Daily physical activities in chronic lower back pain patients assessed with accelerometry

Weering, M.G.H. van; Vollenbroek-Hutten, Miriam Marie Rosé; Tönis, Thijs; Hermens, Hermie

doi:10.1016/j.ejpain.2008.07.005

Cited by 81 publications

(68 citation statements)

References 21 publications

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“…A possible resolution of the conflict is to temporarily suspend non-pain-related activities. Repeated and persistent activity suspensions have indeed been observed in chronic pain patients [14], who seem to exhibit a less stable activity pattern than healthy individuals [39]. Such activity fluctuations contribute to disability [19].…”

Section: Interruptions By Painmentioning

confidence: 95%

Interrupted by pain: An anatomy of pain-contingent activity interruptions

Gatzounis¹,

Schrooten²,

Crombez³

2014

Pain

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Section: Interruptions By Painmentioning

confidence: 95%

Interrupted by pain: An anatomy of pain-contingent activity interruptions

Gatzounis¹,

Schrooten²,

Crombez³

2014

Pain

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“…Also, studies on activity levels of pain patients could not demonstrate the existence of generally decreased activity levels in pain patients and there appears to be only a subgroup of patients who do show a decrease in physical activity over one year after pain-onset [15][16] . In response to these observations, there have been some attempts to provide a theoretical explanation for persistence or overuse 14,17,18 .…”

Section: Introductionmentioning

confidence: 95%

A Self-Regulation Perspective on Avoidance and Persistence Behavior in Chronic Pain

Damme

Kindermans

2015

The Clinical Journal of Pain

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Objective: Behavioural factors such as avoidance and persistence have received massive theoretical and empirical attention in the attempts to explain chronic pain and disability. The determinants of these pain behaviours remain, however, poorly understood. We propose a self-regulation perspective to increase our understanding of pain-related avoidance and persistence.Methods: A narrative review.Results: We identified several theoretical views that may help explaining avoidance and persistence behaviour, and organized these views around 4 concepts central in self-regulation theories: (1) identity, (2) affective-motivational orientation, (3) goal cognitions, and (4) coping. The review shows that each of these self-regulation perspectives allows for a broadened view in which pain behaviors are not simply considered passive consequences of fear, but proactive strategies to regulate the self when challenged by pain.Discussion: Several implications and challenges arising from this review are discussed. In particular, a self-regulation perspective does not consider avoidance and persistence behaviour to be intrinsically adaptive or maladaptive, but argues that their effects on disability and wellbeing rather depend on the goals underlying these behaviours. Such view would require a shift in how avoidance and persistence behaviour are assessed and approached in clinical interventions.

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“…The significance of physical activity in the management of low back pain is generally accepted and the increase or normalization of physical activity levels has become an important aspect in recommendations related to the management of low back pain (LBP) [1]. Physical load is assumed to have both an acute and cumulative effect on the occurrence of back pain, although different dimensions of physical activity such as occupational versus sporting activities yield different relationships to LBP [2].…”

Section: Introductionmentioning

confidence: 99%

Physical fitness, rather than self-reported physical activities, is more strongly associated with low back pain: evidence from a working population

et al. 2011

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Introduction Physical activity is suggested to be important for low back pain (LBP) but a major problem is the limited validity of the measurement of physical activities, which is usually based on questionnaires. Physical fitness can be viewed as a more objective measurement and our question was how physical activity based on self-reports and objective measured levels of physical fitness were associated with LBP. Materials and methods We analyzed cross-sectional data of 1,723 police employees. Physical activity was assessed by questionnaire (SQUASH) measuring type of activity, intensity, and time spent on these activities. Physical fitness was based on muscular dynamic endurance capacity and peak oxygen uptake (VO 2 peak). Severe LBP, interfering with functioning, was defined by pain ratings C4 on a scale of 0-10. Results Higher levels of physical fitness, both muscular and aerobic, were associated with less LBP (OR: 0.54; 95% CI: 0.34-0.86, respectively, 0.59: 95%CI: 0.35-0.99). For self-reported physical activity, both a low and a high level of the total physical activity pattern were associated with an increase of LBP (OR: 1.52; 95%CI: 1.00-2.31, respectively, 1.60; 95%CI: 1.05-2.44). Conclusion These findings suggest that physical activity of an intensity that improves physical fitness may be important in the prevention of LBP.

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Daily physical activities in chronic lower back pain patients assessed with accelerometry

Cited by 81 publications

References 21 publications

Interrupted by pain: An anatomy of pain-contingent activity interruptions

Interrupted by pain: An anatomy of pain-contingent activity interruptions

A Self-Regulation Perspective on Avoidance and Persistence Behavior in Chronic Pain

Physical fitness, rather than self-reported physical activities, is more strongly associated with low back pain: evidence from a working population

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