Manual handling of patients: role of kinesiophobia and catastrophizing in health workers with chronic low back pain

Lecca, Luigi Isaia; Fabbri, Daniele; Portoghese, Igor; Pilia, Ilaria; Meloni, Federico; Marcias, Gabriele; Mucci, Nicola; Campagna, Marcello; Monticone, Marco

doi:10.23736/s1973-9087.20.06004-9

Cited by 6 publications

(7 citation statements)

References 31 publications

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“…In conclusion, they identified that the majority of health employees with load exposure due to overuse had kinesiophobia and pain catastrophizing behavior and additionally, these negative psychological factors had moderate level positive correlation with disability related to low back pain. 17 Different to this study in a narrow patient population, in our study we assessed a broader patient population without regard to any population, and in parallel with this study, identified that kinesiophobia and catastrophic thoughts affected disability related to low back pain at moderate levels.…”

Section: Discussionmentioning

confidence: 76%

Be Brave and Cool, Be Far From Low Back Pain: Kinesiophobia and Pain Catastrophizing Behaviour Can Cause Disability in Chronic Non-Specific Low Back Pain Patients Like the Other Maladaptive Psyschosocial Factors

Dal¹,

Ekinci²

2021

J PMR Sci

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The aim of the study is to research the effect of kinesiophobia and pain catastrophizing behavior on disability related to low back pain among patients with chronic non-specific low back pain. Material and Methods: In this prospective and cross-sectional study, in which the data of 54 patients in total were recorded with 3 stages of patient recruitment; the data of kinesiophobia (with Tampa Kinesiophobia Scale ), catastrophe (with Pain Catastrophizing Scale) and low back pain-related disability level (with Oswestry Disability Index) with sociodemographic and anthropometric data were analyzed. By means of statistical analysis; continuous variables were expressed with mean value±standard deviation and median value (minimum-maximum) and categorical variables were expressed in terms of numbers and percentages. The Pearson and Spearman correlation coefficient was used to evaluate the correlation of the variables. The correlation coefficient of 0.00-0.30 was considered as negligible, 0.30-0.50 as low, 0.50-0.70 as medium, 0.70-0.90 as high, and 0.90-1.00 as very high. Results: A moderate positive correlation was identified between kinesiophobia and catastrophizing with disability level related to low back pain. There was a low-degree negative correlation between disability level related to low back pain with education and income level. Conclusions: Psychosocial pathologies like kinesiophobia and pain catastrophizing behavior may affect disability related to low back pain in a negative sense. In addition to the pathoanatomic/biomedical approach, treatment should include a psychosocial-based assessment and if psychosocial pathology is identified, treatments like pain education and cognitive behavioral therapy should be added to present treatments.

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Section: Discussionmentioning

confidence: 76%

Be Brave and Cool, Be Far From Low Back Pain: Kinesiophobia and Pain Catastrophizing Behaviour Can Cause Disability in Chronic Non-Specific Low Back Pain Patients Like the Other Maladaptive Psyschosocial Factors

Dal¹,

Ekinci²

2021

J PMR Sci

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“…It would be beneficial to further examine psychosocial factors related to these relationships. Research related to kinesiophobia and catastrophizing has been linked to musculoskeletal symptoms and disability and to lower physical activity [37][38][39][40]. The presence of these factors, its impact upon MSS, and influences on physical activity were beyond the scope of the present study with stone, sand, and gravel mine workers, but this could be explored in future research studies.…”

Section: Discussionmentioning

confidence: 90%

Health, Physical Activity and Musculoskeletal Symptoms among Stone, Sand, and Gravel Mine Workers: Implications for Enhancing and Sustaining Worker Health and Safety

Smith

Balogun

et al. 2020

Safety

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There is little data delineating relationships between health and worker musculoskeletal symptoms (MSS), particularly among stone, sand, and gravel mine (SSGM) workers. There is also little data detailing the relationships between physical activity and MSS among these workers. A cross-sectional study using data from 459 SSGM workers was completed. Logistic regression analyses assessed relationships between health factors, physical activity, and low back, neck, shoulder, and knee MSS. Those who reported their health as very good/excellent were less likely to suffer low back and knee MSS. Those who indicated their health was poor/fair were more likely to suffer shoulder, neck, and knee MSS. Obese workers were more likely to experience knee MSS and those who smoked in the past had higher odds of neck MSS. Vigorous physical activity was mostly protective, but those performing more than 5 h of moderate physical activity each week had greater odds of shoulder and neck MSS. Given these results, workers in SSGM may benefit from targeted interventions that bolster vigorous physical activity and improve health. Further, health protection efforts need to be initiated by SSGM operations to address work issues and to sustain health as job roles and work hours impacted MSS as well.

