Lumbar Kinematics, Functional Disability and Fear Avoidance Beliefs Among Adults with Nonspecific Chronic Low Back Pain

Abstract

abstract:Objectives: This study aimed to examine correlations between lumbar kinematics, functional disability and fear avoidance beliefs among adults with nonspecific chronic low back pain (LBP). Methods: This crosssectional study was conducted between March and December 2014. A total of 32 adults diagnosed with nonspecific chronic LBP were recruited from outpatients attending either an orthopaedic clinic at a university hospital or a private physiotherapy clinic in Malaysia. Lumbar kinematics were measured using sensors attached at the first lumbar (L1) and second sacral (S2) vertebrae levels. The Oswestry Disability Index (ODI) and Fear-Avoidance Beliefs Questionnaire (FABQ) were used to assess degree of functional disability and fear avoidance beliefs, respectively. Results: For maximum range of motion, positive correlations were observed between ODI scores and right lateral flexion and right rotation (P = 0.01 each), although there was a negative correlation with left rotation (P = 0.03). With maximum angular velocity, ODI scores were positively correlated with right and left lateral flexion L1 (P = 0.01 and <0.01, respectively) but negatively correlated with left lateral flexion L2 (P = 0.04). Regarding minimum angular velocity, ODI scores were positively correlated with left lateral flexion S2 (P <0.01) but negatively correlated with right and left lateral flexion L1 (P = 0.02 each), right rotation L1 (P = 0.02) and left rotation S2 (P = 0.01). No significant correlations were found between lumbar kinematics and FABQ scores. Conclusion: These findings suggest that certain lumbar kinematic parameters are correlated with functional disability, but not with fear avoidance beliefs.

The relationships between spinal amplitude of movement, pain and disability in low back pain: A systematic review and meta‐analysis

“…Relationships based on cross‐sectional data between spinal amplitude and disability were available for 69 studies and 5899 participants (Adamu et al, 2019; Alschuler et al, 2009; Alves et al, 2020; Ansari et al, 2014; Atya, 2013; Aure & Kvåle, 2022; Bayar et al, 2003; Bazzaz‐Yamchi et al, 2021; Caporaso et al, 2012; Carrasco‐Martínez et al, 2019; Christe et al, 2016; Coyle et al, 2017; de Brito Macedo et al, 2019; Demoulin et al, 2013; Deyo, 1986; Dubois et al, 2016; Duray et al, 2018; Ekedahl et al, 2010; Fehrmann et al, 2017; Felicio et al, 2017; Garcia et al, 2013; Grönblad et al, 1997; Grosdent et al, 2023; Grotle et al, 2004; Hidalgo et al, 2015; Hofste et al, 2021; Hrkać et al, 2022; Hurri et al, 1995; Ibrahim et al, 2019; Jette et al, 2016; Joshi et al, 2021; Kang et al, 1995; Karayannis et al, 2023; Kiran et al, 2017; La Touche et al, 2019; Larivière et al, 2022; Lee et al, 2001; Lenoir dit Caron et al, 2022; Loisel et al, 1998; Louw et al, 2015; Louw, Farrell, et al, 2017; Mannion et al, 2001; Matheve et al, 2019; Melikoglu et al, 2009; Miyachi et al, 2021; Nattrass et al, 1999; Nemcić et al, 2013; Nordstoga et al, 2019; Ostelo et al, 2003; Ozkaraoglu et al, 2020; Parks et al, 2003; Rainville et al, 1994; Sakulsriprasert et al, 2011; Sasani et al, 2008; Satpute et al, 2019; Scharovsky et al,…”

