Kinesiophobia modulates lumbar movements in people with chronic low back pain: a kinematic analysis of lumbar bending and returning movement

Osumi, Michihiro; Sumitani, Masahiko; Otake, Yuko; Nishigami, Tomohiko; Mibu, Akira; Nishi, Yuki; Imai, Ryota; Sato, Gosuke; Nagakura, Yusuke; Morioka, Shu

doi:10.1007/s00586-019-06010-4

Cited by 41 publications

(41 citation statements)

References 29 publications

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“…Osumi, et al also found evidence of a particular lumbar movement pattern associated with kinesiophobia. Thus, psychological factors impact lumbar movement patterns in individuals with chronic low back pain [31]. There are several studies for the management of kinesiophobia in chronic low back pain [32][33][34][35].…”

Section: Resultsmentioning

confidence: 99%

The effect of aquatic and land exercises on pain, health related quality of life, kinesiophobia and disability in chronic low back pain: A randomized clinical trial

Balcı¹,

Aytar²,

Atıcı³

et al. 2020

J Nov Physiother Phys Rehabil

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Background: This study aims to compare the effectiveness between aquatic exercise interventions and land-based exercises in the treatment of Chronic Low Back Pain. Methods: Thirty patients were randomly allocated to land exercise (n=15) and aquatherapy group (n=15). Both groups underwent Hot pack, conventional TENS, and continuous ultrasound. A water-based exercise program was conducted in the aquatherapy group for 15 patients in an indoor swimming pool. The land-based exercise program included abdominal and back strengthening exercises. All assessments were done before and after the treatments (4 th week). The pain and functional status of patients were evaluated. Results: There were no statistically signifi cant differences in the demographic features between groups. The pre and post-therapy differences between groups showed no significant results between groups in VAS, MODI, TAMPA, and the standardized SF-36 (p>0.05). There was a significant improvement in SF-36 role-emotional score in the land exercises group compared to aquatic exercises (p ≤ 0.05). The pre and post-therapy differences within groups showed a significant decrease in VAS score in aquatic exercises group (p<0.05), a similar observation was noted in the land exercises group too (p<0.05). There was also a significant decrease in ODI, TAMPA, and the physical functioning component of SF-36 in land exercises group. Conclusions: The findings from this study show similar benefit of aquatic exercises and land exercises on pain, disability, health related quality of life and kinesiophobia in chronic low back pain, even land exercises has significant effect in emotional role domain of health-related quality of life.

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Section: Resultsmentioning

confidence: 99%

The effect of aquatic and land exercises on pain, health related quality of life, kinesiophobia and disability in chronic low back pain: A randomized clinical trial

Balcı¹,

Aytar²,

Atıcı³

et al. 2020

J Nov Physiother Phys Rehabil

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“…A recent study with kinematic analysis indicated that a specific lumbar movement was significantly slower in chronic LBP group with a high degree of kinesiophobia than in the group with a low degree of kinesiophobia. 36 These findings may facilitate an understanding of the mechanisms whereby kinesiophobia could lead to decreased work productivity.…”

Section: Discussionmentioning

confidence: 97%

<p>Presenteeism and Associated Factors Among Nursing Personnel with Low Back Pain: A Cross-Sectional Study</p>

Yoshimoto¹,

Oka²,

Ochiai³

et al. 2020

JPR

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“…Psychological factors (such as pain catastrophising, fear and pain self-efficacy) have been shown to relate more to improved pain or activity limitation than physical parameters such as movement or abdominal muscle function (Mannion, Caporaso, Pulkovski, & Sprott, 2012;Mannion et al, 2001;Nordstoga, Meisingset, Vasseljen, Nilsen, & Unsgaard-Tondel, 2019). Psychological factors have also been shown to influence the embodiment of cautious and protective movement behaviours (Matheve et al, 2019;Olugbade, Bianchi-Berthouze, & Williams, 2019;Osumi et al, 2019) and mediate improvement (Lee et al, 2017;Liew et al, 2020;Mansell, Kamper, & Kent, 2013;Smeets, Vlaeyen, Kester, & Knottnerus, 2006). It may be that threat reduction, following the safe completion of previously painful, feared, or avoided activities perceived as dangerous or damaging, led to clinical improvement, irrespective of whether this was related to changes in movement or posture (Mannion et al, 2012;Steiger et al, 2012).…”

Section: Discussionmentioning

confidence: 99%

Movement, posture and low back pain. How do they relate? A replicated single‐case design in 12 people with persistent, disabling low back pain

Wernli

O’Sullivan

Smith

et al. 2020

European Journal of Pain

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Background Movement and posture are commonly believed to relate to non‐specific low back pain (NSLBP). While people with NSLBP appear to move and posture themselves differently from those without NSLBP, changes in movement and posture infrequently relate to improvements in NSLBP when analysed at a group‐level. Additionally, little is known about how movement or posture change when clinical outcome improves. Methods Within‐person relationships were investigated using a replicated, repeated measures, single‐case design in 12 people with persistent, disabling NSLBP. Individually relevant movement and posture were captured using wearable sensors on up to 20 occasions over a 22‐week period (5‐week baseline, 12‐week physiotherapy‐led intervention, 5‐week follow‐up), while pain and activity limitation were collected concomitantly. A series of cross‐correlation analyses estimated the presence, strength, and direction of relationships. Results Many participants (n = 10/12) had strong (e.g. r = 0.91, p = <0.001) relationships between changes in movement or posture and changes in pain and activity limitation, while some showed no strong association. Where relationships were observed, clinical improvement predominantly (93% or 57/61 relationships) related to increased spinal movement range and velocity during forward bending and lifting, reduced lumbar muscle EMG activity at maximum voluntary flexion, and increased posterior‐pelvic‐tilt during sitting and standing. Conclusion Within‐person changes to individually relevant movement and posture appear to often relate to clinical outcome, but not always. When changes were related, movement and posture appear to return towards being ‘less protective’, however causal directions remain unknown. Important activities, movements, and postural parameters varied across the participants, highlighting the potential importance of individualized management. Significance Changes to individually relevant movement and posture appear to often relate to clinical outcome, but not always. Patient‐specific activities, and movement or postural parameters that related to improved pain and activity limitation, varied across the 12 participants, highlighting the potential importance of individualised management. Where clinical improvements were related to changes in movement or posture, participants consistently returned towards being ‘less protective’ (increased range and speed of movement, increased posterior‐pelvic‐tilt during sitting and standing). Mechanisms and generalizability remain unclear.

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Kinesiophobia modulates lumbar movements in people with chronic low back pain: a kinematic analysis of lumbar bending and returning movement

Cited by 41 publications

References 29 publications

The effect of aquatic and land exercises on pain, health related quality of life, kinesiophobia and disability in chronic low back pain: A randomized clinical trial

The effect of aquatic and land exercises on pain, health related quality of life, kinesiophobia and disability in chronic low back pain: A randomized clinical trial

<p>Presenteeism and Associated Factors Among Nursing Personnel with Low Back Pain: A Cross-Sectional Study</p>

Movement, posture and low back pain. How do they relate? A replicated single‐case design in 12 people with persistent, disabling low back pain

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