Reliability of Musculoskeletal Fitness Tests and Movement Control Impairment Test Battery in Female Health-Care Personnel with Re-Current Low Back Pain

Taulaniemi, Raija Pia Annika; Kankaanpää, Markku

doi:10.4172/2165-7025.1000282

Cited by 10 publications

(12 citation statements)

References 49 publications

(77 reference statements)

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“…• Body mass index (BMI), in kg/m 2 . Repeatability of the motor and musculoskeletal fitness used with this study sample was confirmed in the first sub-study of the NURSE RCT (n = 47) (28). A precise description of the fitness test performances is given in the repeatability article (28).…”

Section: Independent Variables 1 Performance Tests For Physical Fitnmentioning

confidence: 80%

Bio-psychosocial factors are associated with pain intensity, physical functioning, and ability to work in female healthcare personnel with recurrent low back pain

Taulaniemi

Kuusinen²,

Tokola³

et al. 2017

J Rehabil Med

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Section: Independent Variables 1 Performance Tests For Physical Fitnmentioning

confidence: 80%

Bio-psychosocial factors are associated with pain intensity, physical functioning, and ability to work in female healthcare personnel with recurrent low back pain

Taulaniemi

Kuusinen²,

Tokola³

et al. 2017

J Rehabil Med

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“…Physical measurements included body mass index (BMI), movement control of the low back [47,48], and performance tests for physical fitness, namely aerobic fitness by the 6-minute walk test [49], muscular strength (modified push-up [50], one-legged squat with progressively increasing external load (10% of body weight after each performance up to 40%) [50], vertical jump [50], modified sit-ups [51]), agility by running a figure-of-eight [52], flexibility by trunk lateral side bending [50], and rhythm coordination [52]. More precise information on the measurements is given in the study protocol article [35], the article on the repeatability of the physical measurements [48], and the baseline analysis of the study sample [7].…”

Section: Measurementsmentioning

confidence: 99%

“…The target was for the participants to exercise twice a week -i.e. 48 Of those who were allocated to the exercise group, 10% did not exercise at all, and another 10% took part in only 1-5 exercise sessions in the 6-month period. Of the whole study sample (n=219), 80% (n=176) and 72% (n=157) participated in the 6-month and 12-month follow-up measurements, respectively [36].…”

Section: Exercise Adherencementioning

confidence: 99%

Fear-avoidance beliefs are associated with exercise adherence: Secondary analysis of a randomised controlled trial (RCT) among female healthcare workers with recurrent low back pain

Taulaniemi¹,

Kankaanpää

Rinne³

et al. 2020

Preprint

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Background: Exercise is recommended for the treatment and management of low back pain (LBP) and the prevention of chronicity. Exercise adherence has been only modest in intervention studies among people with musculoskeletal pain. Fear-avoidance beliefs (FABs) are known to affect exercise adherence.The purpose was twofold: to examine which bio-psycho-social factors contributed to exercise adherence during a 6-month neuromuscular exercise intervention among female healthcare workers with recurrent LBP, and to investigate how exercising affects FABs at 6 and 12 months’ follow-up. Methods: Some 219 healthcare workers aged 30–55 years with mild-to-moderate re-current non-specific LBP were originally allocated into: 1) exercise, 2) counselling, 3) combined exercise and counselling, and 4) control groups. In the present secondary analysis, groups 1 and 3 (exercise only and exercise+counselling) were merged to be exercisers and groups 2 and 4 were merged to be non-exercisers. Baseline variables of the exercise compliers (≥24 times over 24 weeks; n=58) were compared to those of the non-compliers (<1 time/week, 0–23 times; n=52). The effects of the exercise programme on FABs were analysed by a generalised linear mixed model according to the intention-to-treat principle (exercisers; n= 110 vs non-exercisers; n=109) at three measurement points (baseline, 6, and 12 months). A per-protocol analysis compared the more exercised to the less exercised and non-exercisers. Results: A low education level (p=0.026), shift work (p=0.023), low aerobic (p=0.048) and musculoskeletal (p=0.043) fitness, and high baseline physical activity-related FABs (p=0.019) were related to low exercise adherence. The exercise programme reduced levels of both physical activity- and work-related FABs, and there was a dose response: FABs reduced more in persons who exercised ≥24 times compared to those who exercised 0-23 times.Conclusion: Healthcare workers who had lower education and fitness levels, worked shifts, and had high physical activity-related FABs had a lower adherence to the 6-month neuromuscular exercise programme. Exercising with good adherence reduced levels of FABs, which have been shown to be linked with prolonged LBP. Motivational strategies should be targeted at persons with low education and fitness levels and high FABs in order to achieve better exercise adherence.