“…Relationships based on cross‐sectional data between spinal amplitude and pain intensity were available for 74 studies with 5806 participants (Alschuler et al, 2009; Alves et al, 2020; Anderson et al, 2013; Ansari et al, 2014; Aure & Kvåle, 2022; Bazzaz‐Yamchi et al, 2021; Caporaso et al, 2012; Carpino et al, 2020; Carrasco‐Martínez et al, 2019; Christe et al, 2016; Coyle et al, 2017; de Brito Macedo et al, 2019; Demoulin et al, 2013; Du et al, 2017; Dubois et al, 2016; Duray et al, 2018; Fehrmann et al, 2017; Garcia et al, 2013; Geller et al, 2016; Grosdent et al, 2023; Grotle et al, 2004; Hidalgo et al, 2015; Hofste et al, 2021; Hrkać et al, 2022; Ibrahim et al, 2019; Jensen et al, 2010; Jette et al, 2016; Joshi et al, 2021; Kernan & Rainville, 2007; Kienbacher et al, 2017; Kiran et al, 2017; Larivière et al, 2022; Lenoir dit Caron et al, 2022; Louw et al, 2015; Louw, Farrell, et al, 2017; Louw, Zimney, et al, 2017; Mannion et al, 2001; Marich et al, 2017; Matheve et al, 2019; McCracken et al, 2002; Melikoglu et al, 2009; Mieritz et al, 2014; Miyachi et al, 2021; Neblett et al, 2013; Nemcić et al, 2013; Nordstoga et al, 2019; Olaogun et al, 2004; Ostelo et al, 2003; Osumi et al, 2019; Ozkaraoglu et al, 2020; Pagé et al, 2015; Papciak & Feuerstein, 1991; Peng et al, 2016; Preyde, 2000; Sakulsriprasert et al, 2011…”

The relationships between spinal amplitude of movement, pain and disability in low back pain: A systematic review and meta‐analysis

“…Relationships based on cross‐sectional data between spinal amplitude and disability were available for 69 studies and 5899 participants (Adamu et al, 2019; Alschuler et al, 2009; Alves et al, 2020; Ansari et al, 2014; Atya, 2013; Aure & Kvåle, 2022; Bayar et al, 2003; Bazzaz‐Yamchi et al, 2021; Caporaso et al, 2012; Carrasco‐Martínez et al, 2019; Christe et al, 2016; Coyle et al, 2017; de Brito Macedo et al, 2019; Demoulin et al, 2013; Deyo, 1986; Dubois et al, 2016; Duray et al, 2018; Ekedahl et al, 2010; Fehrmann et al, 2017; Felicio et al, 2017; Garcia et al, 2013; Grönblad et al, 1997; Grosdent et al, 2023; Grotle et al, 2004; Hidalgo et al, 2015; Hofste et al, 2021; Hrkać et al, 2022; Hurri et al, 1995; Ibrahim et al, 2019; Jette et al, 2016; Joshi et al, 2021; Kang et al, 1995; Karayannis et al, 2023; Kiran et al, 2017; La Touche et al, 2019; Larivière et al, 2022; Lee et al, 2001; Lenoir dit Caron et al, 2022; Loisel et al, 1998; Louw et al, 2015; Louw, Farrell, et al, 2017; Mannion et al, 2001; Matheve et al, 2019; Melikoglu et al, 2009; Miyachi et al, 2021; Nattrass et al, 1999; Nemcić et al, 2013; Nordstoga et al, 2019; Ostelo et al, 2003; Ozkaraoglu et al, 2020; Parks et al, 2003; Rainville et al, 1994; Sakulsriprasert et al, 2011; Sasani et al, 2008; Satpute et al, 2019; Scharovsky et al,…”

“…Relationships based on cross‐sectional data between spinal amplitude and pain intensity were available for 74 studies with 5806 participants (Alschuler et al, 2009; Alves et al, 2020; Anderson et al, 2013; Ansari et al, 2014; Aure & Kvåle, 2022; Bazzaz‐Yamchi et al, 2021; Caporaso et al, 2012; Carpino et al, 2020; Carrasco‐Martínez et al, 2019; Christe et al, 2016; Coyle et al, 2017; de Brito Macedo et al, 2019; Demoulin et al, 2013; Du et al, 2017; Dubois et al, 2016; Duray et al, 2018; Fehrmann et al, 2017; Garcia et al, 2013; Geller et al, 2016; Grosdent et al, 2023; Grotle et al, 2004; Hidalgo et al, 2015; Hofste et al, 2021; Hrkać et al, 2022; Ibrahim et al, 2019; Jensen et al, 2010; Jette et al, 2016; Joshi et al, 2021; Kernan & Rainville, 2007; Kienbacher et al, 2017; Kiran et al, 2017; Larivière et al, 2022; Lenoir dit Caron et al, 2022; Louw et al, 2015; Louw, Farrell, et al, 2017; Louw, Zimney, et al, 2017; Mannion et al, 2001; Marich et al, 2017; Matheve et al, 2019; McCracken et al, 2002; Melikoglu et al, 2009; Mieritz et al, 2014; Miyachi et al, 2021; Neblett et al, 2013; Nemcić et al, 2013; Nordstoga et al, 2019; Olaogun et al, 2004; Ostelo et al, 2003; Osumi et al, 2019; Ozkaraoglu et al, 2020; Pagé et al, 2015; Papciak & Feuerstein, 1991; Peng et al, 2016; Preyde, 2000; Sakulsriprasert et al, 2011…”

