Pain-Related Factors Contributing to Muscle Inhibition in Patients With Chronic Low Back Pain

Verbunt, Jeanine; Seelen, Henk; Bousema, Eric J.; Heijden, Geert J. van der; Heuts, P.H.T.G.; Knottnerus, J. André

doi:10.1097/00002508-200505000-00006

Cited by 79 publications

(50 citation statements)

References 35 publications

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“…Therefore, results can be influenced by several individual confounding factors such as motivation, pain tolerance, competitiveness (Mannion & Dolan, 1994); furthermore pain on exertion, anticipation or fear of pain and reflex inhibition of motor activation can be additional factors resulting in 152 inability or unwillingness to produce a truly maximal effort in patients with LBP (Menard et al, 1994;Vlaeyen et al, 1995;Crombez et al, 1996;Keller et al, 1999;Rashiq et al, 2003;Rainville et al, 2004;Al-Obaidi et al, 2005;Ropponen et al, 2005;Verbunt et al, 2005;Thomas et al, 2008;Huijnen et al, 2010). These individual factors might explain the absence or low correlations found in some studies between morphologic variables and performance (Parkkola et al, 1993;Gibbons et al, 1997a).…”

Section: Interpretation Of Resultsmentioning

confidence: 99%

“…The force increment in response to this stimulus reflects the muscle force reserve or the difference between the maximum force that can be generated by the muscle and the maximum voluntary contraction force, in which nonphysiological factors play a role (Verbunt et al, 2003). This technique was used to compare healthy subjects with patients with LBP regarding knee extensor inhibition in a few studies (Suter & Lindsay, 2001;Verbunt et al, 2005); a lower central activation ratio was reported in patients experiencing increased psychological distress and with higher pain intensity (Verbunt et al, 2005).…”

Section: Interpretation Of Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Muscular Performance Assessment of Trunk Extensors: A Critical Appraisal of the Literature

Demoulin¹,

Grosdent²,

Smeets³

et al. 2012

Low Back Pain

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Section: Interpretation Of Resultsmentioning

confidence: 99%

Section: Interpretation Of Resultsmentioning

confidence: 99%

Muscular Performance Assessment of Trunk Extensors: A Critical Appraisal of the Literature

Demoulin¹,

Grosdent²,

Smeets³

et al. 2012

Low Back Pain

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“…Subjects performed a MVIC of the quadriceps with the knee locked at 90°flexion and the hip at 85°. Quadriceps MVIC torque values were normalized by body mass (Nm/kg) (Verbunt et al, 2005;Palmieri-Smith et al, 2010). Once the MVIC reached a plateau, an electrical stimulation was manually delivered to the quadriceps, via stimulating electrodes, to recruit any remaining muscle fibers (Snyder-Mackler et al, 1995) (Fig.…”

Section: Methodsmentioning

confidence: 99%

“…CAR ranges in healthy subjects were previously reported as 0.93-0.99 (Lewek et al, 2004) and 0.95-0.98 (Verbunt et al, 2005). Further, other studies have suggested 0.95 as a normal value of the CAR in healthy people, (Delitto, 1988;Hurley et al, 1992;Farquhar et al, 2005) although this has never been objectively examined.…”

Section: Introductionmentioning

confidence: 96%

Quadriceps activation normative values and the affect of subcutaneous tissue thickness

Park

Hopkins

2011

Journal of Electromyography and Kinesiology

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“…However, along with its well-known physical benefits, exercise therapy can challenge maladaptive thoughts and beliefs and is associated with improvements regarding fear avoidance, pain catastrophizing, and self-efficacy in people with LBP. 22,[28][29][30][31][32][33][34] A better understanding of the psychological techniques used by physiotherapists to enhance uptake of exercise programmes could improve rehabilitation outcomes.…”

Section: Ré Sumémentioning

confidence: 99%

The Development and Testing of a Checklist to Study Behaviour Change Techniques used in a Treatment Programme for Canadian Armed Forces Members with Chronic Non-specific Low Back Pain

Harman¹,

MacRae

Vallis

2014

Physiotherapy Canada

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Purpose: There are reports of increased use of a variety of behaviour change techniques (BCT) by physiotherapists and findings of beneficial effects of use. However, there is a lack of physiotherapy-specific definitions of these techniques, as well as a sense of how physiotherapists use them in practice. Through this study, the authors created and field tested a preliminary nomenclature and description for BCT in patients with chronic non-specific low back pain (CNSLBP). Methods: Items for the Physiotherapy Behaviour Change Technique (PT-BCT) checklist were derived from a nomenclature created for use in psychology and also from publications of studies using cognitive behaviour therapy-based approaches in physiotherapy. Content validity was tested via survey of clinical and research experts. Videotapes of a 6-week patient self-management rehabilitation programme were used for training, reliability testing, and field testing of the PT-BCT checklist. Results: Checklist items were endorsed by the majority of experts surveyed; intra-and interrater reliability were moderate to high. In the field study, a broad range of BCT types (behavioural, cognitive, and motivational) were observed in both classroom and gym settings. Conclusions: The BCT nomenclature arising from this study and the PT-BCT checklist will be useful to further explore behaviour change in physiotherapy practice. The observation in this study that BCT were integrated into physiotherapists' practice illustrates how physiotherapists can play a role in changing behaviour, specifically in the presence of CNSLBP.Key Words: health behavior; low back pain; psychological techniques; rehabilitation. RÉ SUMÉObjectif : On signale une utilisation accrue, par les physiothé rapeutes, de tout un é ventail de techniques de modification du comportement (TMC) et l'on constate des effets bé né fiques. Il manque toutefois des dé finitions de ces techniques qui sont spé cifiques à la physiothé rapie et l'on ne sait pas trop comment nous les avons utilisé es dans la pratique. Cette é tude a cré é une nomenclature et une description pré liminaires de TMC chez les patients souffrant de lombalgie chronique non spé cifique (LCNS) et l'on en a fait l'essai pratique. Mé thodes : Les questions figurant sur la liste de contrô le des techniques de modification des comportements en physiothé rapie (TMC-PT) ont é té tiré es d'une nomenclature cré é e pour la psychologie et aussi d'é tudes publié es au cours desquelles on a utilisé des dé marches basé es sur la thé rapie comportementale cognitive en physiothé rapie. La validité du contenu a é té vé rifié e au moyen de sondages d'experts cliniques et de recherches. On a utilisé des enregistrements vidé o d'un programme de ré adaptation de l'autoprise en charge d'un patient d'une duré e de six semaines pour la formation, l'essai de fiabilité et l'essai pratique de la liste de contrô le TMC-PT. Ré sultats : La majorité des experts sondé s a approuvé les é lé ments de la liste. La fiabilité intra et interé valuateurs a varié de modé...

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Pain-Related Factors Contributing to Muscle Inhibition in Patients With Chronic Low Back Pain

Cited by 79 publications

References 35 publications

Muscular Performance Assessment of Trunk Extensors: A Critical Appraisal of the Literature

Muscular Performance Assessment of Trunk Extensors: A Critical Appraisal of the Literature

Quadriceps activation normative values and the affect of subcutaneous tissue thickness

The Development and Testing of a Checklist to Study Behaviour Change Techniques used in a Treatment Programme for Canadian Armed Forces Members with Chronic Non-specific Low Back Pain

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