Flávia A Carvalho1, Chris G Maher2, Marcia R Franco1, Priscila K Morelhão1, Crystian B Oliveira1, Fernanda G Silva1, Rafael Z Pinto3. 1. Physical Therapy Department, Faculty of Science and Technology, São Paulo State University, Presidente Prudente, Brazil. 2. Musculoskeletal Division, The George Institute for Global Health, Sydney Medical School, University of Sydney, Sydney, Australia. 3. Physical Therapy Department, Faculty of Science and Technology, São Paulo State University, Presidente Prudente, Brazil; Musculoskeletal Division, The George Institute for Global Health, Sydney Medical School, University of Sydney, Sydney, Australia. Electronic address: rafaelzambelli@gmail.com.
Abstract
OBJECTIVES: To assess the association of physical activity measures, derived with an accelerometer and a self-reported questionnaire, with fear of movement in patients with chronic nonspecific low back pain (LBP) and to investigate the association between disability and fear of movement in this population. DESIGN: Cross-sectional study. SETTING: Outpatient physical therapy university clinics. PARTICIPANTS: Patients (N=119) presenting with nonspecific LBP of >3 months' duration. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Physical activity levels measured objectively with an accelerometer (ie, counts per minute, time spent in moderate-to-vigorous and light physical activity per day, number of steps per day, and number of 10-minute bouts of moderate-to-vigorous physical activity per day) and subjectively with a self-reported questionnaire (Baecke Physical Activity Questionnaire); fear of movement (Tampa Scale of Kinesiophobia); pain (11-point numerical rating scale); disability (Roland Morris Disability Questionnaire); and depression (Beck Depression Inventory). The associations were examined with correlational, univariate, and multivariable linear regression analyses. RESULTS: None of the objective physical activity measures were associated with fear of movement. The apparent association of self-reported physical activity levels with fear of movement (correlational analyses: r=-.18; P<.05; univariate regression analyses: β=-.04; 95% confidence interval [CI], -.07 to -.01; P=.04) was not confirmed in multivariable analyses. Fear of movement was consistently associated with disability in both correlational (r=.42; P<.01) and multivariable (β=.21; 95% CI, .11-.31; P<.001) analyses. CONCLUSIONS: Our data support one aspect of the fear-avoidance model-that higher fear of movement is associated with more disability-but not the aspect of the model linking fear of movement with inactivity.
OBJECTIVES: To assess the association of physical activity measures, derived with an accelerometer and a self-reported questionnaire, with fear of movement in patients with chronic nonspecific low back pain (LBP) and to investigate the association between disability and fear of movement in this population. DESIGN: Cross-sectional study. SETTING:Outpatient physical therapy university clinics. PARTICIPANTS: Patients (N=119) presenting with nonspecific LBP of >3 months' duration. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Physical activity levels measured objectively with an accelerometer (ie, counts per minute, time spent in moderate-to-vigorous and light physical activity per day, number of steps per day, and number of 10-minute bouts of moderate-to-vigorous physical activity per day) and subjectively with a self-reported questionnaire (Baecke Physical Activity Questionnaire); fear of movement (Tampa Scale of Kinesiophobia); pain (11-point numerical rating scale); disability (Roland Morris Disability Questionnaire); and depression (Beck Depression Inventory). The associations were examined with correlational, univariate, and multivariable linear regression analyses. RESULTS: None of the objective physical activity measures were associated with fear of movement. The apparent association of self-reported physical activity levels with fear of movement (correlational analyses: r=-.18; P<.05; univariate regression analyses: β=-.04; 95% confidence interval [CI], -.07 to -.01; P=.04) was not confirmed in multivariable analyses. Fear of movement was consistently associated with disability in both correlational (r=.42; P<.01) and multivariable (β=.21; 95% CI, .11-.31; P<.001) analyses. CONCLUSIONS: Our data support one aspect of the fear-avoidance model-that higher fear of movement is associated with more disability-but not the aspect of the model linking fear of movement with inactivity.
Authors: Daniel Santos Rocha; Almir Vieira Dibai-Filho; Jocassia Silva Pinheiro; Lisiane Fernanda Simeão de Azevedo; Angela Falcai; Rudys Rodolfo de Jesus Tavarez; Adriana Sousa Rego; Gabriela Nascimento de Santana; Cid André Fidelis de Paula Gomes; Daniela Bassi-Dibai Journal: Rev Assoc Med Bras (1992) Date: 2022-07 Impact factor: 1.712
Authors: Hugo Jário de Almeida Silva; Bruno T Saragiotto; Rodrigo Scattone Silva; Caio Alano de Almeida Lins; Marcelo Cardoso de Souza Journal: BMJ Open Date: 2019-12-22 Impact factor: 2.692
Authors: Emma L Healey; Kelli D Allen; Kim Bennell; Jocelyn L Bowden; Jonathan G Quicke; Robert Smith Journal: Arthritis Care Res (Hoboken) Date: 2020-10 Impact factor: 5.178
Authors: Crystian B Oliveira; Márcia R Franco; Chris G Maher; Anne Tiedemann; Fernanda G Silva; Tatiana M Damato; Michael K Nicholas; Diego G D Christofaro; Rafael Z Pinto Journal: Trials Date: 2018-01-15 Impact factor: 2.279