The Use of Sensors to Prevent, Predict Transition to Chronic and Personalize Treatment of Low Back Pain: A Systematic Review

“…Apart from the publications concerning the comparison between chronic NSLBP and the healthy population (75%) [ 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 ], 33.33% of articles compared outcomes between different NSLBP groups [ 20 , 24 , 29 , 36 , 37 , 38 , 39 , 40 ] and 25% contrasted outcomes before and after a treatment [ 24 , 34 , 36 , 37 , 38 , 40 ]. Lastly, three articles (12.5%) analyzed the relationship between outcomes and psychosocial factors [ 18 , 25 , 41 ]. Only one of them did not compare outcomes by groups or time [ 41 ].…”

“…Lastly, three articles (12.5%) analyzed the relationship between outcomes and psychosocial factors [ 18 , 25 , 41 ]. Only one of them did not compare outcomes by groups or time [ 41 ].…”

“…As it was, the publications had to use a sensor system to measure at least one of the outcomes. Ten articles (41.67%) used superficial EMG [ 20 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 ], while seven (29.17%) employed inertial sensors [ 21 , 22 , 23 , 24 , 39 , 40 , 41 ]. A smaller percentage of articles used photogrammetry systems (20.83%) [ 20 , 27 , 28 , 29 , 38 ], a force platform (20.83%) [ 28 , 29 , 30 , 31 , 32 ] or angular sensors (8.33%) [ 25 , 26 ], among others.…”

The relationships between spinal amplitude of movement, pain and disability in low back pain: A systematic review and meta‐analysis

“…Relationships based on cross‐sectional data between spinal amplitude and disability were available for 69 studies and 5899 participants (Adamu et al, 2019; Alschuler et al, 2009; Alves et al, 2020; Ansari et al, 2014; Atya, 2013; Aure & Kvåle, 2022; Bayar et al, 2003; Bazzaz‐Yamchi et al, 2021; Caporaso et al, 2012; Carrasco‐Martínez et al, 2019; Christe et al, 2016; Coyle et al, 2017; de Brito Macedo et al, 2019; Demoulin et al, 2013; Deyo, 1986; Dubois et al, 2016; Duray et al, 2018; Ekedahl et al, 2010; Fehrmann et al, 2017; Felicio et al, 2017; Garcia et al, 2013; Grönblad et al, 1997; Grosdent et al, 2023; Grotle et al, 2004; Hidalgo et al, 2015; Hofste et al, 2021; Hrkać et al, 2022; Hurri et al, 1995; Ibrahim et al, 2019; Jette et al, 2016; Joshi et al, 2021; Kang et al, 1995; Karayannis et al, 2023; Kiran et al, 2017; La Touche et al, 2019; Larivière et al, 2022; Lee et al, 2001; Lenoir dit Caron et al, 2022; Loisel et al, 1998; Louw et al, 2015; Louw, Farrell, et al, 2017; Mannion et al, 2001; Matheve et al, 2019; Melikoglu et al, 2009; Miyachi et al, 2021; Nattrass et al, 1999; Nemcić et al, 2013; Nordstoga et al, 2019; Ostelo et al, 2003; Ozkaraoglu et al, 2020; Parks et al, 2003; Rainville et al, 1994; Sakulsriprasert et al, 2011; Sasani et al, 2008; Satpute et al, 2019; Scharovsky et al,…”

