Sensorimotor and body perception assessments of nonspecific chronic low back pain: a cross-sectional study

Meier, Raphaël; Emch, Christine; Gross-Wolf, C.; Pfeiffer, Fabian; Meichtry, André; Schmid, Annina B.; Luomajoki, Hannu

doi:10.1186/s12891-021-04269-7

Cited by 11 publications

(4 citation statements)

References 36 publications

(11 reference statements)

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“…Pain Self-Efficacy Questionnaire or the Coping Strategies Questionnaire-27 revised) [ 45 – 47 ], or quality of life (e.g. the Short-Form Health Survey 36-items) [ 48 ], as well as with clinical tests that might have the ability to detect alterations in the sensorimotor system [ 49 ], were not examined. Fifth, our research was limited to people with chronic non-specific LBP and it is doubtful if these results can be expanded to individuals with other causes of lumbar pain (e.g.…”

Section: Discussionmentioning

confidence: 99%

The Fremantle Back Awareness Questionnaire: cross-cultural adaptation, reliability, and validity of the Italian version in people with chronic low back pain

Monticone,

Maurandi,

Porcu

et al. 2024

BMC Musculoskelet Disord

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Background and aim There is evidence to suggest that assessing back-specific altered self-perception may be useful when seeking to understand and manage low back pain (LBP). The Fremantle Back Awareness Questionnaire (FreBAQ) is a patient-reported measure of back-specific body perception that has never been adapted and psychometrically analysed in Italian. Hence, the objectives of this research were to cross-culturally adapt and validate the Italian version of this outcome measure (namely, the FreBAQ-I), to make it available for use with Italians suffering from chronic LBP. Methods The FreBAQ-I was developed by forward and backward translation, review by a committee skilled in patient-reported measures and test of the pre-final version to assess its clarity, acceptability, and relevance. The statistical analyses examined: structural validity based on Rasch analysis; hypotheses testing by investigating correlations of the FreBAQ-I with the Roland Morris Disability Questionnaire (RMDQ), a pain intensity numerical rating scale (PI-NRS), the Pain Catastrophising Scale (PCS), and the Tampa Scale of Kinesiophobia (TSK) (Pearson’s correlations); reliability by internal consistency (Cronbach’s alpha) and test–retest repeatability (intraclass correlation coefficient, ICC (2,1)); and measurement error by determining the minimum detectable change (MDC). After the development of a consensus-based translation of the FreBAQ-I, the new outcome measure was delivered to 100 people with chronic LBP. Results Rasch analysis confirmed the substantial unidimensionality and the structural validity of the FreBAQ-I. Hypothesis testing was considered good as at least 75% of the hypotheses were confirmed; correlations: RMDQ (r = 0.35), PI-NRS (r = 0.25), PCS (r = 0.41) and TSK (r = 0.38). Internal consistency was acceptable (alpha = 0.82) and test–retest repeatability was excellent (ICC (2,1) = 0.88, 95% CI: 0.83, 0.92). The MDC95 corresponded to 6.7 scale points. Conclusion The FreBAQ-I was found to be a unidimensional, valid, and reliable outcome measure in Italians with chronic LBP. Its application is advised for clinical and research use within the Italian speaking community.

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Section: Discussionmentioning

confidence: 99%

The Fremantle Back Awareness Questionnaire: cross-cultural adaptation, reliability, and validity of the Italian version in people with chronic low back pain

Monticone,

Maurandi,

Porcu

et al. 2024

BMC Musculoskelet Disord

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“…Movement control exercises were based on standardized and reliable low back movement control tests by Luomajoki et al (35)(36)(37). Movement control exercises were applied in both groups with or without SBTs as a monotherapy.…”

Section: Movement Control Exercise Protocolmentioning

confidence: 99%

Identical exercise programs with and without specific breathing techniques uncover clinically important differences on multifactorial outcome measures on chronic non-specific low back pain: A randomized feasibility trial with two-month follow-up

