Fear of Movement Is Not Associated With Objective and Subjective Physical Activity Levels in Chronic Nonspecific Low Back Pain

Carvalho, Flávia A.; Maher, Christopher G.; Franco, Márcia R.; Morelhão, Priscila K.; Oliveira, Crystian B.; Silva, Fernanda Gonçalves; Pinto, Rafael Zambelli

doi:10.1016/j.apmr.2016.09.115

Cited by 60 publications

(64 citation statements)

References 42 publications

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“…The regression results are similar to other studies that found no association between baseline kinesiophobia and baseline pain catastrophizing, and 4-day average total daily activity, 26 but our results indicate a significant negative relationship between baseline kinesiophobia and 4-day average sedentary activity at all times of the day. This important finding suggests that chronic pain patients' activity habits are affected by their baseline level of kinesiophobia and baseline pain catastrophizing.…”

Section: Discussionsupporting

confidence: 91%

“…Song et al (2012) and Elfving et al (2007) indicate there is a relationship between kinesiophobia, pain catastrophizing, disability, and depression and activity levels, 5,26,27 while Carvalho et al (2017) suggest there is no association. 26 The inconsistency in these results may be due to the methodology of activity measurement. Individuals in chronic pain experience sleep disturbances in the form of varying wake times, several night-time awakenings, poor sleep efficiency, and general insomnia.…”

Section: Introductionmentioning

confidence: 99%

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<p>Chronic Pain Patients’ Kinesiophobia and Catastrophizing are Associated with Activity Intensity at Different Times of the Day</p>

Miller¹,

Roumanis²,

Kakinami³

et al. 2020

JPR

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Purpose: To examine the relationship between baseline kinesiophobia and baseline pain catastrophizing with the 4-day average activity intensity at different times of the day while accounting for different wake and sleep-onset times in chronic pain patients. Methods: Twenty-one participants suffering from idiopathic chronic pain completed baseline questionnaires about kinesiophobia, catastrophizing, disability, depression, and pain. We measured the participants' activity using accelerometers and calculated activity intensity in the morning, afternoon, and evening. We performed a 2-way repeated measures ANOVA to compare activity levels at different times of the day, and multiple linear regressions. Results: Baseline kinesiophobia was significantly associated with 4-day average evening light activity and sedentary activity at all time periods while baseline catastrophizing was significantly associated with increased 4-day average light activity in the evening and more moderate to vigorous activity in the morning. Our participants engaged in more light activity on average than sedentary activity, and very little moderate-vigorous activity. Participants were most active in the afternoon. Conclusion: Baseline kinesiophobia and baseline catastrophizing were not associated with the 4-day average total daily activity; however, they were associated with 4-day average activity intensities at different times throughout the day. Segmenting daily activity into morning, afternoon, evening may influence the relationship between daily activity, and kinesiophobia and pain catastrophizing. Individuals with chronic pain are less sedentary than previously thought which may affect future interventions.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

<p>Chronic Pain Patients’ Kinesiophobia and Catastrophizing are Associated with Activity Intensity at Different Times of the Day</p>

Miller¹,

Roumanis²,

Kakinami³

et al. 2020

JPR

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“…Furthermore, the results of the present study are completely in the line of theoretical assumptions of the theory of reasoned action 14 . In Carvalho's study, people who did not have a good attitude toward physical activity prevented their physical activity 15 . Moreover, in accordance with the present study, numerous studies have revealed that subjective norm has been as the best predictor variable for actual PA [16][17] .…”

Section: Discussionmentioning

confidence: 98%

Factors Predicting the Physical Activity Behavior based on Theory of Reasoned Action among Chronic Low Back Pain of the Patients Referring to Comprehensive Health Service Centers in the Shahid Beheshti University of Medical Sciences in Tehran, Iran