“…Relationships based on cross‐sectional data between spinal amplitude and pain intensity were available for 74 studies with 5806 participants (Alschuler et al, 2009; Alves et al, 2020; Anderson et al, 2013; Ansari et al, 2014; Aure & Kvåle, 2022; Bazzaz‐Yamchi et al, 2021; Caporaso et al, 2012; Carpino et al, 2020; Carrasco‐Martínez et al, 2019; Christe et al, 2016; Coyle et al, 2017; de Brito Macedo et al, 2019; Demoulin et al, 2013; Du et al, 2017; Dubois et al, 2016; Duray et al, 2018; Fehrmann et al, 2017; Garcia et al, 2013; Geller et al, 2016; Grosdent et al, 2023; Grotle et al, 2004; Hidalgo et al, 2015; Hofste et al, 2021; Hrkać et al, 2022; Ibrahim et al, 2019; Jensen et al, 2010; Jette et al, 2016; Joshi et al, 2021; Kernan & Rainville, 2007; Kienbacher et al, 2017; Kiran et al, 2017; Larivière et al, 2022; Lenoir dit Caron et al, 2022; Louw et al, 2015; Louw, Farrell, et al, 2017; Louw, Zimney, et al, 2017; Mannion et al, 2001; Marich et al, 2017; Matheve et al, 2019; McCracken et al, 2002; Melikoglu et al, 2009; Mieritz et al, 2014; Miyachi et al, 2021; Neblett et al, 2013; Nemcić et al, 2013; Nordstoga et al, 2019; Olaogun et al, 2004; Ostelo et al, 2003; Osumi et al, 2019; Ozkaraoglu et al, 2020; Pagé et al, 2015; Papciak & Feuerstein, 1991; Peng et al, 2016; Preyde, 2000; Sakulsriprasert et al, 2011…”

The Use of Sensors to Prevent, Predict Transition to Chronic and Personalize Treatment of Low Back Pain: A Systematic Review

“…Apart from the publications concerning the comparison between chronic NSLBP and the healthy population (75%) [ 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 ], 33.33% of articles compared outcomes between different NSLBP groups [ 20 , 24 , 29 , 36 , 37 , 38 , 39 , 40 ] and 25% contrasted outcomes before and after a treatment [ 24 , 34 , 36 , 37 , 38 , 40 ]. Lastly, three articles (12.5%) analyzed the relationship between outcomes and psychosocial factors [ 18 , 25 , 41 ]. Only one of them did not compare outcomes by groups or time [ 41 ].…”

“…Lastly, three articles (12.5%) analyzed the relationship between outcomes and psychosocial factors [ 18 , 25 , 41 ]. Only one of them did not compare outcomes by groups or time [ 41 ].…”

“…As it was, the publications had to use a sensor system to measure at least one of the outcomes. Ten articles (41.67%) used superficial EMG [ 20 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 ], while seven (29.17%) employed inertial sensors [ 21 , 22 , 23 , 24 , 39 , 40 , 41 ]. A smaller percentage of articles used photogrammetry systems (20.83%) [ 20 , 27 , 28 , 29 , 38 ], a force platform (20.83%) [ 28 , 29 , 30 , 31 , 32 ] or angular sensors (8.33%) [ 25 , 26 ], among others.…”

The relationships between spinal amplitude of movement, pain and disability in low back pain: A systematic review and meta‐analysis

