Effects of 10-weeks strength training programme on pain intensity, muscle endurance and kinesophobia in patients with non-specific low back pain (original) (raw)
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Pain Research and Treatment, 2017
Objectives. This study aims (1) to determine the association between kinesiophobia and pain, muscle functions, and functional performances and (2) to determine whether kinesiophobia predicts pain, muscle functions, and functional performance among older persons with low back pain (LBP). Methods. This is a correlational study, involving 63 institutionalized older persons (age = 70.98±7.90 years) diagnosed with LBP. Anthropometric characteristics (BMI) and functional performances (lower limb function, balance and mobility, and hand grip strength) were measured. Muscle strength (abdominal and back muscle strength) was assessed using the Baseline® Mechanical Push/Pull Dynamometer, while muscle control (transverse abdominus and multifidus) was measured by using the Pressure Biofeedback Unit. The pain intensity and the level of kinesiophobia were measured using Numerical Rating Scale and Tampa Scale of Kinesiophobia, respectively. Data were analyzed using Pearson’s correlation coefficient...
Trials
Background Patients with chronic low back pain (CLBP) frequently present with kinesiophobia. Though large body of evidence reported the impact of kinesiophobia in patients with CLBP, there are paucity of studies in associating kinesiophobia to muscle endurance and position sense in patients with CLBP. The primary aim of the study is to compare the impact of kinesiophobia on lumbar extensor endurance, position sense in patient with CLBP, and asymptomatic individuals. Secondarily, we aim to examine the association between kinesiophobia and lumbar extensor endurance, position sense, pain intensity, and functional ability in patients with CLBP. Thirdly, we aim to assess the degree of association of various factors on CLBP, lumbar endurance, and position sense. Material and methods This case-control study will have 200 patients with CLBP and 400 controls. Kinesiophobia, lumbar endurance, and lumbar position sense will be assessed with Tampa Scale, Soren’s lumbar extensor test, and lumbar...
Kinesiophobia, functional disability and physical deconditioning evaluation in chronic low back pain
Annals of Physical and Rehabilitation Medicine, 2017
Objective To evaluate the effectiveness of a back-school program in patients with non-specific low back pain (N-LBP). Material/Patients and methods This is a prospective, analytical and comparative study of 55 subjects with chronic N-LBP (period: January-April 2014). Patients were randomly assigned into two groups G1 (back-school, n = 27) and G2 (conventional treatment, n = 28). Each patient attended 15 sessions. During the treatment, patients of G1 were active and led by the physical therapist for 60 min in which, 15 min were used for teaching and answering questions concerning spine and pathophysiology of N-LBP. The same exercises were done within 45 min by G2 but with the active participation of the physical therapist. Results The mean age was 50.63 ± 9.27 for G1 and 50.36 ± 10.55 for G2. At the beginning, groups were comparable (P > 0.05) in terms of age, gender, BMI, occupation, sport practice, pain and EIFEL. The treatment significantly improved the pain within each group but the difference between G1 and G2 was not significant. On the other hand, G1 results were significantly better than G2 for strength (z = 3.09; P < 0.001) and endurance (z = 1.85; P = 0.001) of the abdominal muscles and, strength (z = 2.64; P = 0.01) and endurance (z = 1.36; P = 0.04) of the spinals. We observed significant improvement in EIFEL scores in G1 (2 = 14.97; P = 0.005) and G2 (2 = 29.01; P = 0.001) with however better recovery of G1 patients (2 = 23.45; P = 0.001). Discussion/Conclusion The dynamic program of the back-school allowed a better recovery of the flexibility of the spine, strength and muscular endurance as well as a better functional scores at EIFEL. The difference between the two methods would result in the particular emphasis that was placed on mobilizations, stretching and muscle reinforcement in the active approach of the back-school. Keywords Chronic non-specific low back pain; Back-school; Dynamic program Disclosure of interest The author has not supplied his declaration of competing interest.