Mikkonen

Luomajoki

Airaksinen

et al. 2023

Preprint

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Background Chronic non-specific low back pain (CNSLBP) is a leading worldwide cause of disability. Exercise is the most common conservative intervention to treat CNSLBP with modest effect sizes. Exercises with specific breathing techniques (SBTs) have potentially improved multifactorial outcomes. To our knowledge, no previous studies have been conducted to compare the outcome differences of identical exercises with or without SBTs in a uniform clinical study setting. Aims and objectives To quantify baseline demographics, self-adherence to home exercise, and monitor the usage of analgesics and other interventions, and possible adverse events. To assess the feasibility of the SBTs protocol, eligibility criteria, randomization, and dropout rates. To quantify the changes in PROMs to help determine whether progression to a full-scale trial is worthwhile and to inform the choice of the most relevant and responsive outcome measure. Design A parallel randomized analyst-blinded feasibility trial with a two-month follow-up. Methods Thirty subjects were randomized to a control group (1) with movement control exercise only (n=16) and an experimental group (2) with movement control exercises with SBTs add-on (n= 14) with a two-month follow-up. Trial registration number; NCT05268822. Results In the experimental group, which incorporated SBTs, the reduction in pain and improvement in disability from baseline to post-intervention exceeded both the minimal detectable change (MDC) and the minimal clinically important difference (MCID). Moreover, compared to the control group, the experimental group demonstrated disability improvement that exceeded the MDC and MCID. Comparable improvements were also observed in pain catastrophizing, the impact of pain on sleep, the life quality , and overall well-being. The home exercises were identical in terms of content, adherence, and progression and no adverse events were reported. Furthermore, there were very little differences between the groups in the use of analgesics or other intervention usage. The previously defined feasibility outcomes met acceptable levels. Discussion Identical exercise programs in uniform clinical settings with and without SBTs uncovered preliminary clinically important differences in multifactorial outcome measures of pain intensity, disability, catastrophizing, effect of pain on sleep, life quality, and well-being. Demographics, exercise adherence or content or contextual factors or analgesics or other intervention usage did not explain group differences. Progression to full-scale study feasibility criteria was met.

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“…A numerical pain scale of 4 or higher on a scale of 0 to 10 to prevent oor effects in outcome measurement (47) Roland-Morris Disability Questionnaire score of 5 or higher on a scale of 0 to 24 to prevent oor effects in outcome measurement (48) The main aim of the inclusion and exclusion criteria is to attempt to minimize the effect of intervention differences by including only participants with movement control impairment. Exclusion is based on standardized and reliable low back movement control tests by Luomajoki et al (12,13,49). Furthermore, treating speci c movement control impairment with standardized exercises is an attempt to minimize difference in effect size, exercise variation and physical performance heterogeneity between the groups.…”

Section: Eligibility Criteriamentioning

confidence: 99%

Protocol of identical exercise programs with and without specific breathing techniques for the treatment of chronic low back pain: randomized feasibility trial with two-month follow-up.

Mikkonen

Luomajoki

Airaksinen

et al. 2022

Preprint

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Background Chronic low back pain (CLBP) is a leading cause of disability globally. Exercise therapies are one of the commonly prescribed treatment options for CLBP. The specific exercise therapies for CLBP most commonly target movement dysfunction, but seldom brain-based pain modulation. Exercise therapies with specific breathing techniques (SBTs) have been shown to influence and enhance brain-based structural and functional pain modulation. Aims and objectives To assess the feasibility of the SBTs protocol, eligibility criteria, randomization, and dropout rates. To quantify the changes in patient outcome measures and choose the most relevant measure for larger-scale study. To quantify self-adherence levels to home exercise and monitor and record possible pain medication and other treatment modality usage, and adverse events during exercise. Design A parallel randomised analyst-blinded feasibility trial with two-month follow-up. Outcome measures Feasibility related to aims and objectives. Multiple pain- and health-related patient-reported outcome measures of pain intensity, disability, central sensitization, anxiety, kinesiophobia, catastrophising, self-efficacy, sleep quality, quality of life, and health and well-being status. Exercise adherence, pain medication and other treatment modality usage, and possible adverse events related to exercises will be monitored and recorded. Methods Thirty participants will be randomized to movement control exercise with SBTs (experimental group) or movement control exercise without SBTs (control group) with an allocation ratio of 1:1. Discussion SBTs are a simple, free, and safe addition to exercise that may influence clinical outcomes. The clinical difference in effectiveness between practically identical exercise programs in uniform study settings with or without SBTs has not been studied before.

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Sensorimotor and body perception assessments of nonspecific chronic low back pain: a cross-sectional study

Cited by 11 publications

References 36 publications

The Fremantle Back Awareness Questionnaire: cross-cultural adaptation, reliability, and validity of the Italian version in people with chronic low back pain

The Fremantle Back Awareness Questionnaire: cross-cultural adaptation, reliability, and validity of the Italian version in people with chronic low back pain

Identical exercise programs with and without specific breathing techniques uncover clinically important differences on multifactorial outcome measures on chronic non-specific low back pain: A randomized feasibility trial with two-month follow-up

Protocol of identical exercise programs with and without specific breathing techniques for the treatment of chronic low back pain: randomized feasibility trial with two-month follow-up.

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