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“…In context of the workplace, scientific studies indicate especially biomechanical overload due to patients' manual handling as related risk factors for chronic back pain. These include, for example, lifting heavy loads, working in a stooped or twisted posture, vibration, one-sided postures, and repetitive, unilateral movements (2). Also, the importance of psychological risk factors for the development and chronification of musculoskeletal disorders is being recognized and supported by empirical findings.…”

Section: Introductionmentioning

confidence: 99%

“…This indicates the presence of work-related psychosocial conditions such as low job satisfaction, monotonous work, and social conflicts at work as risk factors (3). Furthermore, fear of movement (also known as kinesiophobia) and catastrophizing may influence the development of chronic discomfort and lower performance in the work environment, although these issues are poorly studied (2,4,5). Thus, physical activity, ergonomics in the workplace, stress, job satisfaction, social relationships, and company conditions have been identified as important factors in the prevention of back diseases (Medical Service of the German National Association of Health Insurance Funds (MDS) and the National Association of Statutory Health Insurance Funds (6).…”

Section: Introductionmentioning

confidence: 99%

“…Employment status and working hours can be limiting or promoting factors for the participation in WHP (25-27) so we included these employment factors in our analyses. Health behavior in form of "physical activity, ", and "health awareness" have been proven to be positive associated with the use of prevention programs (2,14,20,21). At last, back health by the factor "subjective complaints in the lower back or other chronic back conditions" was considered in the analyses, due to results that health conditions are associated with the use of health promoting and prevention measures (17,(28)(29)(30).…”

Section: Introductionmentioning

confidence: 99%

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Factors in the Use of Workplace Health Promotion on Back Health. Results of the Survey “German Health Update”

Hermann

Starker

Geene

et al. 2021

Front. Public Health

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Background: The influence of the working environment on the back health of employees is well-documented. Many companies have begun to offer employees access to services to promote back health. Factors affecting the use of these offers at the population level have received little investigation to date. The current study examined the socio-demographic factors, physical activity and health-related factors, and work-related factors associated with the use of offers of workplace health promotion for back health in Germany.Materials and Methods: In the representative population-based cross-sectional survey “German Health Update” (GEDA 2014/2015-EHIS) conducted by the Robert Koch Institute, 12,072 employees aged 18–64 years old were surveyed from November 2014 to July 2015 regarding the use of back health services in their companies. In addition to socio-demographic factors, the survey examined working hours, physical activity in leisure time, health awareness, and subjective complaints in the lower back or other chronic back problems in the last 12 months. The interaction of these factors with the utilization of back health services was tested using multiple logistic regression models.Results: Women used back health services more often than men (women: 25.5%; men: 18.1%). Female gender was associated with part-time employment (OR 0.72) and a strong to very strong level of health awareness (OR 1.40). Male gender was associated with age between 30 and 44 years (OR 1.99) and 45–64 years (OR 2.02), low socioeconomic status (OR 0.48), endurance activity of <2.5 h per week (OR 0.62), and absence of lower back pain or other chronic back conditions for the last 12 months (OR 0.48).Conclusion: The present study is the first to provide findings regarding the factors associated with the utilization of workplace health promotion to promote back health at the population level, and from the perspective of employees in Germany. The results revealed that the relevant factors for participating in offers differ for women and men. To reach more employees, workplace health promotion offers for back health should be designed specifically for each individual, considering gender and age, working hours, health awareness and behavior, and health state.

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Manual handling of patients: role of kinesiophobia and catastrophizing in health workers with chronic low back pain

Cited by 6 publications

References 31 publications

Be Brave and Cool, Be Far From Low Back Pain: Kinesiophobia and Pain Catastrophizing Behaviour Can Cause Disability in Chronic Non-Specific Low Back Pain Patients Like the Other Maladaptive Psyschosocial Factors

Be Brave and Cool, Be Far From Low Back Pain: Kinesiophobia and Pain Catastrophizing Behaviour Can Cause Disability in Chronic Non-Specific Low Back Pain Patients Like the Other Maladaptive Psyschosocial Factors

Health, Physical Activity and Musculoskeletal Symptoms among Stone, Sand, and Gravel Mine Workers: Implications for Enhancing and Sustaining Worker Health and Safety

Factors in the Use of Workplace Health Promotion on Back Health. Results of the Survey “German Health Update”

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