred and sixty adults with chronic, nonspecific LBP will be recruited. Participants allocated to both groups will receive a group exercise programme. In addition, the intervention group will receive health coaching sessions (i.e. assisting the participants to achieve their physical activity goals) and an activity monitor (i.e. Fitbit Flex). The participants allocated to the control group will receive sham health coaching (i.e. encouraged to talk about their LBP or other problems, but without any therapeutic advice from the physiotherapist) and a sham activity monitor. Outcome measures will be assessed at baseline and at 3, 6 and 12 months post randomisation. The primary outcomes will be physical activity, measured objectively with an accelerometer, as well as pain intensity and disability at 3 months post randomisation. Secondary outcomes will be physical activity, pain intensity and disability at 6 and 12 months post randomisation as well as other self-report measures of physical activity and sedentary behaviour, depression, quality of life, pain self-efficacy and weight-related outcomes at 3, 6, and 12 months post randomisation.DiscussionThis study is significant as it will be the first study to investigate whether a multimodal intervention designed to increase physical activity levels reduces pain and disability, and increases physical activity levels compared to a control intervention in patients with chronic LBP.Trial registrationClinicalTrials.gov, ID: NCT03200509. Registered on 28 June 2017.Electronic supplementary materialThe online version of this article 10.1186/s13063-017-2436-z) contains supplementary material, which is available to authorized users.

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Section: Methodsmentioning

confidence: 99%

The efficacy of a multimodal physical activity intervention with supervised exercises, health coaching and an activity monitor on physical activity levels of patients with chronic, nonspecific low back pain (Physical Activity for Back Pain (PAyBACK) trial): study protocol for a randomised controlled trial

Oliveira

Franco

Maher

et al. 2018

Trials

Self Cite

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“…The common methods applied to the evaluation of physical activity in persons with chronic pain are self-evaluation questionnaires, such as the international physical activity questionnaire or Baecke physical activity questionnaire (BPAQ). However, these methods have shown a lack of agreement regarding the estimates of physical activity obtained from sensor devices [133][134][135][136]. Moreover, patients with high levels of depression use to underscore their activity level [135].…”

Section: Accelerometry-based Activity Evaluation and Chronic Painmentioning

confidence: 99%

Sensor Technologies to Manage the Physiological Traits of Chronic Pain: A Review

Naranjo-Hernández

Reina‐Tosina

Roa

2020

Sensors

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Non-oncologic chronic pain is a common high-morbidity impairment worldwide and acknowledged as a condition with significant incidence on quality of life. Pain intensity is largely perceived as a subjective experience, what makes challenging its objective measurement. However, the physiological traces of pain make possible its correlation with vital signs, such as heart rate variability, skin conductance, electromyogram, etc., or health performance metrics derived from daily activity monitoring or facial expressions, which can be acquired with diverse sensor technologies and multisensory approaches. As the assessment and management of pain are essential issues for a wide range of clinical disorders and treatments, this paper reviews different sensor-based approaches applied to the objective evaluation of non-oncological chronic pain. The space of available technologies and resources aimed at pain assessment represent a diversified set of alternatives that can be exploited to address the multidimensional nature of pain.

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“…Patient-related factors: The following factors will be measured at baseline: 1) sociodemographic characteristics (i.e. age, gender, marital status, education level, height, weight); 2) physical activity (measured with the International Physical Activity questionnaire [15]); 3) other lifestyle variables smoking; measured by pack years, alcohol use measured by the short version of the AUDIT-C [17,18], sleeping habits; measured by the short version of the Pittsburgh Sleep Quality Index [19]; 4) comorbidities using the Selfadministered Comorbidity Questionnaire [20] and 7)…”

Section: Questionnairesmentioning

confidence: 99%

“…The current BACE-C consortium study has been modelled after the 'BAck Complaints in Elders' study (BACE), which is an international cohort study devoted to examining back complaints in older people in primary care [17]. The BACE-C study is set in chiropractic care.…”

Section: Introductionmentioning

confidence: 99%

BAck complaints in the elders - chiropractic (BACE-C): protocol of an international cohort study of older adults with low back pain seeking chiropractic care

et al. 2020

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Background: Low back pain is a common condition among older adults that significantly influences physical function and participation. Compared to their younger counterparts, there is limited information available about the clinical course of low back pain in older people, in particularly those presenting for chiropractic care. Improving our understanding of this patient population and the course of their low back pain may provide input for studies researching safer and more effective care than is currently provided. Objectives: The primary objectives are to examine the clinical course over one year of pain intensity, healthcare costs and pain, functional status and recovery rates of low back pain in people 55 years and older who visit a chiropractor for a new episode of low back pain. Methods: An international prospective, multi-center cohort study with one-year follow-up. Chiropractic practices are to be recruited in the Netherlands, Sweden, United Kingdom and Australia. Treatment will be left to the discretion of the chiropractor. Inclusion/Exclusion criteria: Patients aged 55 and older who consult a chiropractor for a new episode of low back pain, meaning low back pain for the first time or those patients who have not been to a chiropractor in the previous six months. This is independent of whether they have seen another type of health care provider for the current episode. Patients who are unable to complete the web-based questionnaires because of language restrictions or those with computer literacy restrictions will be excluded as well as those with cognitive disorders. In addition, those with a suspected tumor, fracture, infection or any other potential red flag or condition considered to be a contraindication for chiropractic care will be excluded. Data will be collected using online questionnaires at baseline, and at 2 and 6 weeks and at 3, 6, 9 and 12 months. Discussion: This study, to our knowledge, is the first large-scale, prospective, multicenter, international cohort study to be conducted in a chiropractic setting to focus on older adults with low back pain consulting a chiropractor. By understanding the clinical course, satisfaction and safety of chiropractic treatment of this common debilitating condition in the aged population, this study will provide input for informing future clinical trials. Trial registration: Nederlandse Trial Registrar NL7507.

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Reliability and validity of two multidimensional self-reported physical activity questionnaires in people with chronic low back pain

Cited by 27 publications

References 30 publications

Sensor Technologies to Manage the Physiological Traits of Chronic Pain: A Review

BAck complaints in the elders - chiropractic (BACE-C): protocol of an international cohort study of older adults with low back pain seeking chiropractic care

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