https://ijshr.com/IJSHR\_Vol.6\_Issue.3\_July2021/IJSHR-Abstract.061.html, 2021
Background: Low back pain is one of the most common conditions encountered by a physical therapist in their clinical practice. Chronic low back pain is difficult to treat due to various environmental and psychological factors such as kinesiophobia, which may possibly lead to altered or reduced physical activity level producing various effects on musculoskeletal system. In addition to this, little is known about the relation between these factors, especially in Indian population. Therefore, it is important to find out if any correlation exists between these factors. Methods: This Correlational study included 53 patients of both gender suffering from chronic low back pain. Numerical Pain Rating Scale (NPRS), Marathi version of Tampa Scale of Kinesiophobia (TSK) and short version of International Physical Activity Questionnaire (IPAQ) were administered in the patients after obtaining their consent. The responses were collected and then analyzed using Pearson's coefficient. Results: The mean pain intensity was found to be 3.11±2.24 and 6.86±1.91 at rest and on activity respectively. Mean score of kinesiophobia was 29.11±5.00. Mean score of physical activity level was 5466.62±5362. Significant correlation was found between pain during activity and kinesiophobia (p<0.05). Conclusion: This study demonstrates significantly positive correlation between pain during activity and kinesiophobia in patients with chronic low back pain aged between 30-50 years. However, no significant correlation was obtained between pain and physical activity level, kinesiophobia and physical activity level.
Impact of Kinesiophobia on Quality of Life in Subjects with Low Back Pain: A Cross-Sectional Study
International Journal of Physiotherapy and Research, 2017
Background: Studies has demonstrated the development of Kinesiophobia in Low Back Pain (LBP) and identified as one of the risk factor for chronicity in LBP. In addition to deconditioning effect, Kinesiophobia also install functional disability and does that affect quality of life? Literatures had exposed the association of Kinesiophobia in chronic and acute low back pain separately but paucity in estimating their quality of life thus this study aims to explore the impact of Kinesiophobia on the quality of life in LBP. Materials and Methods: One hundred and twenty study participants were recruited by convenient sampling method between 18-60 years of age. Data were collected by using Tampa scale of Kinesiophobia, Numerical Pain Rating Scale, SF-36 Health Status Questionnaire and Modified Oswestry Disability Questionnaire for LBP. Secured scores were analysed in SPSS software to identify the association between Kinesiophobia and other functional scales. Results: Mean age of the study participant was 39.79±11.22 years. Prevalence rate of high degree of Kinesiophobia was found as to be 58.33% (n=70). As the intensity of pain increases in LBP, the development of Kinesiophobia also increased and its association exhibited as weak positive linear correlation (r=0.256, p=0.032). Development of Kinesiophobia has demonstrated increased functional disability where correlation between Kinesiophobia and Oswestry disability shows moderate positive correlation (r = 0.495, p=0.000) simultaneously correlation between Kinesiophobia and SF-36 shows moderate negative correlation (r =-0.420, p=0.000) indicating decreased Quality of Life. Conclusions: It has been found that there is a direct relationship between the pain and the development of Kinesiophobia in LBP which in turn increase in the development of functional disability thus marking decreased QOL.
OBJECTIVE: The aim of our study is to examine the relationship between kinesiophobia (fear of movement), physical activity level and quality of life. METHODS: In this study, we assessed 112 patients consulting for low back pain (LBP) of 3 month's duration. We used Visual Analog Scale (VAS) for pain intensity, the International Physical Activity Questionnaire (IPAQ) for physical activity level, Tampa Kinesiophobia Scale for perception of kinesiophobia, Oswestry Disability Index for disability status of low back. RESULTS: The results of this study, there was no statistically significant correlation between International Physical Activity Questionnaire, duration of pain, intensity of pain at rest and Tampa Kinesiophobia Scale (p > 0.05). It was found a statistically significant correlation between pain intensity at activity (p = 0.009), disability level (p = 0.000) and Tampa Kinesiophobia Scale. Tampa Kinesiophobia Scale were highly negative correlated with sub-scale of SF-36 Quality of Life Index (general health, physical function, social status, bodily pain, role limitations due to physical health) (p = 0.000). CONCLUSION: The kinesiophobia adversely affect the quality of life limiting the physical activity status of patients with chronic low back pain.