“…Relationships based on cross‐sectional data between spinal amplitude and disability were available for 69 studies and 5899 participants (Adamu et al, 2019; Alschuler et al, 2009; Alves et al, 2020; Ansari et al, 2014; Atya, 2013; Aure & Kvåle, 2022; Bayar et al, 2003; Bazzaz‐Yamchi et al, 2021; Caporaso et al, 2012; Carrasco‐Martínez et al, 2019; Christe et al, 2016; Coyle et al, 2017; de Brito Macedo et al, 2019; Demoulin et al, 2013; Deyo, 1986; Dubois et al, 2016; Duray et al, 2018; Ekedahl et al, 2010; Fehrmann et al, 2017; Felicio et al, 2017; Garcia et al, 2013; Grönblad et al, 1997; Grosdent et al, 2023; Grotle et al, 2004; Hidalgo et al, 2015; Hofste et al, 2021; Hrkać et al, 2022; Hurri et al, 1995; Ibrahim et al, 2019; Jette et al, 2016; Joshi et al, 2021; Kang et al, 1995; Karayannis et al, 2023; Kiran et al, 2017; La Touche et al, 2019; Larivière et al, 2022; Lee et al, 2001; Lenoir dit Caron et al, 2022; Loisel et al, 1998; Louw et al, 2015; Louw, Farrell, et al, 2017; Mannion et al, 2001; Matheve et al, 2019; Melikoglu et al, 2009; Miyachi et al, 2021; Nattrass et al, 1999; Nemcić et al, 2013; Nordstoga et al, 2019; Ostelo et al, 2003; Ozkaraoglu et al, 2020; Parks et al, 2003; Rainville et al, 1994; Sakulsriprasert et al, 2011; Sasani et al, 2008; Satpute et al, 2019; Scharovsky et al,…”

“…Relationships based on cross‐sectional data between spinal amplitude and pain intensity were available for 74 studies with 5806 participants (Alschuler et al, 2009; Alves et al, 2020; Anderson et al, 2013; Ansari et al, 2014; Aure & Kvåle, 2022; Bazzaz‐Yamchi et al, 2021; Caporaso et al, 2012; Carpino et al, 2020; Carrasco‐Martínez et al, 2019; Christe et al, 2016; Coyle et al, 2017; de Brito Macedo et al, 2019; Demoulin et al, 2013; Du et al, 2017; Dubois et al, 2016; Duray et al, 2018; Fehrmann et al, 2017; Garcia et al, 2013; Geller et al, 2016; Grosdent et al, 2023; Grotle et al, 2004; Hidalgo et al, 2015; Hofste et al, 2021; Hrkać et al, 2022; Ibrahim et al, 2019; Jensen et al, 2010; Jette et al, 2016; Joshi et al, 2021; Kernan & Rainville, 2007; Kienbacher et al, 2017; Kiran et al, 2017; Larivière et al, 2022; Lenoir dit Caron et al, 2022; Louw et al, 2015; Louw, Farrell, et al, 2017; Louw, Zimney, et al, 2017; Mannion et al, 2001; Marich et al, 2017; Matheve et al, 2019; McCracken et al, 2002; Melikoglu et al, 2009; Mieritz et al, 2014; Miyachi et al, 2021; Neblett et al, 2013; Nemcić et al, 2013; Nordstoga et al, 2019; Olaogun et al, 2004; Ostelo et al, 2003; Osumi et al, 2019; Ozkaraoglu et al, 2020; Pagé et al, 2015; Papciak & Feuerstein, 1991; Peng et al, 2016; Preyde, 2000; Sakulsriprasert et al, 2011…”

The Use of Sensors to Prevent, Predict Transition to Chronic and Personalize Treatment of Low Back Pain: A Systematic Review

“…Apart from the publications concerning the comparison between chronic NSLBP and the healthy population (75%) [ 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 ], 33.33% of articles compared outcomes between different NSLBP groups [ 20 , 24 , 29 , 36 , 37 , 38 , 39 , 40 ] and 25% contrasted outcomes before and after a treatment [ 24 , 34 , 36 , 37 , 38 , 40 ]. Lastly, three articles (12.5%) analyzed the relationship between outcomes and psychosocial factors [ 18 , 25 , 41 ]. Only one of them did not compare outcomes by groups or time [ 41 ].…”

“…Lastly, three articles (12.5%) analyzed the relationship between outcomes and psychosocial factors [ 18 , 25 , 41 ]. Only one of them did not compare outcomes by groups or time [ 41 ].…”

“…As it was, the publications had to use a sensor system to measure at least one of the outcomes. Ten articles (41.67%) used superficial EMG [ 20 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 ], while seven (29.17%) employed inertial sensors [ 21 , 22 , 23 , 24 , 39 , 40 , 41 ]. A smaller percentage of articles used photogrammetry systems (20.83%) [ 20 , 27 , 28 , 29 , 38 ], a force platform (20.83%) [ 28 , 29 , 30 , 31 , 32 ] or angular sensors (8.33%) [ 25 , 26 ], among others.…”