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“…Standard methods were used to assess the background variables and selected biopsychosocial factors of the NURSE-RCT at baseline: intensity of LBP in the Visual Analog Scale (VAS) [23], number of musculoskeletal pain sites [24], lumbar exertion after workdays [25] and recovery after work [26]. Additionally, we measured the trunk and upper-body muscular fitness using the Modified push-ups test [27,28]. Work ability was assessed with work ability score [29] and work-stress as effort-reward imbalance [30].…”

Section: Content Validitymentioning

confidence: 99%

“…30mm) among those with no symptoms (p = 0.039). There were stepwise associations (p≤0.003) between the level of depressive symptoms and number of musculoskeletal pain sites [24], lumbar exertion after workdays [25], recovery after work days during the past 4 weeks [26], neuromuscular fitness in Modified push-ups test [27,28], Work Ability Score [29] and fear of pain [31] related to work, but not that related to physical activity. The effort-reward imbalance (0.2-5), an indicator of work stress [30], slightly increased with the level of depression (p = 0.014).…”

Section: Content Validity Of the Phq-9-mfin Among The Study Populationmentioning

confidence: 99%

Reliability and construct validity of the modified Finnish version of the 9-item Patient Health Questionnaire, and its’ content validity within biopsychosocial frame among female healthcare workers with sub-acute or recurrent LBP

Suni¹,

Virkkunen

Husu

et al. 2019

Preprint

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Background: Healthcare workers have increased risk for chronic low back pain (LBP) leading to reduced workability. Depression, a highly prevalent, costly and disabling condition, is commonly seen in patients with sub-acute LBP. This study investigated the psychometric properties and content-validity of a modified 9-item Patient Health Questionnaire (PHQ-9-mFIN) in female healthcare workers with sub-acute LBP. Methods: Reliability (internal consistency, test-retest repeatability) was assessed with standard methods. Construct validity of the PHQ-9-mFIN was assessed as level of depression (PHQ-9-mFIN: 0-4 none, 5-9 mild, ≥10 at least moderate) against RAND-36 Health Survey, a valid measure of health-related quality of life (HRQoL). Content validity was determined as the strength of the association between the levels of PHQ-9-mFIN and the selected biopsychosocial factors. Results: The internal consistency of the PHQ-9-mFIN was high (Cronbach’s α=0.82) and the test-retest repeatability scores (n=65) fair: Pearson’s correlation 0.76, Kappa-value 0.42 for the diagnostic criterion (i.e. scores 0-9 vs. 10-27). Construct validity (Spearman correlation) against the Physical and Mental component items and their summary scales of the RAND 36 were much higher for the Mental (range -0.43 to -0.70 and -0.68) than for the Physical (range -0.06 to -0.41 and -0.24), respectively. There was a clear stepwise association (p<0.001) between the levels of depressive symptoms and General health (physical component, range 59.1 to 78.8). The associations with all items of the Mental components were strong and graded (p<0.001). All participants had low scores for Bodily pain regardless of the level of depressive symptoms. There was a strong association (p≤0.003) between levels of PHQ-9-mFIN and multisite pain, lumbar exertion and recovery after work days, neuromuscular fitness in Modified push-ups, workability, and fear of pain related to work. Conclusions: The PHQ-9-mFIN showed adequate reliability, and excellent construct and content validity among female healthcare workers with recurrent LBP and physically strenuous work. Trial registration: NCT01465698

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Reliability of Musculoskeletal Fitness Tests and Movement Control Impairment Test Battery in Female Health-Care Personnel with Re-Current Low Back Pain

Cited by 10 publications

References 49 publications

Bio-psychosocial factors are associated with pain intensity, physical functioning, and ability to work in female healthcare personnel with recurrent low back pain

Bio-psychosocial factors are associated with pain intensity, physical functioning, and ability to work in female healthcare personnel with recurrent low back pain

Fear-avoidance beliefs are associated with exercise adherence: Secondary analysis of a randomised controlled trial (RCT) among female healthcare workers with recurrent low back pain

Reliability and construct validity of the modified Finnish version of the 9-item Patient Health Questionnaire, and its’ content validity within biopsychosocial frame among female healthcare workers with sub-acute or recurrent LBP

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