Pain, kinesiophobia and quality of life of low back pain patients
Revista Dor, 2014
BACKGROUND AND OBJECTIVES: Chronic low back pain is a musculoskeletal problem with high prevalence and frequent associated conditions, which causes major impact on patients' daily life and quality of life. This study aimed at evaluating pain perception, fear of movement and adherence to treatment of patients with low back pain and surgical indication. METHODS: This is a prospective study with convenience sample made up of low back pain patients, called test group: chronic non-cancer pain patients who were randomly selected and were waiting for surgery. Control group was made up of patients screened by the Pain Clinic, with low back pain, however asymptomatic. Tools were the visual analog scale, the Morisky & Green questionnaire to check adherence to treatment and the Roland-Morris questionnaire to evaluate functional incapacity. Fear of movement was evaluated by the Tampa Scale for Kinesiophobia and quality of life by the Study Short form 12 Health Survey (SF-12) (Medical Outcomes). RESULTS: Mean age of the test group was 38.8±6.5 years with prevalence of females, impaired labor situation and mean education of 8.5±3.8 years. Both mental and physical components had lower quality of life scores in the test group, in addition to more severe pain, functional incapacity and fear of movement. Non-adherence to treatment was seen in 65% of test group patients. CONCLUSION: Fear of movement, functional incapacity and pain observed in test group may have implications in the quality of life of low back pain patients who will be submitted to surgery and may be predictors for the incorporation of different strategies to contribute to more effective approaches.
Impact of low back pain on fear of movement and functional activities
International Journal of Research in Pharmaceutical Sciences
Fear is an uncomfortable feeling, which results from the proximity of actual threat or pain. A strong correlation exists between fear and pain. Kinesiophobia is the phobia of activity and physical movement, which results from a sensation of sensitivity to painful injury or reinjury. Low back pain (LBP) is among the frequent disorders of the musculoskeletal system. LBP is mainly due to bad postures and poor organisational ergonomics. Kinesiophobia has adverse effects on rehabilitation outcomes. So the systematic application of graded exposure to movements is recommended in patients with Kinesiophobia to prevent pain-related anxiety. We compared Kinesiophobia's impact on patients with both acute and chronic LBP. We aimed to find out the role of Kinesiophobia in patients having LBP. The survey-based research using Tampa scale of Kinesiophobia was conducted with cross-sectional design. It included participants of both genders,in the age group of 18-65 who were diagnosed with acute a...
Journal of Occupational …, 2007
Introduction: Pain related fear and pain intensity have been identified as factors negatively influencing Functional Capacity Evaluation (FCE) performances in patients with CLBP. Conflicting results have been reported in the literature. The objective of this study was to analyze the relationships between pain intensity and pain-related fear on the one hand, and performances during an FCE on the other hand in two samples of patients with chronic low back pain (CLBP). Methods: Two cross sectional observation studies were performed with two samples of patients with CLBP (study 1: n = 79; study 2: n = 58). Pain related fears were operationally defined as the score on the Tampa Scale of Kinesiophobia in study 1, and the Fear Avoidance Beliefs Questionnaire (FABQ) in study 2. Pain intensity was measured with a Numeric Rating Scale in both studies. Avoidance behavior observed during FCE was in both studies operationally defined as the unwillingness to engage in high intensity performance levels of three different functional activities: high intensity lifting, prolonged standing in a forward bend position, and fast repetitive bending at the waist. Results: A total of 25 correlations between pain and pain related fear, and performance variables were calculated, out of which 7 were significant (p < 0.05). The strength of these significant correlations ranged from r = −0.23 to r = −0.50. Multivariate linear regression analyses revealed non-significant relationships in most instances. Pain and pain related fear contributed little if any to these models. Conclusions: The relation between pain and pain related fear and FCE performance is weak or non-existent in patients with CLBP.
Annals of Physical and Rehabilitation Medicine, 2017
Spine / Annals of Physical and Rehabilitation Medicine 60S (2017) e16-e21 negative correlations according Shirado test (r = −0.51, P < 0.001) and Sorensen test (r = −0.39, P = 0.004) on a moderate to low level. Discussion/Conclusion Given these results, Kinesiophobia presents a real problem in chronic low back pain patients since it has been significantly correlated with functional abilities and physical deconditioning. We intend to propose multidisciplinary therapeutic management programs. These programs will rely on psychological education and cognitive-behavioral therapies that allow patients to change their erroneous beliefs and to promote functional recovery. Keywords Kinesiophobia; Functional disability; Physical deconditioning; Chronic low back pain Disclosure of interest The authors have not supplied their declaration of competing interest.