Delshad¹,

Hidarnia²,

Pourhaji³

2019

Preprint

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Background: Low-level physical activity (PA) among Chronic Low Back Pain (cLBP) is associated with various biopsychosocial factors, and PA is effective in the domains of quality of life (QoL). Objectives: This research aimed to study the predictors of physical activity behavior among cLBP patients referred to comprehensive health service centers in the Shahid Beheshti University of Medical Sciences (SBUMS) in Tehran, Iran. Methods: In the present study 280 eligible patients with cLBP who referred to comprehensive health service centers in the SBUMS in Tehran, Iran from 13 January to 11 March 2019 were random selected. To diagnose the predictors of PA behavior, all the Theory of Reasoned Action (TRA) constructs were examined as risk factors to see if they influence on the probability of PA behavior occurrence and were interpreted through odds ratio (OR). SPSS version 21 was used to analyze the data. Results: Totally 280 cLBP patients with mean age of 57.07 ±13.09 years old participated in the study. This study showed that intention was significant predictor for perform the PA behavior OR (%95CI): 1.431(1.148-1.714), p-value <0.001), behavior beliefs could predictor for attitude OR (%95CI): 1.276(1.112-1.427), p-value= <0.001). attitude, normative beliefs, subjective norm ,and evaluation outcome behavior could predictors the cLBP patients for intention to perform the PA behavior OR (%95CI): 1.189(1.033-1.367), p-value=0.016)., OR (%95CI): 1.158(1.08-2.208), p-value<0.001) ., OR (%95CI):1.104(1.08-1.128), p-value=0.003) ., OR (%95CI): 0.814(0.74-1.554), p-value<0.001), but motivation to comply could predict the cLBP patients for subjective norm OR (%95CI): 1.077(0.891-1.263), p-value=0.093). Conclusion: This study showed that the cLBP patients who were normative beliefs and evaluation regarding PA behavior could effect on the intention to engage in greater PA than those with other constructs.

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“…Os exercícios ativos não promoveram redução dos níveis de cinesiofobia em nosso estudo. No entanto, Carvalho et al 25 afirmam que essa não está diretamente associada à inatividade física, indo ao encontro do proposto por Wertli et al, 26 que relatam que fatores psicológicos motivados por crenças equívocas sobre a DL têm papel tão fundamental quanto o sedentarismo e a falta de exercícios físicos no estabelecimento do medo da dor e do movimento em pacientes com DL crônica inespecífica. Sendo assim, a abordagem dos pacientes nessas condições deve estar pautada não somente pela terapia física em si, mas também pela conscientização dos indivíduos sobre as atitudes a serem tomadas no decorrer do tratamento e, principalmente, pela desmistificação de características da DL fundamentadas pelo senso comum ou por evidências ultrapassadas.…”

Section: Discussionunclassified

Efeito da estabilização segmentar e terapia manual versus estabilização segmentar isolada em pacientes com dor lombar crônica não específica: estudo controlado aleatorizado

Magalhães

Hubner

Jordão

et al. 2019

Rev. Fac. Ciênc. Méd. Sorocaba

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Introdução: A dor lombar (DL) pode ser definida como dor ou desconforto na região das vértebras lombares e sacrais da coluna vertebral. A estabilização segmentar consiste na execução de exercícios isométricos, principalmente dos músculos transverso do abdome e multífido lombar. A terapia manual baseada em mobilizações e manipulações articulares passivas possui nível moderado a baixo de evidências sobre sua eficácia na DL crônica, quando comparada a outros tipos de intervenções. Objetivo: Comparar a efetividade da estabilização segmentar e da terapia manual versus estabilização segmentar em pacientes com DL crônica inespecífica. Metodologia: Trata-se de um ensaio clínico randomizado; os sujeitos foram divididos em dois grupos: grupo estabilização segmentar e terapia manual (GESTM) e grupo estabilização segmentar (GES). Pretendeu-se realizar comparação intragrupo, análise pré e pós-intervenção e verificação da interação entre os grupos. Foram tratados 42 indivíduos com DL crônica inespecífica, com idades entre 18 e 50 anos, com dor persistente havia mais de três meses. Resultados: Foram observadas melhoras na intensidade da dor, qualidade da dor, incapacidade funcional, qualidade de vida e percepção do efeito global para os dois grupos, contudo, sem diferenças entre eles. Conclusão: Os resultados obtidos indicam que indivíduos com DL crônica inespecífica tratados com estabilização segmentar, com ou sem a associação de terapia manual, apresentaram melhora semelhante na intensidade da dor, qualidade da dor, incapacidade funcional, qualidade de vida e percepção do efeito global.

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Fear of Movement Is Not Associated With Objective and Subjective Physical Activity Levels in Chronic Nonspecific Low Back Pain

Abstract: Our data support one aspect of the fear-avoidance model-that higher fear of movement is associated with more disability-but not the aspect of the model linking fear of movement with inactivity.

Cited by 60 publications

References 42 publications

<p>Chronic Pain Patients’ Kinesiophobia and Catastrophizing are Associated with Activity Intensity at Different Times of the Day</p>

<p>Chronic Pain Patients’ Kinesiophobia and Catastrophizing are Associated with Activity Intensity at Different Times of the Day</p>

Factors Predicting the Physical Activity Behavior based on Theory of Reasoned Action among Chronic Low Back Pain of the Patients Referring to Comprehensive Health Service Centers in the Shahid Beheshti University of Medical Sciences in Tehran, Iran

Efeito da estabilização segmentar e terapia manual versus estabilização segmentar isolada em pacientes com dor lombar crônica não específica: estudo controlado aleatorizado

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