Fear of Movement Is Not Associated With Objective and Subjective Physical Activity Levels in Chronic Nonspecific Low Back Pain

Autor(es)

Carvalho, Flavia A. ; Maher, Chris G. ; Franco, Marcia R. ; Morelhao, Priscila K. ; Oliveira, Crystian B. ; Silva, Fernanda G. ; Pinto, Rafael Z.

• Tipo de documento: Artigo Científico
• Fonte: ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION; v. 98, n. 1, p. 96-104, JAN 2017.
• Citações Web of Science: 5

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 (AU)

• Processo FAPESP: 15/17093-7 - Há associação entre medo de movimento e níveis de atividade física em pacientes que procuram atendimento para dor lombar crônica não-específica?
• Beneficiário: Flávia Alves de Carvalho
• Modalidade de apoio: Bolsas no Exterior - Estágio de Pesquisa - Iniciação Científica
• Processo FAPESP: 15/07704-9 - Efeitos da dança sênior nos fatores de risco para quedas em indivíduos idosos: um ensaio clínico aleatorizado controlado
• Beneficiário: Marcia Rodrigues Franco Zambelli
• Modalidade de apoio: Bolsas no Brasil - Pós-Doutorado
• Processo FAPESP: 15/02744-2 - Comparação entre a responsividade de medidas objetivas e subjetivas que investigam aspectos de atividade física em pacientes com dor lombar crônica não-específica
• Beneficiário: Priscila Kalil Morelhão
• Modalidade de apoio: Bolsas no Brasil - Mestrado
• Processo FAPESP: 14/14077-8 - O papel de diferentes domínios de atividade física no curso clínico da dor lombar não-específica
• Beneficiário: Rafael Zambelli de Almeida Pinto
• Modalidade de apoio: Auxílio à Pesquisa - Jovens Pesquisadores