Measurement of Lumbar Spine Functional Movement in Low Back Pain

Vaisy, Morad; Gizzi, Leonardo; Petzke, Frank; Consmüller, Tobias; Pfingsten, M.; Falla, Deborah

doi:10.1097/ajp.0000000000000190

Cited by 59 publications

(59 citation statements)

References 31 publications

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“…FA should logically be associated with decreased physical performance on tasks that might provoke pain. Some previous studies in various chronic pain populations have found associations between FA‐related measures and performance measures, including lifting, range of motion, walking, gait speed, and strength production . The present study evaluated the association between FACS scores and “zero” scores on the PILE, an objective lifting task.…”

Section: Discussionmentioning

confidence: 95%

The Fear‐avoidance Components Scale (FACS): Development and Psychometric Evaluation of a New Measure of Pain‐related Fear Avoidance

et al. 2015

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Pain-related fear avoidance (FA), a common problem for patients with painful medical conditions, involves pain-related catastrophizing cognitions, hypervigilance, and avoidance behaviors, which can ultimately lead to decreased functioning, depression, and disability. Several patient-reported instruments have been developed to measure FA, but they have been criticized for limited construct validity, inadequate item specificity, lack of cutoff scores, and missing important FA components. The Fear-Avoidance Components Scale (FACS) is a new patient-reported measure designed to comprehensively evaluate FA in patients with painful medical conditions. It combines important components of FA found in prior FA scales, while trying to correct some of their deficiencies, within a framework of the most current FA model. Psychometric evaluation of the FACS found high internal consistency (α = 0.92) and high test/retest reliability (r = 0.90-0.94, P < 0.01). FACS scores differentiated between 2 separate chronic pain patient samples and a nonpatient comparison group. When clinically relevant severity levels were created, FACS severity scores were highly associated with FA-related patient-reported psychosocial and objective lifting performance variables. These results suggest that the FACS is a psychometrically strong and reliable measure that can help healthcare providers assess FA-related barriers to function and recovery.

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Section: Discussionmentioning

confidence: 95%

The Fear‐avoidance Components Scale (FACS): Development and Psychometric Evaluation of a New Measure of Pain‐related Fear Avoidance

et al. 2015

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“…A qualidade de vida comprometida nos domínios físico, psicoló-gico e relações sociais assemelham-se a outros dados, revelando que as dimensões físicas e relações sociais podem ser preditores da ocorrência e expressão do sintoma álgico pós-cirurgia (18) . Com relação ao medo do movimento, este é um fator de risco para o aumento da dor, incapacidade e redução da função fí-sica em pacientes após cirurgia de coluna (19) . Neste estudo foi verificado um alto grau de cinesiofobia, concordante ao estudo sueco (17) , que avaliou 80 pacientes com radiculopatia lombar tratados cirurgicamente e que responderam à Escala Tampa de Cinesiofobia, obtendo uma média de 39,1 ± 8,45.…”

Section: Discussionunclassified

Impacto Funcional Na Qualidade De Vida De Indivíduos Com Síndrome Dolorosa Pós-Laminectomia

