| Full text | |
| Author(s): |
Carvalho, Flavia A.
;
Maher, Chris G.
;
Franco, Marcia R.
;
Morelhao, Priscila K.
;
Oliveira, Crystian B.
;
Silva, Fernanda G.
;
Pinto, Rafael Z.
Total Authors: 7
|
| Document type: | Journal article |
| Source: | ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION; v. 98, n. 1, p. 96-104, JAN 2017. |
| Web of Science Citations: | 5 |
| 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: (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 (AU) | |
| FAPESP's process: | 15/17093-7 - Is there an association between fear of movement and physical activity levels in patients seeking care for chronic non-specific low back pain? |
| Grantee: | Flávia Alves de Carvalho |
| Support Opportunities: | Scholarships abroad - Research Internship - Scientific Initiation |
| FAPESP's process: | 15/07704-9 - Effects of senior dance on risk factors for falls in older adults: a randomised controlled clinical trial |
| Grantee: | Marcia Rodrigues Franco Zambelli |
| Support Opportunities: | Scholarships in Brazil - Post-Doctoral |
| FAPESP's process: | 15/02744-2 - Comparing the responsiveness of objective and subjective physical activity-related measures in patients with non-specific chronic low back pain |
| Grantee: | Priscila Kalil Morelhão |
| Support Opportunities: | Scholarships in Brazil - Master |
| FAPESP's process: | 14/14077-8 - Investigating the role of physical activity domains in the prognosis of non-specific low back pain |
| Grantee: | Rafael Zambelli de Almeida Pinto |
| Support Opportunities: | Research Grants - Young Investigators Grants |