Fear of Movement Is Not Associated With Objective and Subjective Physical Activity Levels in Chronic Nonspecific Low Back Pain
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1016/j.apmr.2016.09.115 http://hdl.handle.net/11449/162373 |
Resumo: | 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: (beta=-.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 (beta=.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. (C) 2016 by the American Congress of Rehabilitation Medicine |
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Fear of Movement Is Not Associated With Objective and Subjective Physical Activity Levels in Chronic Nonspecific Low Back PainActivities of daily livingFearLow back painMotor activityRehabilitationObjectives: 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: (beta=-.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 (beta=.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. (C) 2016 by the American Congress of Rehabilitation MedicineFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Sao Paulo State Univ, Fac Sci & Technol, Phys Therapy Dept, Presidente Prudente, BrazilUniv Sydney, Sydney Med Sch, George Inst Global Hlth, Musculoskeletal Div, Sydney, NSW, AustraliaSao Paulo State Univ, Fac Sci & Technol, Phys Therapy Dept, Presidente Prudente, BrazilFAPESP: 2015/17093-7FAPESP: 2015/07704-9FAPESP: 2015/02744-2FAPESP: 2014/14077-8Elsevier B.V.Universidade Estadual Paulista (Unesp)Univ SydneyCarvalho, Flavia A. [UNESP]Maher, Chris G.Franco, Marcia R. [UNESP]Morelhao, Priscila K. [UNESP]Oliveira, Crystian B. [UNESP]Silva, Fernanda G. [UNESP]Pinto, Rafael Z. [UNESP]2018-11-26T17:16:25Z2018-11-26T17:16:25Z2017-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article96-104application/pdfhttp://dx.doi.org/10.1016/j.apmr.2016.09.115Archives Of Physical Medicine And Rehabilitation. Philadelphia: W B Saunders Co-elsevier Inc, v. 98, n. 1, p. 96-104, 2017.0003-9993http://hdl.handle.net/11449/16237310.1016/j.apmr.2016.09.115WOS:000392460000012WOS000392460000012.pdfWeb of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengArchives Of Physical Medicine And Rehabilitation1,501info:eu-repo/semantics/openAccess2023-11-04T06:10:14Zoai:repositorio.unesp.br:11449/162373Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462023-11-04T06:10:14Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Fear of Movement Is Not Associated With Objective and Subjective Physical Activity Levels in Chronic Nonspecific Low Back Pain |
title |
Fear of Movement Is Not Associated With Objective and Subjective Physical Activity Levels in Chronic Nonspecific Low Back Pain |
spellingShingle |
Fear of Movement Is Not Associated With Objective and Subjective Physical Activity Levels in Chronic Nonspecific Low Back Pain Carvalho, Flavia A. [UNESP] Activities of daily living Fear Low back pain Motor activity Rehabilitation |
title_short |
Fear of Movement Is Not Associated With Objective and Subjective Physical Activity Levels in Chronic Nonspecific Low Back Pain |
title_full |
Fear of Movement Is Not Associated With Objective and Subjective Physical Activity Levels in Chronic Nonspecific Low Back Pain |
title_fullStr |
Fear of Movement Is Not Associated With Objective and Subjective Physical Activity Levels in Chronic Nonspecific Low Back Pain |
title_full_unstemmed |
Fear of Movement Is Not Associated With Objective and Subjective Physical Activity Levels in Chronic Nonspecific Low Back Pain |
title_sort |
Fear of Movement Is Not Associated With Objective and Subjective Physical Activity Levels in Chronic Nonspecific Low Back Pain |
author |
Carvalho, Flavia A. [UNESP] |
author_facet |
Carvalho, Flavia A. [UNESP] Maher, Chris G. Franco, Marcia R. [UNESP] Morelhao, Priscila K. [UNESP] Oliveira, Crystian B. [UNESP] Silva, Fernanda G. [UNESP] Pinto, Rafael Z. [UNESP] |
author_role |
author |
author2 |
Maher, Chris G. Franco, Marcia R. [UNESP] Morelhao, Priscila K. [UNESP] Oliveira, Crystian B. [UNESP] Silva, Fernanda G. [UNESP] Pinto, Rafael Z. [UNESP] |
author2_role |
author author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) Univ Sydney |
dc.contributor.author.fl_str_mv |
Carvalho, Flavia A. [UNESP] Maher, Chris G. Franco, Marcia R. [UNESP] Morelhao, Priscila K. [UNESP] Oliveira, Crystian B. [UNESP] Silva, Fernanda G. [UNESP] Pinto, Rafael Z. [UNESP] |
dc.subject.por.fl_str_mv |
Activities of daily living Fear Low back pain Motor activity Rehabilitation |
topic |
Activities of daily living Fear Low back pain Motor activity Rehabilitation |
description |
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: (beta=-.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 (beta=.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. (C) 2016 by the American Congress of Rehabilitation Medicine |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-01-01 2018-11-26T17:16:25Z 2018-11-26T17:16:25Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1016/j.apmr.2016.09.115 Archives Of Physical Medicine And Rehabilitation. Philadelphia: W B Saunders Co-elsevier Inc, v. 98, n. 1, p. 96-104, 2017. 0003-9993 http://hdl.handle.net/11449/162373 10.1016/j.apmr.2016.09.115 WOS:000392460000012 WOS000392460000012.pdf |
url |
http://dx.doi.org/10.1016/j.apmr.2016.09.115 http://hdl.handle.net/11449/162373 |
identifier_str_mv |
Archives Of Physical Medicine And Rehabilitation. Philadelphia: W B Saunders Co-elsevier Inc, v. 98, n. 1, p. 96-104, 2017. 0003-9993 10.1016/j.apmr.2016.09.115 WOS:000392460000012 WOS000392460000012.pdf |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Archives Of Physical Medicine And Rehabilitation 1,501 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
96-104 application/pdf |
dc.publisher.none.fl_str_mv |
Elsevier B.V. |
publisher.none.fl_str_mv |
Elsevier B.V. |
dc.source.none.fl_str_mv |
Web of Science reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
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1799964816321806336 |