Martins¹,

Ramos²,

Foss³

et al. 2015

ACS

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ResumoIntrodução: A síndrome dolorosa pós-laminectomia (SDPL) ou dor após procedimentos cirúrgicos da coluna lombar causa um impacto significativo no individuo e na sociedade e muitas vezes é subtratada. Objetivo: avaliar a função, a qualidade de vida, o medo do movimento e sintomas de ansiedade e de depressão pós-laminectomia. Casuística e Métodos: Trata-se de um estudo descritivo, exploratório, de corte transversal e abordagem quantitativa, com pacientes pós laminectomizados (n = 18) atendidos em uma Clínica de Dor. Os instrumentos utilizados foram: o Questionário Roland-Morris, os inventários Beck de Ansiedade (BAI) e de Depressão (BDI), o World Health Organization's Quality of Life Instrument versão abreviada (Whoqol-bref) e a Escala Tampa de Cinesiofobia (ETC). Resultados: Na amostra houve predomínio do gênero feminino, média de idade de 42,3 ± 5,8 anos, 43% casados e média de escolaridade de 7 ± 4,5 anos. Foi relatado um tempo médio de dor de 8 ±6,8 meses e níveis altos de ansiedade, depressão e cinesiofobia. Conclusão: Este estudo demonstra o grande transtorno que essa síndrome representa para os pacientes em razão da incapacidade funcional, da dor, da baixa qualidade de vida e da situação emocional e física comprometida. Destaca-se a necessidade de programar mudanças na abordagem terapêutica dessa população especialmente vulnerável.Descritores: Laminectomia; Qualidade de Vida; Dor Crônica. AbstractIntroduction: Post-laminectomy syndrome (FBSS) or pain after surgical proceedings of the lumbar column cause a significant impact in the individual and in the society. It is often under treated. Objective: Evaluate the function, quality of life, fear of movement, and anxiety and depression symptoms in these patients. Patients and Method: This is a descriptive, exploratory, cross-sectional study using a quantitative approach with post laminectomy patients (n = 18) attended at a Pain Clinic. The instruments used were the Roland-Morris Questionnaire, the Beck Anxiety Inventory (BAI) and the Beck Depression Inventory (BDI). To assess the quality of life, we used the Whoqol-bref (a short version) and the Tampa Scale for kinesiophobia (KTS) for measure fear of movement. Results: The sample was predominantly female with a mean age of 42.3 ± 5.8 years, 43% married and mean schooling of 7 ± 4.5 years. It was reported an average time of pain of 8 ± 6.8 months, as well as high levels of anxiety, depression, and kinesiophobia. Conclusion: This study demonstrates the great inconvenience that this syndrome causes in patients. It provokes disability, pain, poor quality of life, and it impairs emotional and physical situations as well. This study depicts the great inconvenience that this syndrome causes in patients. It provokes disability, pain, poor quality of life, and it impairs emotional and physical situations as well. There is the need to make changes in the treatment of this particularly vulnerable population.Descriptors: Laminectomy; Quality of life; Chronic Pain.Arq.41-45 22(4) out-dez; 2015 Saúde. Ciênc.

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“…28 However, these findings are contradictory to those of earlier studies reporting associations between physical ability and fear avoidance beliefs. 9,11,29 In one study, Geisser et al observed a significant correlation between pain-related fear and decreased lumbar flexion among participants with chronic LBP. 9 Vaisy et al reported that ROM and angular velocity were associated with psychological characteristics, including fear of movement.…”

Section: Discussionmentioning

confidence: 99%

“…9 Vaisy et al reported that ROM and angular velocity were associated with psychological characteristics, including fear of movement. 11 Grotle et al found that fear avoidance beliefs were significantly related to disability after controlling for sociodemographic, pain-related and clinical variables and excluding distress variables. 30 Another study found that a combination of psychological factors, including fear avoidance beliefs, anxiety and pain catastrophising, determined functional disability in adults with chronic LBP.…”

Section: Discussionmentioning

confidence: 99%

“…7,8 Studies have shown an association between pain-related fear of movement and reduced lumbar flexion among adults with chronic LBP and indicated that pain-related fear of movement can lead to disabilities. [9][10][11][12] However, it is unclear whether adults with LBP who have pain-related fear of movement deliberately avoid movements of increased velocity and acceleration.…”

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confidence: 99%

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

Jette¹,

Lim²,

Lim³

et al. 2016

SQUMJ

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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.

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Measurement of Lumbar Spine Functional Movement in Low Back Pain

Cited by 59 publications

References 31 publications

The Fear‐avoidance Components Scale (FACS): Development and Psychometric Evaluation of a New Measure of Pain‐related Fear Avoidance

The Fear‐avoidance Components Scale (FACS): Development and Psychometric Evaluation of a New Measure of Pain‐related Fear Avoidance

Impacto Funcional Na Qualidade De Vida De Indivíduos Com Síndrome Dolorosa Pós-Laminectomia

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

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